Rapid Assessment Survey of injection practices in Northern Areas of Pakistan

作者: Lubna Samad , Abdul Latif

DOI:

关键词:

摘要: Background and Objective: Unsafe injections have been associated with the transmission of bloodborne pathogens, including hepatitis viruses HIV, in Pakistan other countries. Determinants poor injection practices include a lack awareness risks unsafe injections, unavailability adequate continuous supplies equipment assumption made by prescribers demand for general population. The objective rapid assessment was to provide tangible data on existing basis survey prescribers, providers Methods: A conducted Gilgit town Hunza, Punial lshkoman valleys Northern Areas during month October 2001 using an Urdu translation standardized World Health Organization tool assess practices. convenience sample 13 prescnbers, 14 26 members population were interviewed. Results: Fifteen percent (43/280) all prescriptions reviewed included at least one injection. Nineteen (5/26) interviewed reported receiving or IV infusion last 3 months. average number per person year is estimated be 2.3. Of interviewed, 8 (57%) that they did not always sufficient quantities required (patient purchase advised reuse reported);12 (86%) appropriate sharp disposal boxes; 11 (79%) waste facilities. None among C B as being reuse. Three (23%) report virus transmissible reused Conclusions: Frequent prescription administration safe equipment, facilities regarding transmissibility are common Pakistan.

参考文章(14)
Naveed Zafar Janjua, Saeed Akhtar, Yvan J. F. Hutin, Injection use in two districts of Pakistan: implications for disease prevention International Journal for Quality in Health Care. ,vol. 17, pp. 401- 408 ,(2005) , 10.1093/INTQHC/MZI048
Sophie Logez, Gochoo Soyolgerel, Rebecca Fields, Steve Luby, Yvan Hutin, None, Rapid assessment of injection practices in Mongolia. American Journal of Infection Control. ,vol. 32, pp. 31- 37 ,(2004) , 10.1016/J.AJIC.2003.06.006
M Rajasekaran, G Sivagnanam, P Thirumalaikolundusubramainan, K Namasivayam, C Ravindranath, Injection practices in Southern part of India Public Health. ,vol. 117, pp. 208- 213 ,(2003) , 10.1016/S0033-3506(03)00065-9
Gregory J. Raglow, Stephen P. Luby, Naheed Nabi, Therapeutic injections in Pakistan: from the patients' perspective Tropical Medicine & International Health. ,vol. 6, pp. 69- 75 ,(2001) , 10.1046/J.1365-3156.2001.00653.X
Stephen Luby, Fawzia Hoodbhoy, Aziz Jan, Aly Shah, Yvan Hutin, Long-term improvement in unsafe injection practices following community intervention International Journal of Infectious Diseases. ,vol. 9, pp. 52- 59 ,(2005) , 10.1016/J.IJID.2004.03.007
O. PASHA, S. P. LUBY, A. J. KHAN, S. A. SHAH, J. B. McCORMICK, S. P. FISHER-HOCH, Household members of hepatitis C virus-infected people in Hafizabad, Pakistan: infection by injections from health care providers. Epidemiology and Infection. ,vol. 123, pp. 515- 518 ,(1999) , 10.1017/S0950268899002770
Naveed Z. Janjua, Yvan J. Hutin, Saeed Akhtar, Khabir Ahmad, Population beliefs about the efficacy of injections in Pakistan's Sindh province Public Health. ,vol. 120, pp. 824- 833 ,(2006) , 10.1016/J.PUHE.2006.05.004
Yvan JF Hutin, Anja M Hauri, Gregory L Armstrong, Use of injections in healthcare settings worldwide, 2000: literature review and regional estimates BMJ. ,vol. 327, pp. 1075- 0 ,(2003) , 10.1136/BMJ.327.7423.1075
M.V. Murhekar, R.C. Rao, S.R. Ghosal, S.C. Sehgal, Assessment of injection-related practices in a tribal community of Andaman and Nicobar Islands, India. Public Health. ,vol. 119, pp. 655- 658 ,(2005) , 10.1016/J.PUHE.2004.07.010
Stephen P. Luby, Fariyal Fikree, Joseph B Mccormick, Saima Obaid, Salima Dellawala, Anita Karim, Susan P Fisher-Hoch, Shaper Mirza, Tariq Malik, Aamir J. Khan, Unsafe injections and the transmission of hepatitis B and C in a periurban community in Pakistan Bulletin of The World Health Organization. ,vol. 78, pp. 956- 963 ,(2000) , 10.1590/S0042-96862000000800004