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A survey of the antibiotic control and surveillance system and measures in promoting rational use of antibiotics: Preliminary results

นิธิมา สุ่มประดิษฐ์; เสาวลักษณ์ ฮุนนางกูร; ภาณุมาศ ภูมาศ; ภูษิต ประคองสาย; Nithima Sumpradit; Saowalak Hunnangkul; Panumart Phumart; Phusit Prakongsai;
Date: 2555-09
Abstract
The study explored the patterns of antibiotic utilization, the antibiotic control and surveillance systems, and measures in promoting rational use of antibiotics among public and private hospitals, health promoting hospitals, clinics, and drug stores. A cross-sectional survey using self-administered questionnaires was conducted in 9 purposive sampling provinces in Thailand during April-May 2012. The preliminary results were analyzed from 484 returned questionnaires (30% response rate) from 10 large public hospitals, 11 private hospitals, 53 district hospitals, 184 sub-district health promoting hospitals, 69 private clinics and 157 drug stores. The findings revealed that all of 47 items of antibiotics listed in the questionnaire were available in large public hospitals whereas private clinics and drug stores had 35 and 36 items of antibiotics, respectively. Ceftriaxone, a third generation cephalosporin, and fluoroquinolones were available in all levels of healthcare facilities as well as drug stores. A measure regulating prescription only sales of all antibiotics created a wide range of disagreements among respondents from different health facilities i.e. a vast majority of private hospitals (82%) but only 8% of drug stores agreed with such a measure. However, the regulatory measure emphasizing prescription only sales of some antibiotics appeared to be acceptable for all levels of health facilities and drug stores. The rate of antibiotic prescription for upper respiratory infection and acute diarrhea in district health promoting hospitals (35% - 40%) was lower than those in the private clinics and drug stores (43% - 56%). Most large public hospitals (90%) applied drug utilization evaluation whereas almost all district hospitals (98%) implemented the antibiotics smart use concept in promoting rational use of antibiotics. The study results demonstrated that operating systems to strengthen antibiotic regulation and to promote rational use of antibiotics are strongly needed in all levels of health facilities and drug stores.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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