A community survey of antibiotic consumption among children in Madagascar and Senegal: the importance of healthcare access and care quality
Rattachement africain : fr, us, Madagascar, Sénégal. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Antibiotic resistance is growing in low-income countries (LICs). Children in LICs are particularly at risk. Information on antibiotic consumption is needed to control the development and spread of resistant bacteria. METHODS: To measure antibiotic consumption and related factors, a community survey was undertaken in two sites in Madagascar (Antananarivo and Moramanga) and in Senegal (Guediawaye) among children under 2. Face-to-face interviews were conducted with parents or caregivers of eligible children. Regression analysis was used to determine variables associated with reported antibiotic consumption. Availability of health structures and health policies were also investigated. RESULTS: Population estimates for antibiotic consumption in the last 3 months were 37.2% (95% CI 33.4%-41.2%) in Guediawaye, 29.3% (95% CI 25.0%-34.1%) in Antananarivo and 24.6% (95% CI 20.6%-29.1%) in Moramanga. In all sites, the large majority of antibiotics were taken with a prescription (92.2%, 87.0% and 92.0% for Antananarivo, Moramanga and Guediawaye, respectively) and purchased in pharmacies (89.4%, 73.5% and 78.5%, respectively). Living in houses without flushing toilets and baby age were significantly associated with any antibiotic consumption after adjusting for site. A higher density of public health structures was associated with lower antibiotic consumption levels, while a higher density of private pharmacies was associated with higher levels across sites. CONCLUSIONS: These data are crucial for the implementation of local programmes aimed at optimizing antibiotic consumption. Factors such as density of healthcare facilities, prescriber training and national policy must be taken into account when developing strategies to optimize antibiotic consumption in LICs.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A community survey of antibiotic consumption among children in Madagascar and Senegal: the importance of healthcare access and care quality
- Date Crossref
- 08/11/2016
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Inserm pays non établi dans la noticeOrganisme public
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Institut Pasteur Epidemiology and Infectious Disease Unit Antananarivo, Madagascar (pays nommé en fin d’affiliation)Organisation à but non lucratif
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Université de Versailles Saint-Quentin-en-Yvelines pays non établi dans la noticeUniversité ou école supérieure
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Applied Biomathematics (United States) pays non établi dans la noticeEntreprise
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Institut Pasteur de Madagascar Madagascar (code pays fourni par la source)Organisation à but non lucratif
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Institut Pasteur de Dakar Institut Pasteur de Dakar, Sénégal (code pays fourni par la source)Organisation à but non lucratif
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Assistance Publique – Hôpitaux de Paris pays non établi dans la noticeÉtablissement de santé
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Hôpital Raymond-Poincaré pays non établi dans la noticeÉtablissement de santé
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Raymond-Poincaré Hospital AP-HP pays non établi dans la noticeÉtablissement de santé
Inserm, Epidemiology and Infectious Disease Unit — Institut Pasteur (Antananarivo, Madagascar) et Université de Versailles Saint-Quentin-en-Yvelines, avec 6 autres affiliations. Pays d’affiliation : Madagascar, Sénégal.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.