阿富汗学生自行服用抗生素情况调查:喀布尔医科大学的启示

Maleena Safi, Nadia Saydi, Tamanna Quraishi
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摘要

自行使用抗生素是全球面临的一项重大公共卫生挑战,会导致抗菌药耐药性和不良健康后果。这项横断面研究旨在调查 2021 年喀布尔医科大学医学生自我用药的流行程度、模式和相关因素。研究采用了描述性方法,通过在线问卷收集了 216 名参与者的数据。结果显示,自我药疗的发生率很高,67.1%的学生报告在过去一年中使用过抗生素,56.2%的学生在同一时期内进行过自我药疗。咽喉疼痛是最常见的自我治疗疾病,这表明学生有滥用抗生素治疗轻微症状的倾向。自行用药的原因包括症状严重程度、以往经验和使用抗生素的便利性。经济拮据和时间限制也影响了这种行为。这些研究结果突出表明,迫切需要采取有针对性的干预措施,以促进负责任地使用抗生素并降低与自行用药相关的风险。建议通过教育活动、监管措施和医疗改革来解决自我药疗的多方面驱动因素。总之,本研究为了解医学生自行使用抗生素的普遍性和决定因素提供了宝贵的见解,突出了公共卫生措施在遏制抗生素不当使用和保障抗菌药物疗效方面的重要性。
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Investigation of the Prevalance of Self-Medication with Antibiotics Among Students in Afganistan : Insight From Kabul Medical University
Self-medication with antibiotics poses a significant public health challenge worldwide, contributing to antimicrobial resistance and adverse health outcomes. This cross-sectional study aimed to investigate the prevalence, patterns, and factors associated with self-medication among medical students at Kabul Medical University in 2021. A descriptive approach was employed, utilizing online questionnaires to collect data from a sample of 216 participants. Results revealed a high prevalence of self-medication, with 67.1% of students reporting antibiotic use in the past year and 56.2% engaging in self-medication during the same period. Sore throat emerged as the most commonly self-treated ailment, indicating a tendency to misuse antibiotics for minor symptoms. Reasons for self-medication included perceived symptom severity, previous experience, and the convenience of antibiotic use. Financial constraints and time limitations also influenced this behaviour. These findings underscore the urgent need for targeted interventions to promote responsible antibiotic use and mitigate the risks associated with self-medication. Educational campaigns, regulatory measures, and healthcare reforms are recommended to address the multifaceted drivers of self-medication. In conclusion, this study provides valuable insights into the prevalence and determinants of self-medication with antibiotics among medical students, highlighting the importance of public health initiatives in curbing inappropriate antibiotic use and safeguarding antimicrobial efficacy.
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