三级医院牙科患者抗生素消费行为分析

Q4 Medicine
Md Salim Uddin, Towhida Ahsan, Hafiza Sultana
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引用次数: 0

摘要

背景:抗生素的消费量在全球范围内不断增加,在牙科领域,它正以惊人的速度与日俱增。抗生素的不合理使用不仅会导致抗生素耐药性的出现,还会产生各种不良反应,给卫生系统带来财政负担。目的:了解三级医院牙科患者的抗生素消费行为。方法:本横断面研究于2020年7月至2021年6月在达卡牙科学院医院对195名牙科患者进行。在获得知情书面同意后,采用预先测试的半结构化问卷和检查表进行面对面访谈。数据分析采用SPSS 26版本。采用Pearson卡方检验和似然比,以5%的显著性水平评估相关性。结果:本组患者的平均(±SD)年龄为41.11(±14.09)岁。患者以男性居多(52.8%)。超过一半(52.8%)的患者家庭月收入≤20000 BDT,以城市居民为主(72.8%)。患者抗生素消费行为平均(±SD)得分为10.96(±3.879)分,行为类别分别为良好行为(35.9%)、一般行为(32.8%)和不良行为(31.8%)。超过一半的患者(56.4%)有时会忘记或遗漏抗生素,约四分之一(26.7%)的患者不知道他们的牙齿状况开了抗生素。抗生素消费行为与受教育程度(p<0.001)、职业(p<0.010)、居住地(p<0.002)、家庭收入(p<0.001)和抗生素认知(p<0.001)显著相关。结论:本研究揭示了大量牙科患者的不当抗生素使用行为。建议采取以开处方者和牙科患者为重点的行为改变沟通措施,以减少抗生素的不当使用并促进合理使用。孟加拉国医疗资源理事会2023号文件;49 (2): 91 - 97
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antibiotic Consumption Behaviour of Dental Patients Attending in Tertiary Hospital
Background: The consumption of antibiotics is increasing globally and in dentistry, it is increasing day by day at an alarming rate. The irrational consumption of antibiotics results not only in the emergence of antibiotic resistance but also in various adverse reactions and imposes financial burden on health system. Objective: The aim of the study was to assess the antibiotic consumption behaviour of dental patients attending in tertiary hospital. Methods: This cross-sectional study was conducted at Dhaka Dental College Hospital from July 2020 to June 2021 among 195 dental patients. After obtaining informed written consent, data were collected by face to face interview using a pretested semi-structured questionnaire and checklist. Data were analyzed using SPSS 26 version. Pearson’s Chi-square test and Likelihood Ratio were done to assess the association with 5% level of significance. Results: In this study, mean (±SD) age of the dental patients was 41.11 (±14.09) years. Majority of the patients were male (52.8%). More than half (52.8%) of the patients’ monthly family income was ≤20000 BDT with predominant urban dwellers (72.8%). Mean (±SD) antibiotic consumption behaviour score of the patients were 10.96 (±3.879) and behaviour categories were good behaviour (35.9%), average behaviour (32.8%) and poor behaviour (31.8%) respectively. More than half of the patients (56.4%) sometimes forgot or missed any of their antibiotics and about one-fourth (26.7%) of the patients were not aware that they were prescribed antibiotics for their dental conditions. Antibiotic consumption behaviour showed significant association with educational status (p<0.001), occupation (p<0.010), residence (p<0.002), family income (p<0.001) and awareness about antibiotics (p<0.001). Conclusion: This study revealed improper antibiotic consumption behaviour among a large number of dental patients. Behaviour change communication measures focusing on both prescribers and dental patients is recommended to reduce inappropriate consumption of antibiotics and to promote rational usage. Bangladesh Medical Res Counc Bull 2023; 49(2): 91-97
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
48
期刊介绍: The official publication of the Bangladesh Medical Research Council.
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