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目的:了解抗菌药物自我药疗的影响因素,提出促进普通大众合理使用抗菌药物的建议。方法:检索、阅读文献,分析与归纳文献内容。结果:影响抗菌药物自我药疗的社会因素较多,主要包括个人和家庭因素,文化、心理与社会环境,医疗体系与医药管理等方面。用药知识的欠缺、药品疗效的过高预期、医疗资源紧缺、抗菌药物销售管理不严、医疗服务可及性不满意、医师“过度处方”行为等等是抗菌药物自我药疗发生的主要危险因素。结论:政府应该从开展社区和大众医药知识的宣传教育、加强医药卫生服务的投入、改善大众的就医条件、严格抗菌药物销售与广告的管理、加强医生处方行为的管理等方面来促进普通大众合理使用抗菌药物,减少抗菌药物的自我药疗。
OBJECTIVE: To understand the influencing factors of self-medication of antimicrobial agents and to put forward suggestions to promote the general public’s rational use of antimicrobial agents. Methods: Retrieve, read the literature, analyze and summarize the literature content. Results: There are many social factors that affect the self-medication of antimicrobial agents, including personal and family factors, culture, psychology and social environment, medical system and medical management. The lack of knowledge of medication, drug efficacy is too high expectations, medical resources shortage, lax marketing of antibacterial drugs, access to medical services are not satisfied, physicians “over prescription ” behavior is the main anti-bacterial drug self-medication occurred Risk factors. Conclusion: The government should promote the general public’s reasonableness by publicizing and educating community and public medical knowledge, strengthening the input of medical and health services, improving public medical conditions, strictly managing the sales of antibiotics and advertising, and strengthening the administration of prescriptions by doctors Use antimicrobials to reduce the self-medication of antimicrobials.