Factors influencing clinician’s antibiotic prescribing behaviors (apb) in Bangladesh: an in–depth review using comb model

S. Saha, Shukla Promite
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引用次数: 5

Abstract

Over the last decade, there are poly-pharmacy practices and extensive uses of antibiotics have become a commonplace in Bangladesh [1]. Overprescribing and unnecessary prescribing of antibiotics is a threatening problem in Bangladesh and worldwide [2]. The inappropriate use of antibiotics and development of antibiotic resistance (AR) are closely linked [3,4]. The annual death toll for AR is 700,000 globally [5]. Nowadays, AR is, therefore, a current global threat to public health. Therefore, promoting appropriate use of antibiotics is an emerging issue for patient safety and public health with national priority [6]. In 2014, Lundborg & Tamhanker [7,8] stated that human behavior is vigorously involved using antibiotics and developing antibiotic resistance. There are many decisions, which are taken prior to antibiotic prescription, dispensing, consumption or discarding influence subsequent human behavior. Individual involved might be a physician, health care provider, a veterinarian, an animal provider, a consumer, or a parent. The engagement of a human behavior is also observed in the non-human use of antibiotics in animal husbandry, industries, and agriculture.
影响孟加拉国临床医生抗生素处方行为(apb)的因素:使用梳子模型的深入回顾
在过去的十年中,孟加拉国的多药房实践和抗生素的广泛使用已经成为一种司空见惯的现象[1]。过量和不必要的抗生素处方在孟加拉国乃至全世界都是一个具有威胁性的问题[2]。抗生素的不当使用与抗生素耐药性(antibiotic resistance, AR)的产生有着密切的联系[3,4]。全球每年AR死亡人数为70万[5]。因此,如今,AR是当前对公共卫生的全球威胁。因此,促进合理使用抗生素是国家优先考虑的患者安全和公共卫生新问题[6]。2014年,Lundborg & Tamhanker[7,8]指出,人类行为积极参与抗生素的使用和抗生素耐药性的产生。在抗生素处方、配药、消费或丢弃之前做出的许多决定会影响随后的人类行为。涉及的个人可能是医生、卫生保健提供者、兽医、动物提供者、消费者或父母。在畜牧业、工业和农业中非人类使用抗生素也可以观察到人类行为的参与。
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