A qualitative study of rational use of antibiotics in community : A case study of people living in Nakhon Nayok Province.
Keywords:
Qualitative study, Rational use of antibiotics, Community, People, Nakhon Nayok ProvinceAbstract
This survey research by qualitative data analysis had the objective to study in-depth information about the rational used of antibiotics by people living in community via in-depth interviews asking for information within 4 main themes include antibiotics basic knowledge, antibiotics buying and using behaviors, antibiotics access channel and antibiotics usage information attainment channel. Interviewee are 22 people living in Nakhon Nayok Province selected from 4 districts including, Muang Nakhon Nayok, Ban Na, Ongkharak, and Pak Phli by using Snowball technique.
The results were showed that most of the interviewee were lacked of understanding about both the difference between antibiotic and anti-inflammatory and between treatment from viral infection and bacterial infection that led them to buy antibiotics from pharmacies and grocery stores to treat themselves when they had 3 main diseases include upper respiratory infection (URI), diarrhea or food poisoning and flesh wound. Moreover, they expressed their opinions that their communities were still lack of public relations about appropriate use of antibiotics and there were some public hospitals and clinics which prescribed antibiotics more than 50% for 3 main diseases.
References
Sirisinsuk Y. Rational drug use. Thai drug watch Newsletter 2015;7(28):1-26.
Kiatying-Angsulee N. Antibiotic awareness week. Thai drug watch Newsletter 2016;8(32):1-30.
O’ Neill J (Chaired). Review on Antimicrobial Resistance: Tackling a Crisis for the Health and Wealth of Nations. Supported by the Welcome Trust and the UK Government; 2014.
United Nations meeting on antimicrobial resistance. Bull World Health Organ 2016;94:638–639. [doi: 10.2471/BLT.16.020916]
World Health Organization. Global Action Plan on Antimicrobial Resistance World Health Organization 2015 [internet]. [Cited 18 Dec 2019]. Available from: http://www.wpro.who.int/entity/drug_resistance/resources/global_action_ plan_eng.pdf.
World Health Organization. Evaluation of antibiotic awareness campaigns. Report 2016[Internet]. Geneva: Expert Committee on the Selection and Use of Essential Medicines Policy, Access and Use (PAU); 2016. [Cited 23 Dec 2019]. Available from: http://www.who.int/selection_medicines/committees/expert/21/applications/s6_antibiotic_ awareness_campaigns.pdf.
The national strategic plan on antimicrobial resistance 2017-2021 Thailand. Report 2016 [Internet]. [Cited 25 Dec 2019]. Available from: http://narst.dmsc.moph.go.th/documentation/AMR%20strategy%202560-2564.pdf
Booddawong B, Kiatying-Angsulee N, Wanleepong K, Boonmanus L, . Kadsomboon O, Dokbua J, et al. Sources and distribution of unlawful medicines in 8 provinces of Thailand: to inform the public policy change. IJPS 2016;11(Supplement):260-268.
Jayasvasti I, Urwannachotima N, Teekasap P. System Dynamics Analysis of Factors affect Rational Antibiotic Use Behavior in Public Sector Provincial Level Model: A case study of Nakhon Nayok Province. Research report. Nonthaburi, Thailand: Health System Research Institute; 2019. (in Thai)
World Health Organization. Promoting rational use of medicines: core components.WHO Policy and Perspectives on Medicine. WHO/EDM/2002.3. Geneva: World Health Organization; 2002
Goossens H, Ferech M, Vander SR, Elseviers M. Outpatient antibiotic use in Europe and association with resistance: a cross-national database study. Lancet 2005;365:579–87.
Cadieux G, Tamblyn R, Dauphinee D, Libman M. Predictors of inappropriate antibiotic prescribing among primary care physicians. CMAJ 2007;177(8):877-83.
Tansatian P. Characteristics of Thai’s drug use. Journal of hematology and transfusion medicine 2009;19(4):309-316.
Prasertsuk S. Wattananamkul V. Drug Use in Social and Cultural Dimension of Urban Community. IJPS 2011;7(1):52-61.
Kidpun P, Sitthiworanan C. Antimicrobial resistance crisis to rational drug use. FDA Journal 2018;25(2):11-14.
Boonrat M. Behavior of buying drug stores of people in Songkhla province. Phuket Rajabhat University Academic Journal 2014;10(1):22-46.
ChuengsatiansupK, Sri-NgernyuangL, and Paonil W. Medicine andCommunity Social and Cultural Dinention. Nonthaburi: Society and health institute; 2007.
Chaipichit N, Jarernsiripornkul N, and Chumworathayi P. Knowledge, Understanding of Drug Allergy and Drug Allergy Card Carrying Behavior of Drug Allergic Patients in Srinagarind Hospital. Srinagarind Medical Journal 2009;24(3):224-230.
Suwannaprom P, Chowwanapoonpohn H, Suttajit S, Awiphan R, Wientong P, Rueanpang T. Mechanism and factors toward rational use of drugs in people sector. Research report. Nonthaburi, Thailand: Health System Research Institute; 2012. (in Thai).
Lomas K, Chanthapasa K. The situation of radio advertisement of drug and food claimed as drug in Phraibueng Municipality, Sisaket Province. Isan Journal of Pharmaceutical Sciences 2012;8(1).
Chuengsatiansup k, Sringernyuang L, Paonil w. Social and cultural dimension of community drug use. Health System Research Institute; 2007.
Safety for All from Unlawful Medicine, Monitoring and Management.Drug System Monitoring and Development Program (DMD). Thaidrugwatch 2013; 5(17): 3-26.
