دورية أكاديمية
Community-level consumption of antibiotics according to the AWaRe (Access, Watch, Reserve) classification in rural Vietnam.
| العنوان: | Community-level consumption of antibiotics according to the AWaRe (Access, Watch, Reserve) classification in rural Vietnam. |
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| المؤلفون: | Nguyen NV; Oxford University Clinical Research Unit, Hanoi Unit, Hanoi, Vietnam.; Hanoi University of Pharmacy, Hanoi, Vietnam., Do NTT; Oxford University Clinical Research Unit, Hanoi Unit, Hanoi, Vietnam., Nguyen CTK; Family Medicine Department, Hanoi Medical University, Hanoi, Vietnam.; FilaBavi Health Demographic and Surveillance Site, Hanoi, Vietnam., Tran TK; Family Medicine Department, Hanoi Medical University, Hanoi, Vietnam.; FilaBavi Health Demographic and Surveillance Site, Hanoi, Vietnam., Ho PD; FilaBavi Health Demographic and Surveillance Site, Hanoi, Vietnam.; National Institute of Mathematics, Hanoi, Vietnam., Nguyen HH; FilaBavi Health Demographic and Surveillance Site, Hanoi, Vietnam., Vu HTL; Oxford University Clinical Research Unit, Hanoi Unit, Hanoi, Vietnam., Wertheim HFL; Department of Medical Microbiology and RadboudUMC Center for Infectious Diseases, RadboudUMC, Nijmegen, Netherlands.; University of Oxford Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Oxford, UK., van Doorn HR; Oxford University Clinical Research Unit, Hanoi Unit, Hanoi, Vietnam.; University of Oxford Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Oxford, UK., Lewycka S; Oxford University Clinical Research Unit, Hanoi Unit, Hanoi, Vietnam.; University of Oxford Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Oxford, UK. |
| المصدر: | JAC-antimicrobial resistance [JAC Antimicrob Resist] 2020 Sep; Vol. 2 (3), pp. dlaa048. Date of Electronic Publication: 2020 Sep 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101765283 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2632-1823 (Electronic) Linking ISSN: 26321823 NLM ISO Abbreviation: JAC Antimicrob Resist Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Oxford] : Oxford University Press, [2019]- |
| مستخلص: | Objectives: To review community-level consumption of antibiotics in rural Vietnam, according to the WHO Access, Watch, Reserve (AWaRe) classification of 2019, and identify factors associated with the choice of these antibiotics. Methods: In this cross-sectional study, data on antibiotic purchases were collected through a customer exit survey of 20 community antibiotic suppliers in Ba Vi District, Hanoi, between September 2017 and July 2018. Antibiotic consumption was estimated through the number of antibiotic encounters, the number of DDDs supplied and the number of treatment days (DOTs) with antibiotics, and analysed according to the AWaRe classification. The factors associated with watch-group antibiotic supply were identified through multivariable logistic regression analysis. Results: In total, there were 1342 antibiotic encounters, with access-group antibiotics supplied in 792 encounters (59.0%), watch-group antibiotics supplied in 527 encounters (39.3%) and not-recommended antibiotics supplied in 23 encounters (1.7%). No reserve-group antibiotics were supplied. In children, the consumption of watch-group antibiotics dominated in all three measures (54.8% of encounters, 53.0% of DOTs and 53.6% of DDDs). Factors associated with a higher likelihood of watch-group antibiotic supply were: private pharmacy (OR, 4.23; 95% CI, 2.8-6.38; P < 0.001), non-prescription antibiotic sale (OR, 2.62; 95% CI, 1.78-3.87; P < 0.001) and children (OR, 2.56; 95% CI, 1.84-3.55; P < 0.001). Conclusions: High consumption of watch-group antibiotics was observed, especially for use in children. The frequent supply of watch-group antibiotics at private pharmacies reconfirms the need for implementing pharmacy-targeted interventions in Vietnam. (© The Author(s) 2020. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy.) |
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| معلومات مُعتمدة: | United Kingdom WT_ Wellcome Trust |
| تواريخ الأحداث: | Date Created: 20200925 Latest Revision: 20220417 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC7497401 |
| DOI: | 10.1093/jacamr/dlaa048 |
| PMID: | 32974610 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2632-1823 |
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| DOI: | 10.1093/jacamr/dlaa048 |