过度使用抗生素:谁之过?一项定性研究。

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
International Journal of Preventive Medicine Pub Date : 2024-01-30 eCollection Date: 2023-01-01 DOI:10.4103/ijpvm.ijpvm_287_22
Zary Nokhodian, Zahra Boroumandfar, Soodabeh Rostami, Behrooz Ataei
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引用次数: 0

摘要

背景:不合理使用抗生素严重威胁全球健康:抗生素的不合理使用严重威胁着全球健康。毫无疑问,临床医生在医院和社区的抗生素使用中扮演着至关重要的角色,他们的态度可能有助于医疗系统优化抗生素的使用。在本研究中,我们报告了临床医生在伊朗伊斯法罕使用抗生素的经验:在 2020 年 10 月至 2021 年 3 月进行的一项定性研究中,我们通过一对一访谈收集了 13 名不同临床专业的临床医生的经验。参与者通过有目的的抽样选出,直至数据饱和;数据收集通过半结构化访谈进行。访谈记录采用常规内容分析法进行分析。由三位研究人员对主要类别进行确认和细分,并进行编码:参与研究的有 8 名女性和 5 名男性,平均工作年限为(12.54±10.047)年。他们都对过度使用抗生素和抗生素耐药性表示担忧。临床医生认为,抗菌药物管理委员会在我国并不活跃。实验室挑战、医疗保健提供者、医疗系统表现不佳以及营销和商业是研究的主要类别。主要类别的次级类别包括实验室功能效率低下、有害利润、医学教育挑战、疾病治疗的起伏、医院表现令人无法接受、卫生系统未能升级、威胁和机遇以及贿赂:本研究的参与者认为,过度使用抗生素是我国面临的一个严峻挑战。医生们对抗生素耐药性表示担忧,并认为抗生素耐药性的模式并未得到常规报告。因此,在本地区,我们应更加努力地收集这一领域的数据,并将这些信息提供给医生。此外,这项研究还证实了抗菌药物管理计划实施过程中的许多障碍,而且基础设施也需要加强。此外,还需要改变文化和医生的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Overuse of Antibiotics: Who is to Blame? A Qualitative Study.

Background: The irrational use of antibiotics seriously threatens global health. Clinicians undoubtedly play an essential role in consuming antibiotics in hospitals and communities, and their attitudes may help the health system's optimal treatment of antibiotics. In this study, we reported clinicians' experiences with antibiotics used in Isfahan, Iran.

Methods: In a qualitative study conducted from October 2020 to March 2021, the experiences of 13 clinicians with different clinical specialties were collected through one-to-one interviews. Participants were selected through purposive sampling until data saturation; data collection was conducted through semi-structured interviews. Conventional content analysis was used to analyze the transcribed interviews. The main category was recognized and subcategorized and coded by three researchers.

Results: Eight women and five men with a mean work experience of 12.54 ± 10.047 years participated in the study. All of them worried about the overuse of antibiotics and antibiotic resistance. Clinicians believe that the antimicrobial stewardship committee is not active in our country. Laboratory challenges, healthcare providers, the poor performance of the health system, and marketing and business were the main categories of the study. Subcategrories of main categories included inefficiency in the function of laboratories, harmful profit, challenges in medical education, ups and downs of disease treatment, the unacceptable performance of hospitals, failure to upgrade the health system, threats and opportunities, and jobbery.

Conclusions: The participants of this study believed that excessive use of antibiotics is a serious challenge in our country. Physicians were concerned about antibiotic resistance and believed that the pattern of antibiotic resistance was not routinely reported. Therefore, in our region, we should make more efforts to collect data in this field and provide this information to physicians. Also, this study confirmed many obstacles to implementing the antimicrobial stewardship program, and the infrastructure needs strengthening. There is also a need for cultural changes and the views of physicians.

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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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