• Complex
  • Title
  • Author
  • Keyword
  • Abstract
  • Scholars
High Impact Results & Cited Count Trend for Year Keyword Cloud and Partner Relationship

Query:

学者姓名:方宇

Refining:

Type

Submit Unfold

Language

Submit

Clean All

Export Sort by:
Default
  • Default
  • Title
  • Year
  • WOS Cited Count
  • Impact factor
  • Ascending
  • Descending
< Page ,Total 3 >
Antibiotic prescribing practices in secondary and tertiary hospitals in Shaanxi province, western China, 2013-2015 SCIE
期刊论文 | 2018 , 13 (12) | PLOS ONE
Abstract&Keyword Cite

Abstract :

Introduction The irrational use of antibiotics is a major driver of antimicrobial resistance. This study aimed to explore how antibiotics were used in secondary and tertiary hospitals in Shaanxi Province, western China from 2013 to 2015. Method A retrospective study was conducted with a sample of 16 hospitals in Shaanxi Province (2 tertiary and 14 secondary hospitals; 8 public and 8 private hospitals) using a stratified random sampling method. All of the macro data from these hospitals from 2013 to 2015 were analyzed. All collected data were double-entered and analyzed using Excel 2007. Results The percentage of injectable antibiotic prescriptions was 26.6% of all of the antibiotic prescriptions in the secondary hospitals and 14.2% in the tertiary hospitals. Injectable antibiotic prescriptions in private tertiary hospitals (enter %) were more than two times that of public tertiary hospitals (enter %). In both tertiary and secondary hospitals, the percentage of antibiotic prescriptions for outpatients, emergency patients and inpatients were within the scope of the national standards, while the intensity of antibiotic use was higher than the national standard of 40 DDD/100 bed-days. The prophylactic antibiotic use rate in clean surgery was 40.4% in tertiary hospitals and 60.7% in secondary hospitals, which were both higher than the national standard of 30%. The preventive use rate of antibiotics in private tertiary hospitals (55.00%) was more than two times that of public tertiary hospitals (25.90%), and the rate was also higher in private secondary hospitals (61.50%) than in public secondary hospitals (59.70%). Conclusions Substantial antibiotic abuse occurred in the sample Chinese hospitals, especially in secondary hospitals. The government should continue to strengthen the administration of antimicrobial use in hospitals. At the same time, medical professional training and interventions for physicians should be conducted to fundamentally reduce the irrational use of antibiotics.

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Yan, Kangkang , Xue, Meiling , Ye, Dan et al. Antibiotic prescribing practices in secondary and tertiary hospitals in Shaanxi province, western China, 2013-2015 [J]. | PLOS ONE , 2018 , 13 (12) .
MLA Yan, Kangkang et al. "Antibiotic prescribing practices in secondary and tertiary hospitals in Shaanxi province, western China, 2013-2015" . | PLOS ONE 13 . 12 (2018) .
APA Yan, Kangkang , Xue, Meiling , Ye, Dan , Yang, Caijun , Chang, Jie , Jiang, Minghuan et al. Antibiotic prescribing practices in secondary and tertiary hospitals in Shaanxi province, western China, 2013-2015 . | PLOS ONE , 2018 , 13 (12) .
Export to NoteExpress RIS BibTex
Disparities in out-of-pocket inpatient expenditures in rural Shaanxi Province, western China from 2011 to 2014: a time series analysis SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 23 (6) , 661-667 | TROPICAL MEDICINE & INTERNATIONAL HEALTH
Abstract&Keyword Cite

Abstract :

