社区药房抗生素的使用:来自南非西北部的1例。

IF 1.7 Q4 PRIMARY HEALTH CARE
Zanele Nsingo, Varsha Bangalee, Deanne Johnston
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引用次数: 0

摘要

背景:由于抗菌素耐药性,抗生素使用是一个日益严重的公共卫生问题。社区药房是获得抗生素的关键途径;因此,对配药记录的评估将提供对其使用的见解。目的:了解某私立社区药房抗生素的使用情况。环境:本研究在南非西北省的一家私人药房进行。方法:一项回顾性横断面研究回顾了2022年1月至2024年8月口服抗生素的电子调剂记录,并根据世界卫生组织(WHO)可及性、观察和储备类别、通用状况、诊断和支付方式对其进行了分类。结果:共分析抗生素调剂记录10 468份。成人(18-64岁)占处方的大多数(80.7%;N = 8446)。总体而言,使用可及性抗生素最多(56.5%);N = 5910);然而,阿奇霉素(Watch抗生素)是配用最多的抗生素(n = 1849)。值得注意的是,82% (n= 8584)的处方与非特异性的《国际疾病分类》第十次修订代码相关联。仿制药占处方的92.6% (n = 9694)。尽管大多数患者(72.8%)使用医疗救助,但现金支付的患者更有可能获得非专利抗生素。结论:抗生素处方基本符合世卫组织指南;然而,可及性抗生素的高分配率突出表明需要有针对性的干预措施,以改善处方做法和指南的遵守情况。贡献:本案例研究表明,配药记录有助于提高对当地抗生素使用模式的了解,有助于在社区内对抗抗菌素耐药性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilisation of antibiotics in a community pharmacy: A case from north-west, South Africa.

Background:  Antibiotic utilisation is a growing public health issue due to antimicrobial resistance. Community pharmacies are a key access point for antibiotics; thus, an evaluation of dispensing records will provide insights into their use.

Aim:  To describe the utilisation of antibiotics in a private community pharmacy.

Setting:  This study was undertaken in a private pharmacy located in the North West province of South Africa.

Methods:  A retrospective, cross-sectional study reviewed electronic dispensing records of oral antibiotics from January 2022 to August 2024, categorising them according to the World Health Organizations (WHO) Access, Watch and Reserve categories, generic status, diagnosis and payment methods.

Results:  A total of 10 468 antibiotic dispensing records were analysed. Adults (18-64 years) accounted for the majority of prescriptions (80.7%; n = 8446). Overall, Access antibiotics were mostly dispensed (56.5%; n = 5910); however, azithromycin, a Watch antibiotic, was the most dispensed antibiotic (n = 1849). Notably, 82% (n= 8584) of prescriptions were linked to non-specific International Classification of Diseases, 10th Revision codes. Generic medicines constituted 92.6% (n = 9694) of prescriptions. Although most patients (72.8%) used medical aid, cash-paying patients were more likely to be dispensed a generic antibiotic.

Conclusion:  Antibiotic prescribing largely aligned with WHO guidelines; however, the high rate of Access antibiotics dispensed highlights the need for targeted interventions to improve prescribing practices and guideline adherence.Contribution: This case study indicates that dispensing records contribute to improved understanding of local antibiotic usage patterns that can help combat antimicrobial resistance within a community.

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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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