达卡市RT-PCR阳性卫生工作者自我用药模式

Elora Sharmin, Sharmin Begum, S. Afreen, D. Islam, Sheik Foyez Ahmed
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摘要

背景:迄今为止,没有针对COVID-19的有效治疗方法。在这次大流行期间,自我药疗是普通人群和卫生工作者的主要治疗方式之一。通过对卫生保健工作者自我药疗模式的研究,可以了解其合理用药的知识和技能。该研究的目的是评估受COVID-19影响的医护人员的自我用药模式。方法:这项横断面调查评估了在孟加拉国的背景下,RT-PCR阳性的卫生工作者中自我药疗使用药物的模式。结果:共收集到267例HCWs资料。患者以31 ~ 40岁的中年人居多,平均年龄(32.2±5.2)岁。医生(83.9%)是护士(16.1%)的5倍。大多数卫生保健员(60.3%)在出现症状后立即开始用药,27.0%进行了RT-PCR检测。只有3.7%的人去医疗机构接受治疗。60%以上的答复者在出现症状后自行服药,19人(33.7%)接受专家建议并到卫生机构就诊,占2.6%。大多数患者(42.7%)使用阿奇霉素作为抗菌药物。参与者中使用最多的药物是扑热息痛(78.65%),其次是抗组胺药(67.79%)。患者平均使用药物数量3.1%,患者平均使用抗生素比例42.6%。结论:抗菌药物处方实践与标准推荐处方存在偏差。应提高对基本药物清单的认识。
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Drug used pattern by self-medication among the RT-PCR positive health workers in Dhaka city
Background: To date there is no effective treatment against COVID-19. Self-medication played one of the major modes of treatment among general population as well as the health workers during this pandemic. Studying the pattern of self-medication among the health care workers (HCWs) may indicate their knowledge and skills towards rational use of medicines. The aim of the study was to assess the pattern self-medication among the COVID-19 affected HCWs.Methods: This cross-sectional survey assessed the pattern of drug used by self-medication among the health workers who were RT-PCR positive in context to Bangladesh.Results: A total of 267 HCWs data were collected. Most of the HCWs were in middle age group between 31-40 years with the mean age of 32.2±5.2. Doctors (83.9%) enrolled five times more than the nurses (16.1%). Most of the HCWs (60.3%) commenced medications just after appearance of symptoms and 27.0% went for the RT-PCR testing. Only 3.7% went to health care facilities for treatment. More than sixty percent of the respondents took medication by themselves just after start the symptoms, 19 (33.7%) took advised from the specialists and attended at health facilities 2.6%. Most of the patients (42.7%) used azithromycin as antimicrobial agent. Paracetamol was the most used drug among the participants (78.65%) followed by antihistamines (67.79%). Average number of drugs used by patients 3.1% and percentage of antibiotics per patients 42.6%.Conclusions: The prescribing practice of antibiotics shows deviation from the standard recommendation. Awareness regarding essentials drug list should be needed. 
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