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首页> 外文期刊>Annual Research & Review in Biology >Irrational Use of Antibiotics and Antibiotic Resistance in Southern Rural Bangladesh: Perspectives from Both the Physicians and Patients
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Irrational Use of Antibiotics and Antibiotic Resistance in Southern Rural Bangladesh: Perspectives from Both the Physicians and Patients

机译：孟加拉国南部农村地区抗生素的不合理使用和抗生素耐药性：医师和患者的观点

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Aims: Antibiotic resistance is one of the widely recognized public health challenges in Bangladesh. The present study was aimed to analyze the current status of irrational use of antibiotics in rural Bangladesh and to explore the views from both physicians’ and patients’ perspective. Study Design: Population based survey. Place and Duration of Study: The survey was conducted among 6,000 patients and 580 physicians in the rural areas of Dhaka and Rajshahi divisions of Bangladesh from July 2012 to December 2012. Methodology: The survey followed a face-to-face interview protocol. 24 Upazila Health Complexes and 112 Union Health Centers of Dhaka and Rajshahi divisions were conveniently surveyed by trained volunteer interviewers. Two separate survey questionnaires were developed for physician and patient survey. Results: From the physician survey it was found that significantly more doctors prescribe antibiotics in suspected infections ( P <.0001). Around forty-four (44.1) percent doctors prescribe antibiotics in cold and fever before diagnosis. A significant proportion of physicians never receive any feedback about the antibiotic they prescribe (31.9%, P <.0001) and more than 50% doctors claimed that they receive feedback occasionally, not always ( P <.0001). According to the physician’s patient non-compliance is the main cause of antibiotic resistance in the country (68.8%). Though 48.6% patients think that it is important to strictly follow the doctor’s prescription, a significant percentage believe that it is not always necessary (26.7%, P <.0001) and more than 50% patient stop taking the antibiotic as soon as the symptoms disappear, while only 25.2% patient complete their full course. Only 6.3% patients consult their doctor if they miss the dose of an antibiotic and more than 50% take the next dose on time ( P <.0001). When a drug does not work the patient usually consider the doctor is incompetent (25.6%) and many (24.5%) believe that the quality of the drug is not up to the mark. Conclusion: The result of this survey indicates that the antibiotics are used among the rural people in irrational way. To overcome this situation close supervision of the relevant authority is required in order to minimize the growing antibiotic resistance in Bangladesh.
机译：目的：抗生素耐药性是孟加拉国公认的公共卫生挑战之一。本研究旨在分析孟加拉国农村地区不合理使用抗生素的现状，并从医生和患者的角度探讨观点。研究设计：基于人口的调查。研究的地点和持续时间：该调查于2012年7月至2012年12月在孟加拉国达卡和拉杰沙希分部的农村地区的6,000名患者和580位医生中进行。方法：该调查遵循面对面访问的协议。训练有素的志愿者访问员对达卡和拉杰沙希两个师的24个Upazila卫生综合体和112个联合卫生中心进行了方便的调查。开发了两个单独的调查问卷，用于医师和患者调查。结果：从医生调查中发现，在可疑感染中开处方使用抗生素的医生明显更多（P <.0001）。大约百分之四十四（44.1）的医生在诊断前开出感冒和发烧抗生素。很大比例的医生从未收到关于他们开出的抗生素的任何反馈（31.9％，P <.0001），超过50％的医生声称他们偶尔收到反馈，而不是总是（P <.0001）。据医师的病人不依从是该国抗生素耐药性的主要原因（68.8％）。尽管有48.6％的患者认为严格遵守医生的处方很重要，但仍有很大一部分患者认为并非总是必要的（26.7％，P <.0001），并且超过50％的患者在症状出现后立即停止服用抗生素消失，只有25.2％的患者完成了整个疗程。如果错过了抗生素剂量，只有6.3％的患者会咨询医生，超过50％的患者会按时服用下一个剂量（P <.0001）。当药物无效时，患者通常会认为医生没有能力（25.6％），许多人（24.5％）认为药物的质量达不到标准。结论：本次调查结果表明，农村居民对抗生素的使用不合理。为了克服这种情况，需要相关当局的密切监督，以最大程度地减少孟加拉国日益增长的抗生素耐药性。

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