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引用次数: 0
摘要
与非洲撒哈拉以南地区的许多其他国家一样,抗菌药耐药性(AMR)是尼日利亚面临的一项严峻的健康挑战。我们的文章描述了尼日利亚专利和中成药销售商(PPMVs)在监管和运营方面面临的挑战如何成为抗菌药物使用不足的盲点。本文还揭示了患者使用和寻求抗生素的行为如何助长了这种不健康的做法。此外,我们的文章还探讨了这种做法的社会决定因素,如贫困和教育水平低下,并提出了解决这一问题的方法。虽然以前的研究已经调查了 PPMVs 对抗菌药物使用和 AMR 的了解、看法和态度,但我们的文章是第一篇批判性地提出对尼日利亚抗菌药物剂量不足这一常见做法的担忧的文章。
'Cut medicine for me': addressing suboptimal dosing of antimicrobials as a critical issue to combat AMR in Nigeria.
Antimicrobial resistance (AMR) is a critical health challenge in Nigeria as in many other countries in the sub-Saharan region of Africa. Our article describes how the challenges in the regulation and operations of Patent and Proprietary Medicine Vendors (PPMVs) in Nigeria provide a blind spot for the underuse of antimicrobials. This article also sheds light on how patients' antibiotic use and seeking behaviour facilitate this unwholesome practice. In addition, our article looks at the social determinants of this practice, such as poverty and poor education, and proffers solutions towards solving it. While previous research has investigated the knowledge, perceptions and attitudes of PPMVs towards antimicrobial use and AMR, our article is the first to critically raise concerns about the common practice of antimicrobial underdosing in Nigeria.