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Community-level consumption of antibiotics according to the AWaRe (Access, Watch, Reserve) classification in rural Vietnam
- Source :
- JAC-Antimicrobial Resistance, 2, JAC-Antimicrobial Resistance, 2, 3, Jac-Antimicrobial Resistance
- Publication Year :
- 2020
-
Abstract
- 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 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.
- Subjects :
- 0301 basic medicine
Consumption (economics)
Community level
medicine.drug_class
business.industry
030106 microbiology
Antibiotics
Psychological intervention
MEDLINE
Pharmacy
Logistic regression
03 medical and health sciences
AcademicSubjects/MED00290
lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]
0302 clinical medicine
Environmental health
medicine
AcademicSubjects/MED00740
Original Article
030212 general & internal medicine
AcademicSubjects/MED00230
business
Exit survey
Subjects
Details
- ISSN :
- 26321823
- Database :
- OpenAIRE
- Journal :
- JAC-Antimicrobial Resistance, 2, JAC-Antimicrobial Resistance, 2, 3, Jac-Antimicrobial Resistance
- Accession number :
- edsair.doi.dedup.....36e01c6bc2ed4048c1a37dcbfe95dc99