首次评估多哥和科特迪瓦卫生行动者在抗生素耐药性方面的知识、态度和做法

A. Bedekelabou, Délé Wilfried Oyetola, Zanan Lassina Coulibaly, Olouwamouyiwa Akinsola, Rianatou Bada-Alambédji
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引用次数: 2

摘要

背景和目的:细菌对抗生素的耐药性已成为全球公共卫生的威胁。本研究旨在评估两个非洲国家卫生行为者对抗生素耐药性(ABR)的知识、态度和做法。材料和方法:2020年8月至2021年7月,在科特迪瓦和多哥进行了横断面和描述性问卷研究。由于新冠肺炎限制,63%的演员接受了现场采访(n=141),也接受了远程采访。定性变量用频率描述,定量变量用平均值和相关标准差描述。通过卡方检验和精确Fisher检验进行双变量分析,可接受的风险为5%。结果:多哥和科特迪瓦的参与者分别有88%和50%对ABR有很好的了解,即使大多数利益相关者对禁用或在人类和动物医学中至关重要的抗生素知之甚少。超过75%的演员对ABR有良好的认识,这与他们的职业有很大关系。至于导致ABR增加的因素,受访者认为人类自我用药是主要因素。在多哥和科特迪瓦,约70%的参与者承认在抗生素的使用和/或分配方面遵循了不适当的做法,其中58%和46%的参与者分别使用了预防性抗生素治疗。同样,在这两个国家,分别有39%和69%的参与者声称他们没有系统地使用抗生素,69%和61%的药品经销商也分别承认偶尔在没有处方的情况下销售抗生素。最后,超过80%的人认为他们国家的当局没有就ABR进行充分的沟通。在可能有助于对抗ABR的行动中,行动者认为加强对抗生素分配的控制和对非专业人员进行抗生素保存重要性的教育是优先事项。结论:尽管这项首次研究有一些局限性,即接受调查的参与者数量少,使用的问卷不标准,但它表明多哥和科特迪瓦的卫生参与者对抗生素和ABR有很好的认识和看法,但也遵循了不充分的做法。
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First assessment of the knowledge, attitudes, and practices of health actors in Togo and Ivory Coast in regard to antibiotic resistance
Background and Aim: Bacterial resistance to antibiotics has now become a threat to global public health. This study aimed to assess the knowledge, attitudes, and practices of health actors in relation to antibiotic resistance (ABR) in two African countries. Materials and Methods: A cross-sectional and descriptive questionnaire study was conducted in Ivory Coast and Togo from August 2020 to July 2021. Actors were interviewed both in person 63% (n = 141) and remotely due to COVID-19 restrictions. Qualitative variables were described by frequencies and quantitative variables by the mean and associated standard deviation. The bivariate analysis was conducted through the Chi-square test and exact Fisher test with an acceptable risk of 5%. Results: The results showed that 88% and 50% of the actors from Togo and Ivory Coast, respectively, had a good knowledge of ABR even if most of the stakeholders had limited knowledge of antibiotics that are banned or of critical importance in human and animal medicine. More than 75% of the actors had good perceptions in regard to ABR and these were significantly related to their profession. As for the factors leading to an increase in ABR, the interviewees perceived self-medication in humans as the main contributing factor. Approximately 70% of the actors admitted to following inadequate practices in terms of the use and/or distribution of antibiotics, and 58% and 46% of them used preventive antibiotic therapy in Togo and Ivory Coast, respectively. Similarly, in the two countries, 39% and 69% of the actors, respectively, claimed that they do not systematically use the antibiogram, and 69% and 61% of drug distributors, also respectively, admitted to occasionally selling antibiotics without a prescription. Finally, more than 80% thought that the authorities in their country did not communicate sufficiently about ABR. Among the actions that could help to combat ABR, actors considered the strengthening of controls on the distribution of antibiotics and the education of nonprofessionals on the importance of antibiotic preservation as priorities. Conclusion: Although this first study had some limitations, that is, the low number of surveyed actors and non-standardized questionnaire used, it revealed that health actors in Togo and Ivory Coast have a good knowledge and perception in regard to antibiotics and ABR, but also follow inadequate practices.
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来源期刊
International Journal of One Health
International Journal of One Health Veterinary-Veterinary (all)
CiteScore
2.10
自引率
0.00%
发文量
13
审稿时长
15 weeks
期刊介绍: International Journal of One Health publishes high quality and novelty papers focusing on One Health. Review articles are highly appreciated. All articles published by International Journal of One Health are made freely and permanently accessible online. All articles to International Journal of One Health are posted online immediately as they are ready for publication.
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