Pollution by Antimicrobials and Antibiotic Resistance Genes in East Africa: Occurrence, Sources, and Potential Environmental Implications

Toxicology Reports, Journal Year: 2025, Volume and Issue: 14, P. 101969 - 101969

Published: Feb. 22, 2025

Language: Английский

Antibiotic Prescribing Behavior of Physicians in Outpatient Departments in Hospitals in Northwest Ethiopia: Structural Equation Modeling Approach

Interactive Journal of Medical Research, Journal Year: 2024, Volume and Issue: 13, P. e57285 - e57285

Published: Oct. 23, 2024

Background Antibiotic resistance, fueled by irrational prescribing, is a global threat associated with health, social, and economic consequences. Understanding antibiotic prescribing behavior factors important to promote good practice. Objective This study aimed determine the affecting behaviors of physicians based on theory planned in hospitals northwest Ethiopia 2022. Methods A cross-sectional was conducted from September 2022 October total 185 health professionals were included, self-administered questionnaire used collect data. structural equation model modified behavior. The percentages physicians’ estimated prescriptions for patients upper respiratory tract infections (URTIs) during weekly outpatient visits predict finally linked behavioral constructs. P value <.05 considered significant. Results Physicians that they prescribed antibiotics 54.8% (9896/18,049) encounters, 178 (96.2%) who presented symptoms URTI. aged ≤30 years less likely prescribe (48/100, 48%) URTI than older 30 (51/100, 51%; P=.004), general practitioners (47/100, 47%) residents P=.03). Similarly, visits, old (54/100, 54%) (57/100, 57%; P<.001), male (53/100, 53%) female (64/100, 64%; P=.03), P=.02). knowledge affected perceived social pressure (mean 4.4, SD 0.6) those poor 4.0, 0.9; P<.001) felt it easy make rational decisions 4.1, 1.1) compared 3.8, 1; P<.001). However, intentions reduce not attitudes, subjective norms, or control, related antibiotics. Conclusions under volitional control physicians. calls systematic approach change practices hospital.

Language: Английский

Identification, mapping, and self-reported practice patterns of village doctors in Sitakunda subdistrict, Bangladesh

Journal of Global Health, Journal Year: 2024, Volume and Issue: 14

Published: Sept. 13, 2024

Informally trained health care providers, such as village doctors in Bangladesh, are crucial providing services to the rural poor low- and middle-income countries. Despite being one of primary vendors antibiotics often have limited knowledge about appropriate antibiotic use, leading varied potentially inappropriate dispensing treatment practices. In this study, we aimed identify, map, survey Sitakunda subdistrict Bangladesh understand their distribution, practice characteristics, clinical behaviours, access technologies, use these technologies for decision-making.

Language: Английский