ObjectiveTo investigate the long-term trend of disparity of monthly average out-of-pocket inpatient expenditures (OOP) between areas with different developing levels since the new healthcare reform. MethodsTime series regression was used to assess the trend of disparities of OOP and monthly average inpatient expenditures (AIE) between areas with different developing levels in rural Shaanxi Province, western China. The data of OOP and AIE in primary health institutions, secondary hospitals, tertiary hospitals and also all levels of the hospital were analysed separately covering the period 2011 through to 2014. ResultsThe disparity of AIE at all levels of hospitals was increasing (coefficient=0.003, P=0.029), and only the disparity of AIE in secondary hospitals was statistical significant (coefficient=0.003, P=0.012) when separately considering different levels of the hospital. The disparity of OOP in all levels of the hospital was increasing (coefficient=0.007, P=0.001), and the OOP in primary hospitals contributed most of the disparity (coefficient=0.019, P=0.000), followed by OOP in secondary (coefficient=0.008, P=0.003) and tertiary hospitals (coefficient=0.004, P=0.091). ConclusionsA statistically significant absolute increase in the trend of disparities of OOP and AIE at all levels of hospital was detected after the new healthcare reform in Shaanxi Province, western China. The increase rate of disparity of OOP was bigger than that of AIE. A modified health insurance plan should be proposed to guarantee equity in the future. Abstract ObjectifsEtudier la tendance a long terme de la disparite dans les depenses directes de la poche (DDP) moyennes mensuelles des patients hospitalises entre les regions ayant des niveaux de developpement differents depuis la nouvelle reforme des soins de sante. MethodesLa regression des series chronologiques a ete utilisee pour evaluer la tendance des disparites des DDP et des depenses moyennes mensuelles des patients hospitalises (DMMPH) entre les regions ayant differents niveaux de developpement dans la province rurale du Shaanxi, dans l'ouest de la Chine. Les donnees des DDP et des DMMPH dans les etablissements de sante primaires, les hopitaux secondaires, les hopitaux tertiaires et a tous les niveaux de l'hopital ont ete analysees separement pour la periode allant de 2011 a 2014. ResultatsLa disparite des DMMPH a tous les niveaux des hopitaux augmentait (coefficient = 0,003; p = 0,029) et seule la disparite des DMMPH dans les hopitaux secondaires etait statistiquement significative (coefficient = 0,003; p = 0,012) lorsqu'on considerait separement differents niveaux de l'hopital. La disparite des DDP a tous les niveaux de l'hopital augmentait (coefficient = 0,007; P = 0.001) et les DDP dans les hopitaux primaires contribuait a la plus grande partie de la disparite (coefficient = 0,019; P = 0,000), suivie des DDP dans les hopitaux secondaires (coefficient = 0,008; p = 0,003) et tertiaires (coefficient = 0,004; p = 0,091). ConclusionsUne augmentation absolue statistiquement significative de la tendance des disparites entre les DDP et les DMMPH a tous les niveaux de l'hopital a ete detectee apres la nouvelle reforme des soins de sante dans la province du Shaanxi, dans l'ouest de la Chine. L'augmentation du taux de disparite des DDP etait plus importante que celle des DMMPH. Un schema d'assurance maladie modifie devrait etre propose pour garantir l'equite a l'avenir.

Keyword :

disparity out-of-pocket expenditures inpatient expenditure health insurance

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Yang, Caijun , Cai, Wenfang , Li, Zongjie et al. Disparities in out-of-pocket inpatient expenditures in rural Shaanxi Province, western China from 2011 to 2014: a time series analysis [J]. | TROPICAL MEDICINE & INTERNATIONAL HEALTH , 2018 , 23 (6) : 661-667 .
MLA Yang, Caijun et al. "Disparities in out-of-pocket inpatient expenditures in rural Shaanxi Province, western China from 2011 to 2014: a time series analysis" . | TROPICAL MEDICINE & INTERNATIONAL HEALTH 23 . 6 (2018) : 661-667 .
APA Yang, Caijun , Cai, Wenfang , Li, Zongjie , Fang, Yu . Disparities in out-of-pocket inpatient expenditures in rural Shaanxi Province, western China from 2011 to 2014: a time series analysis . | TROPICAL MEDICINE & INTERNATIONAL HEALTH , 2018 , 23 (6) , 661-667 .
Export to NoteExpress RIS BibTex
Direct and indirect cost of diabetes care among patients with type 2 diabetes in private clinics: a multicenter study in Punjab, Pakistan SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 18 (6) , 647-653 | EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH
Abstract&Keyword Cite

Abstract :

