埃塞俄比亚兽药零售网点对抗菌素耐药性的认识及其遏制战略

Hailu Zeru, A. Gemechu, Tenaw Andualem, Hayat Seid, Fikadu Mengesha
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引用次数: 1

摘要

2018年1月至3月进行了一项横断面研究,以评估兽药零售网点对抗微生物药物耐药性(AMR)的认识以及这些设施中兽医抗微生物药物的可得性。定性和定量数据是使用结构化问卷从总共108个零售网点收集的。研究显示,70个应答者(64.8%)报告了由于抗菌素耐药性导致的动物传染病治疗困难。80.6%的答复者认为使用错误的抗微生物药物是抗生素耐药性的可能原因,79.6%的答复者使用假冒或劣质抗微生物药物,70.4%的答复者为其动物自行处方药物。其中59人(54.6%)还回答,过度拥挤、卫生和环境卫生条件差以及饲养方法不当等不良饲养做法可能是造成抗菌素耐药性的原因,而8人(7.4%)和9人(8.3%)的受访者分别不知道抗菌素耐药性发展的原因和遏制抗菌素耐药性的可能解决方案。只有24名(22.2%)配药人员接受了抗菌药物选择、使用、耐药性和耐药性控制方面的培训。尽管约90%的零售网点提供土霉素等抗微生物药物,但只有70个(64.8%)零售网点每周平均从公立和私立诊所收到14张处方(从1张到200张不等),这表明存在无处方分发抗微生物药物的做法。因此,应该制定和实施强有力的主流战略,以预防和控制抗菌素耐药性。抗菌素的处方和配药做法也应得到很好的规范,以避免不合理的处方和配药做法。
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Awareness of Veterinary Drug Retail Outlets on Antimicrobial Resistance and its Containment Strategy in Ethiopia
A cross-sectional study was conducted from January to March 2018 to assess the awareness of veterinary drug retail outlets on Antimicrobial Resistance (AMR) and the availability of veterinary antimicrobials in these facilities. Qualitative and quantitative data were collected using a structured questionnaire from a total of 108 retail outlets. The study revealed that there is a difficulty to treat infectious diseases of animals because of AMR which is reported by 70 (64.8%) of the respondents. 80.6% of the respondents believe that use of wrong antimicrobial is the possible cause of AMR and 79.6% use of counterfeit or poor quality antimicrobials, and 70.4% owners self-prescription of medicines for their animals. 59 (54.6%) of them also answered poor husbandry practices such as overcrowding, poor hygiene and sanitation, and poor feeding practice are the possible causes of AMR while 8 (7.4%) and 9 (8.3%) of the respondents do not know the reason for the AMR development and possible solutions for AMR containment, respectively. Only 24 (22.2%) of the dispensers have taken training on antimicrobial selection, use, resistance and resistance containment. Even though antimicrobials such as Oxytetracycline are available in around 90% of the retail outlets, only 70 (64.8%) of the retail outlets receive an average of 14 prescriptions (ranging from one to 200) per week from public and private clinics which shows a practice of antimicrobials dispensing without prescription. Therefore, strong mainstreaming strategies to prevent and control AMR should be developed and implemented. Antimicrobials prescription and dispensing practice should also be well regulated to avoid irrational prescription and dispensing practices.
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