Pattern of antibiotic use in a trachomaendemic region of Nepal: implications for mass azithromycin distribution
| Autor: | J.S.P. Chaudary, Vivian Schiedler, Yinghui Miao, H C Jha, Alicia M. Fry, Ramesh C. Bhatta, Mariko Bird, Thomas M. Lietman |
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| Rok vydání: | 2003 |
| Předmět: |
Rural Population
Veterinary medicine medicine.medical_specialty Endemic Diseases Epidemiology medicine.drug_class Antibiotics Distribution (economics) Pharmacy Drug resistance Azithromycin Drug Prescriptions Drug Utilization Review Nepal Environmental health Drug Resistance Bacterial medicine Humans Antibiotic use Trachoma business.industry medicine.disease eye diseases Anti-Bacterial Agents Ophthalmology business medicine.drug |
| Zdroj: | Ophthalmic Epidemiology. 10:31-36 |
| ISSN: | 1744-5086 0928-6586 |
| Popis: | Purpose To investigate antibiotic utilization in a rural district of western Nepal that is currently receiving azithromycin as part of a trachoma program and is being monitored by the Centers for Disease Control and Prevention (CDC) for drug resistance. Methods Antibiotic purchase receipts were collected for 3 months from all medicine halls, pharmacies, and government sub-health posts in a sub-district of Western Nepal. Supplementary surveys of antibiotic sales were performed in different seasons. Results Macrolides account for 3.9% of total antibiotic use, far less than quinolones, penicillins, tetracyclines, and sulfonamides. Conclusions If trachoma programs in Western Nepal generate transient macrolide resistance in pneumococcus and other bacteria, the epidemiological impact may not be great, as macrolides are not commonly used in the area. |
| Databáze: | OpenAIRE |
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