Background: Diabetes mellitus (DM) has a very high prevalence and poses a huge financial encumbrance on patients. This study aimed to evaluate the cost of diabetes care among patients with type 2 diabetes in private clinics of southern Punjab, Pakistan. Research design and methods: This was a descriptive, cross-sectional, prevalence-based, cost-of-illness (COI) study conducted in six private clinics of southern Punjab from July to September 2016, using a pretested questionnaire. Study participants were recruited using a random selection method. Continuous variables, including direct and indirect costs, were summarized using descriptive statistics. Inferential statistics were also used to analyze the correlation between the variables and cost. Results: The mean annual direct cost per patient with diabetes was estimated to be 332 USD. Medications accounted for the largest share (60.4%) of this cost. Age, locality, high socioeconomic status, and prolonged disease duration were significantly associated with the direct costs of illness (p<0.05). Moreover, 19% of total earnings among very low-income patients were spent on diabetes care. Conclusions: A substantial proportion of patients' income is spent on diabetes care in Punjab. Our findings support the substantial individual and societal burden caused by diabetes.

Keyword :

Diabetes mellitus Pakistan indirect cost direct cost on diabetes

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Gillani, Ali Hassan , Aziz, Muhammad Majid , Masood, Imran et al. Direct and indirect cost of diabetes care among patients with type 2 diabetes in private clinics: a multicenter study in Punjab, Pakistan [J]. | EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH , 2018 , 18 (6) : 647-653 .
MLA Gillani, Ali Hassan et al. "Direct and indirect cost of diabetes care among patients with type 2 diabetes in private clinics: a multicenter study in Punjab, Pakistan" . | EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH 18 . 6 (2018) : 647-653 .
APA Gillani, Ali Hassan , Aziz, Muhammad Majid , Masood, Imran , Saqib, Anum , Yang, Caijun , Chang, Jie et al. Direct and indirect cost of diabetes care among patients with type 2 diabetes in private clinics: a multicenter study in Punjab, Pakistan . | EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH , 2018 , 18 (6) , 647-653 .
Export to NoteExpress RIS BibTex
The current status and effects of emergency drug shortages in China: Perceptions of emergency department physicians SCIE PubMed Scopus
期刊论文 | 2018 , 13 (10) | PLOS ONE
Abstract&Keyword Cite

Abstract :

Objectives The shortage of emergency drugs in China is severe. This study aimed to characterize emergency drug shortages in China and to measure their effects. Methods An online questionnaire based on a literature review was sent to emergency department physicians in Chinese secondary and tertiary hospitals from November 2016 to February 2017. The survey asked physicians questions about their experiences with emergency drug shortages. Results In total, 236 physicians from 29 provinces participated in the survey. According to their responses, 90.7% of the respondents experienced drug shortages during the last year. More than half of the physicians (65.7%) reported that drug shortages occurred at least once a month. Hospitals in the eastern and western regions of China had more emergency drugs in shortage than hospitals in central China, especially those with many inpatient beds (>= 800). In addition, the shortage situation was more serious in secondary hospitals than in tertiary hospitals. More respondents agreed that original medicines, injections, essential medicines, medicines without alternative agents and cheap medicines were more susceptible to shortages than generics, oral medicines, nonessential medicines, medicines with alternative agents and expensive medicines, respectively. Most respondents thought that drug shortages always, often or sometimes affected patients [delayed therapy (62.6%), longer rescue and recovery times (58.9%) and higher costs (58.7%)] and physicians [inconvenience (81.0%), higher pressure (76.5%) and harm to patient-doctor relationships (72%)] and compromised hospital reputations (55.1%). Conclusions The shortage of emergency drugs in China is serious, especially in secondary hospitals located in eastern and western China. Emergency drug shortages have significant effects on patients and physicians.

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Yang, Caijun , Cai, Wenfang , Li, Zongjie et al. The current status and effects of emergency drug shortages in China: Perceptions of emergency department physicians [J]. | PLOS ONE , 2018 , 13 (10) .
MLA Yang, Caijun et al. "The current status and effects of emergency drug shortages in China: Perceptions of emergency department physicians" . | PLOS ONE 13 . 10 (2018) .
APA Yang, Caijun , Cai, Wenfang , Li, Zongjie , Page, Amy Theresa , Fang, Yu . The current status and effects of emergency drug shortages in China: Perceptions of emergency department physicians . | PLOS ONE , 2018 , 13 (10) .
Export to NoteExpress RIS BibTex
Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 15 (9) | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Abstract&Keyword Cite

