抗生素使用:黎巴嫩南部社区的知识、态度和做法

K. Kassak, A. R. Hijazi, Zeinab Jammoul, Sukaina Fares
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引用次数: 5

摘要

背景:抗生素的不合理使用是抗生素耐药性影响公众健康的主要原因之一。本研究旨在调查黎巴嫩南部一个村庄的公众知识、态度和实践。方法:2017年10月,在黎巴嫩南部的Haddatha村Beint Jbeil进行了一项定量横断面调查。调查的目标人群包括黎巴嫩成年人(21岁或以上),他们至少在过去3年中一直居住在该村。结果:所有家庭都是目标家庭,其中91户(86%)同意参与,在同一个家庭中,我们只调查了一名成员。超过一半的受访者被误导使用抗生素治疗病毒感染(60.4%),近30%的人报告说抗生素可以治愈所有感染,26.4%的人认为如果症状改善,他们可以在完成疗程前停止服用抗生素。一半的受访者(48.4%)表示希望他们的医生开抗生素来治疗普通感冒。另一方面,60%的人在生病时通常不寻求医疗护理,因为他们认为不需要。研究结果还显示,近30%的人在没有医生处方的情况下服用抗生素。大约有一半的人口报告服用了剩余的抗生素(50.5%),只有5.6%的人等待4天以上才能开始抗生素疗程。结论:本研究反映了对抗生素使用的一些误解和知识不足,表现出有争议的态度和实践。因此,建议倡导通过针对个人及其家人的公共卫生干预措施来控制抗生素滥用的政策,以限制抗生素耐药性。
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Antibiotic Use: Knowledge, Attitude and Practices of a Southern Community in Lebanon
Background: The irrational use of antibiotics is one of the leading causes to antibiotic resistance affecting the public’s health. This study aimed at examining the public’s knowledge, attitude, and practice in a Southern village of Lebanon. Methods: A quantitative cross-sectional survey was conducted in Haddatha Village-Beint Jbeil in South Lebanon during the month of October 2017. The target population for the survey included Lebanese adults (21 years of age or older) that had been living in the Village for at least the past 3 years. Results: All households were targeted, of whom 91 agreed to participate (86%), within the same household, we surveyed only one member. More than half of the respondents were misinformed about antibiotics usage to treat viral infections (60.4%), almost 30% reported that it cures all infections and 26.4% assumed that they can stop taking the antibiotic before completing the course if their symptoms improved. Half of the respondents (48.4%) conveyed expecting their physicians to prescribe antibiotics to treat common cold. On the other hand, 60% do not usually seek medical care when sick because they think that it is not needed. The results, also, showed that almost 30% take antibiotics without a physician’s prescription. Approximately, half of the population reported consuming leftover antibiotics (50.5%), with only 5.6% waiting more than 4 days to start an antibiotic course. Conclusion: This study reflects several misconceptions and poor knowledge regarding antibiotics use, with an exhibition of contentious attitude and practice. Therefore, it is recommended to advocate for policies to control the misuse of antibiotics through public health interventions targeting individuals and their families to limit antibiotic resistance.
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