Abstract :

Background: Low knowledge about diabetes risk factors coupled with high disease prevalence is common in low-resource countries. This study evaluated diabetes-related knowledge, attitudes, and practices in the general population in Punjab (Pakistan). Methods: A cross-sectional study was conducted in five districts in Punjab from January to March 2017. Data were collected from 2019 adults aged 18-90 years through face-to-face interviews using a semi-structured questionnaire. The total knowledge score ranged from 0-9; a score 6 was considered adequate diabetes awareness. Descriptive statistics, chi-square tests, and linear and binary logistic regression were used for the analyses. Results: Respondents' mean age was 32.92 +/- 11.4 years. In total, 85.9% of respondents had heard of diabetes, and 30.1% knew about the glucose tolerance test. We found 2.3% of respondents scored zero for diabetes knowledge, 11.3% scored 9, and 47.4% scored 6 (adequate awareness). Being female ( = 0.37, 95% confidence interval [CI]: 0.16, 0.05; p = 0.001), socioeconomic status ( = 0.24, 95% CI: 0.12, 0.36; p < 0.001), being diabetic ( = 0.82, 95% CI: 0.53, 1.10; p < 0.001), and higher education ( = 0.25, 95% CI: 0.17, 0.33; p < 0.001) were significantly associated with knowledge score. Respondents with high socioeconomic status showed significantly higher positive attitudes compared with those with low socioeconomic status (adjusted odds ratio 1.57, 95% CI: 1.12, 2.24). Only 8.7% (30/343) of those diagnosed with diabetes had never undergone blood glucose screening since diagnosis. Conclusions: Knowledge of diabetes risk factors, management, and care is low in Pakistan's general population. Targeted public education programs should be instigated at a national level to increase understanding of diabetes prevention and treatment.

Keyword :

Pakistan knowledge practice general population attitude diabetes mellitus

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Gillani, Ali Hassan , Islam, Fakir Mohammad Amirul , Hayat, Khezar et al. Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan [J]. | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH , 2018 , 15 (9) .
MLA Gillani, Ali Hassan et al. "Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan" . | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 15 . 9 (2018) .
APA Gillani, Ali Hassan , Islam, Fakir Mohammad Amirul , Hayat, Khezar , Atif, Naveel , Yang, Caijun , Chang, Jie et al. Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan . | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH , 2018 , 15 (9) .
Export to NoteExpress RIS BibTex
A School-Based Educational Intervention for School-Aged Children and Caregivers about Rational Use of Antibiotics in Urban Areas of Shaanxi Province: A Study Protocol for a Randomized Controlled Research SSCI SCIE Scopus
期刊论文 | 2018 , 15 (9) | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Abstract&Keyword Cite

Abstract :

(1) Background: Antibiotic resistance is an imperative public health issue globally. Major factors that are resulting in this trend are the irrational and excessive use of antibiotics. Children account for a greater population of antibiotics use, therefore, an educational intervention on the rational use of antibiotics for children and caregivers will be beneficial. (2) Methods: A randomized controlled and parallel group study of fifth grade children and their caregivers will be evaluated in four primary schools in Baoji and Weinan of the Shaanxi Province. Two primary schools will be randomly selected for the educational intervention and two schools will serve as a control group. In the intervention arm, educational interventions will be conducted among caregivers and their children. The intervention measures include interactive training sessions, booklets, and printed or electronic educational materials that will be given to the caregivers or the school-aged children. In the control arm, no interventions will be implemented. Baseline data collected from June, 2018 and the intervention will last for three months. Knowledge-Attitude-Practice (KAP) questionnaires will be used to evaluate the caregivers' knowledge, their attitude, and their practice. Knowledge-Retention questionnaires will be used to assess the children's knowledge about microbes, antibiotics, and hygiene. (3) Discussion: This study is a unique comprehensive intervention targeting both children and their caregivers. We hypothesize a decrease in the irrational use of antibiotics among the studied population. Hence, this result would provide evidence for policy makers and educational departments for the implementation of similar interventions on the rational use of antibiotics.

Keyword :

antibiotics resistance caregivers educational intervention upper respiratory tract infection children rational antibiotic use

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Zhang, Yu , Kabba, John , Chang, Jie et al. A School-Based Educational Intervention for School-Aged Children and Caregivers about Rational Use of Antibiotics in Urban Areas of Shaanxi Province: A Study Protocol for a Randomized Controlled Research [J]. | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH , 2018 , 15 (9) .
MLA Zhang, Yu et al. "A School-Based Educational Intervention for School-Aged Children and Caregivers about Rational Use of Antibiotics in Urban Areas of Shaanxi Province: A Study Protocol for a Randomized Controlled Research" . | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 15 . 9 (2018) .
APA Zhang, Yu , Kabba, John , Chang, Jie , Ji, Wenjing , Zhu, Shan , Yu, Jiale et al. A School-Based Educational Intervention for School-Aged Children and Caregivers about Rational Use of Antibiotics in Urban Areas of Shaanxi Province: A Study Protocol for a Randomized Controlled Research . | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH , 2018 , 15 (9) .
Export to NoteExpress RIS BibTex
Non-prescription use of antibiotics among children in urban China: a cross-sectional survey of knowledge, attitudes, and practices SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 16 (2) , 163-172 | EXPERT REVIEW OF ANTI-INFECTIVE THERAPY
WoS CC Cited Count: 2 SCOPUS Cited Count: 2
Abstract&Keyword Cite

Abstract :

Background: Non-prescription use of antibiotics in children is an important public health problem. We aimed to investigate primary caregivers' knowledge, attitudes, and practices of antibiotics use among children in urban China.Methods: Knowledge, attitudes, and practices regarding antibiotics use in children were assessed through a cross-sectional questionnaire survey of 4200 caregivers of children under-7years from three cities in China. Data were analyzed using descriptive statistics and multivariate analysis.Results: Caregivers' knowledge gaps and undesirables attitudes regarding appropriate use of antibiotics were identified. 48.2% of respondents reported non-prescription use of antibiotics for children in the past 6months. The most common sources of antibiotics used without a prescription are community pharmacies and leftovers. Storing antibiotics at home and caregivers' supportive attitude were positively and significantly associated with non-prescription use of antibiotics in children, while significant inverse associations were found for caregiver's knowledge of prescription-only regulation on antibiotics sales at community pharmacies.Conclusions: There was a high proportion of primary caregivers self-medicate antibiotics for children in urban China, despite their insufficient knowledge about antibiotic use. Public health initiatives are needed such as public education campaigns and stricter government regulation of antibiotic use and availability in community pharmacies.

Keyword :

self-medication Antibiotics KAP urban China medicating children

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Chang, Jie , Lv, Bing , Zhu, Shan et al. Non-prescription use of antibiotics among children in urban China: a cross-sectional survey of knowledge, attitudes, and practices [J]. | EXPERT REVIEW OF ANTI-INFECTIVE THERAPY , 2018 , 16 (2) : 163-172 .
MLA Chang, Jie et al. "Non-prescription use of antibiotics among children in urban China: a cross-sectional survey of knowledge, attitudes, and practices" . | EXPERT REVIEW OF ANTI-INFECTIVE THERAPY 16 . 2 (2018) : 163-172 .
APA Chang, Jie , Lv, Bing , Zhu, Shan , Yu, Jiale , Zhang, Yu , Ye, Dan et al. Non-prescription use of antibiotics among children in urban China: a cross-sectional survey of knowledge, attitudes, and practices . | EXPERT REVIEW OF ANTI-INFECTIVE THERAPY , 2018 , 16 (2) , 163-172 .
Export to NoteExpress RIS BibTex
Antibiotic Self-Medication among Non-Medical University Students in Punjab, Pakistan: A Cross-Sectional Survey SSCI SCIE PubMed Scopus
期刊论文 | 2017 , 14 (10) | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | IF: 2.145
WoS CC Cited Count: 1 SCOPUS Cited Count: 1
Abstract&Keyword Cite

Abstract :

Background: Antibiotic resistance is a global threat. Scarce knowledge about safe and appropriate antibiotic use is coupled with frequent self-administration, e.g., in China. This repeated self-medication poses potential risk in terms of antibiotic resistance. Low-resource countries are facing an elevated burden of antibiotic self-medication as compared to developed ones. Thus, this study focused on evaluating the pervasiveness of antibiotic self-medication in 3 universities of Southern Punjab, Pakistan. Methods: We conducted a descriptive cross-sectional survey in three government sector universities of Southern Punjab, Pakistan. The study was carried out with self-administered paper-based questionnaires. Data was analyzed using SPSS version 18.0 (IBM, Chicago, IL, USA). Results: Seven hundred twenty-seven students out of 750 (response rate 97%) with a mean age +/- SD of 23.0 +/- 3.4 years agreed to participate in the study. The proportion of females was slightly greater (52%) compared with males (48%), and almost one-third of the respondents (36%) were in their 2nd year of university. Out of the total, 58.3% practiced self-medication in the preceding six months, and 326 (45%) confirmed the use of antibiotics. Metronidazole was the most frequently self-medicated antibiotic (48%). Out of the total, 72% demonstrated awareness regarding the side effects of antibiotics. Diarrhea was the well-known adverse effect (38%). Forty-three percent affirmed having antibiotic resistance knowledge, and 30% knew that the irregular use of antibiotics would lead to increased antibiotic resistance. Conclusion: Despite having ample awareness of the adverse antibiotic reactions, self-medication among the university students was high and antibiotic resistance was a fairly unknown term.

Keyword :

self-medication antibiotics side effect resistance

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Gillani, Ali Hassan , Ji, Wenjing , Hussain, Waqar et al. Antibiotic Self-Medication among Non-Medical University Students in Punjab, Pakistan: A Cross-Sectional Survey [J]. | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH , 2017 , 14 (10) .
MLA Gillani, Ali Hassan et al. "Antibiotic Self-Medication among Non-Medical University Students in Punjab, Pakistan: A Cross-Sectional Survey" . | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 14 . 10 (2017) .
APA Gillani, Ali Hassan , Ji, Wenjing , Hussain, Waqar , Imran, Ali , Chang, Jie , Yang, Caijun et al. Antibiotic Self-Medication among Non-Medical University Students in Punjab, Pakistan: A Cross-Sectional Survey . | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH , 2017 , 14 (10) .
Export to NoteExpress RIS BibTex
Sale of antibiotics without a prescription at community pharmacies in urban China: a multicentre cross-sectional survey SCIE PubMed Scopus
期刊论文 | 2017 , 72 (4) , 1235-1242 | JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY | IF: 5.217
WoS CC Cited Count: 13 SCOPUS Cited Count: 17
Abstract&Keyword Cite

Abstract :

Objectives: To quantify sales of antibiotics without a medical prescription and to assess the quality of pharmacy services in relation to the antibiotics sold in community pharmacies in urban China. Methods: A multicentre cross-sectional survey of community pharmacies was undertaken in 2015 using the simulated client method. Two clinical case scenarios (paediatric diarrhoea and adult acute upper respiratory infection) were presented at systematically sampled community pharmacies in Eastern (Nanjing), Central (Changsha) and Western China (Xi'an). Results: Of 256 pharmacies, antibiotics were obtained without a prescription from 55.9% (95% CI: 49.5%-62.0%) when paediatric diarrhoea was simulated and from 77.7% (95% CI: 72.1%-82.7%) when adult respiratory infection was simulated. Of the pharmacies where antibiotics were dispensed, 83.9% and 66.3% dispensed after the simulated clients requested or insisted in the case of paediatric diarrhoea and adult respiratory infection, respectively. Significant differences (P < 0.001, chi(2) test) in inappropriate antibiotic dispensing were found among cities, with 57.7%, 37.3% and 73.7% in the case of paediatric diarrhoea and 60.8%, 80.7% and 96.1% in adult respiratory infection in Nanjing, Changsha and Xi'an, respectively. Pharmacists were available in only 14.8% (95% CI: 10.7%-19.8%) of the pharmacies. The performance of pharmacy staff regarding the provision of information and advice was unsatisfactory. Conclusions: Antibiotics were easily obtained without a prescription in community pharmacies in urban China. Measures to enhance the enforcement of prescription-only regulations and training programmes for pharmacy staff to promote the appropriate use of antibiotics are warranted.

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Chang, Jie , Ye, Dan , Lv, Bing et al. Sale of antibiotics without a prescription at community pharmacies in urban China: a multicentre cross-sectional survey [J]. | JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY , 2017 , 72 (4) : 1235-1242 .
MLA Chang, Jie et al. "Sale of antibiotics without a prescription at community pharmacies in urban China: a multicentre cross-sectional survey" . | JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY 72 . 4 (2017) : 1235-1242 .
APA Chang, Jie , Ye, Dan , Lv, Bing , Jiang, Minghuan , Zhu, Shan , Yan, Kangkang et al. Sale of antibiotics without a prescription at community pharmacies in urban China: a multicentre cross-sectional survey . | JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY , 2017 , 72 (4) , 1235-1242 .
Export to NoteExpress RIS BibTex
How does the general public view antibiotic use in China? Result from a cross-sectional survey SCIE PubMed Scopus
期刊论文 | 2017 , 39 (4) , 927-934 | INTERNATIONAL JOURNAL OF CLINICAL PHARMACY | IF: 1.508
WoS CC Cited Count: 1 SCOPUS Cited Count: 2
Abstract&Keyword Cite

Abstract :

Background Resistance to antibiotics is a major threat to global health and general public play a significant role in the fight against antimicrobial resistance. Objective The present study aimed to identify the knowledge, attitudes, and practice of the general public towards antibiotic use in China. Setting Randomly selected parks in three cities of western, central and eastern China: Xi'an, Changsha, and Nanjing. Method A cross-sectional survey was conducted on a sample of 1400 residents, from January to June 2015. Main outcome measures Knowledge, attitudes and practices scores toward self-medication with antibiotics and compliance with antibiotic regimens. Results The response rate was 86.0% (n = 1204). Only 192 (19.5%) respondents gained a score of 3 or above, and the maximum score of 4, reflecting poor knowledge towards antibiotics. Just over half (54.8%) of respondents incorrectly believed antibiotics were effective against viral infections and only one-third (34.3%) knew that antibiotics were not anti-inflammatories. Nearly half of the respondents (49.0%) had changed the dosage when taking antibiotics, 35.6% switched to another class, 33.4% had not finished the full treatment course and over 60.0% kept leftover antibiotics for future use. Almost half of the respondents (45.7%) stated they had used antimicrobials during the last 6 months and 64.4% of them had self-medicated. Conclusion This study identified serious misconceptions regarding antibiotics use in the Chinese general public. Effective interventions should be developed to provide practical and appropriate advice to effect behaviour change within this population.

Keyword :

China Attitudes and practice Antibiotic General public Knowledge

Cite:

Copy from the list or Export to your reference management。

GB/T 7714 Ye, Dan , Chang, Jie , Yang, Caijun et al. How does the general public view antibiotic use in China? Result from a cross-sectional survey [J]. | INTERNATIONAL JOURNAL OF CLINICAL PHARMACY , 2017 , 39 (4) : 927-934 .
MLA Ye, Dan et al. "How does the general public view antibiotic use in China? Result from a cross-sectional survey" . | INTERNATIONAL JOURNAL OF CLINICAL PHARMACY 39 . 4 (2017) : 927-934 .
APA Ye, Dan , Chang, Jie , Yang, Caijun , Yan, Kangkang , Ji, Wenjing , Aziz, Muhammad Majid et al. How does the general public view antibiotic use in China? Result from a cross-sectional survey . | INTERNATIONAL JOURNAL OF CLINICAL PHARMACY , 2017 , 39 (4) , 927-934 .
Export to NoteExpress RIS BibTex
10| 20| 50 per page
< Page ,Total 3 >

Export

Results:

Selected

to

Format:
FAQ| About| Online/Total:3741/50773710
Address:XI'AN JIAOTONG UNIVERSITY LIBRARY(No.28, Xianning West Road, Xi'an, Shaanxi Post Code:710049) Contact Us:029-82667865
Copyright:XI'AN JIAOTONG UNIVERSITY LIBRARY Technical Support:Beijing Aegean Software Co., Ltd.