Ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in Ecuador Enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del Ecuador
OBJECTIVE: To collect baseline data on infectious diseases and antibiotic use in two Andean indigenous communities in Ecuador in order to determine the feasibility and acceptability of applying an ecosystem approach to address associated problems. METHODS: In visits to 65 households with children un...
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Pan American Health Organization
2011
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ftdoajarticles:oai:doaj.org/article:72483a12464e4d598e7ae180a6af0dbd 2023-05-15T15:17:09+02:00 Ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in Ecuador Enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del Ecuador Georgina Muñoz Lorena Mota William R. Bowie Arturo Quizhpe Elena Orrego Jerry M. Spiegel Annalee Yassi 2011-12-01T00:00:00Z https://doaj.org/article/72483a12464e4d598e7ae180a6af0dbd EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011001200012 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/72483a12464e4d598e7ae180a6af0dbd Revista Panamericana de Salud Pública, Vol 30, Iss 6, Pp 566-573 (2011) Farmacorresistencia microbiana agentes antibacterianos prescripciones de medicamentos población indígena preescolar estudios de intervención Ecuador Drug resistance microbial antibacterial agents drug prescriptions indigenous population child preschool intervention studies Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2011 ftdoajarticles 2022-12-31T00:59:27Z OBJECTIVE: To collect baseline data on infectious diseases and antibiotic use in two Andean indigenous communities in Ecuador in order to determine the feasibility and acceptability of applying an ecosystem approach to address associated problems. METHODS: In visits to 65 households with children under age 5 years, environmental risk factors for infectious diseases were evaluated through rapid assessment. Caregivers' knowledge, attitudes, and practices related to antibiotic use were determined through a knowledge, practices, and coverage survey; antibiotic use was gleaned from inspection of medicine chests; and overall health of the 91 children (including nutritional status) was assessed. A workshop was held to share results and to craft a multicomponent intervention using an ecohealth framework. RESULTS: Numerous environmental risk factors were identified, especially related to water and sanitation. Knowledge, attitudes, and practices revealed use of traditional and Western medicines and serious knowledge gaps. Antibiotics were present in 60.9% of households in Correuco and 46.8% in La Posta; malnutrition rates were 22.2% in Correuco and 26.1% in La Posta; diarrheic episodes were experienced in the previous month by 26.7% of children in Correuco and 47.8% in La Posta, with antibiotics prescribed in 50.0% and 47.1% of cases, respectively; and acute respiratory infections were incurred by 28.9% of children in Correuco and 47.8% in La Posta, with antibiotics prescribed in 53.8% and 50.0% of cases, respectively. CONCLUSIONS: Environmental, social, and cultural factors must be addressed to prevent antibiotic resistance in addition to training health personnel. An ecosystem approach is well-suited for this goal. OBJETIVO: Recopilar datos iniciales sobre las enfermedades infecciosas y el uso de antibióticos en dos comunidades indígenas andinas del Ecuador, con el objeto de determinar la factibilidad y la aceptabilidad de aplicar un enfoque ecosistémico para abordar los problemas asociados. MÉTODOS: Mediante visitas a ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Farmacorresistencia microbiana agentes antibacterianos prescripciones de medicamentos población indígena preescolar estudios de intervención Ecuador Drug resistance microbial antibacterial agents drug prescriptions indigenous population child preschool intervention studies Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Farmacorresistencia microbiana agentes antibacterianos prescripciones de medicamentos población indígena preescolar estudios de intervención Ecuador Drug resistance microbial antibacterial agents drug prescriptions indigenous population child preschool intervention studies Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Georgina Muñoz Lorena Mota William R. Bowie Arturo Quizhpe Elena Orrego Jerry M. Spiegel Annalee Yassi Ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in Ecuador Enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del Ecuador |
topic_facet |
Farmacorresistencia microbiana agentes antibacterianos prescripciones de medicamentos población indígena preescolar estudios de intervención Ecuador Drug resistance microbial antibacterial agents drug prescriptions indigenous population child preschool intervention studies Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To collect baseline data on infectious diseases and antibiotic use in two Andean indigenous communities in Ecuador in order to determine the feasibility and acceptability of applying an ecosystem approach to address associated problems. METHODS: In visits to 65 households with children under age 5 years, environmental risk factors for infectious diseases were evaluated through rapid assessment. Caregivers' knowledge, attitudes, and practices related to antibiotic use were determined through a knowledge, practices, and coverage survey; antibiotic use was gleaned from inspection of medicine chests; and overall health of the 91 children (including nutritional status) was assessed. A workshop was held to share results and to craft a multicomponent intervention using an ecohealth framework. RESULTS: Numerous environmental risk factors were identified, especially related to water and sanitation. Knowledge, attitudes, and practices revealed use of traditional and Western medicines and serious knowledge gaps. Antibiotics were present in 60.9% of households in Correuco and 46.8% in La Posta; malnutrition rates were 22.2% in Correuco and 26.1% in La Posta; diarrheic episodes were experienced in the previous month by 26.7% of children in Correuco and 47.8% in La Posta, with antibiotics prescribed in 50.0% and 47.1% of cases, respectively; and acute respiratory infections were incurred by 28.9% of children in Correuco and 47.8% in La Posta, with antibiotics prescribed in 53.8% and 50.0% of cases, respectively. CONCLUSIONS: Environmental, social, and cultural factors must be addressed to prevent antibiotic resistance in addition to training health personnel. An ecosystem approach is well-suited for this goal. OBJETIVO: Recopilar datos iniciales sobre las enfermedades infecciosas y el uso de antibióticos en dos comunidades indígenas andinas del Ecuador, con el objeto de determinar la factibilidad y la aceptabilidad de aplicar un enfoque ecosistémico para abordar los problemas asociados. MÉTODOS: Mediante visitas a ... |
format |
Article in Journal/Newspaper |
author |
Georgina Muñoz Lorena Mota William R. Bowie Arturo Quizhpe Elena Orrego Jerry M. Spiegel Annalee Yassi |
author_facet |
Georgina Muñoz Lorena Mota William R. Bowie Arturo Quizhpe Elena Orrego Jerry M. Spiegel Annalee Yassi |
author_sort |
Georgina Muñoz |
title |
Ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in Ecuador Enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del Ecuador |
title_short |
Ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in Ecuador Enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del Ecuador |
title_full |
Ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in Ecuador Enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del Ecuador |
title_fullStr |
Ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in Ecuador Enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del Ecuador |
title_full_unstemmed |
Ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in Ecuador Enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del Ecuador |
title_sort |
ecosystem approach to promoting appropriate antibiotic use for children in indigenous communities in ecuador enfoque ecosistémico de promoción del uso adecuado de antibióticos en niños de comunidades indígenas del ecuador |
publisher |
Pan American Health Organization |
publishDate |
2011 |
url |
https://doaj.org/article/72483a12464e4d598e7ae180a6af0dbd |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 30, Iss 6, Pp 566-573 (2011) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011001200012 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/72483a12464e4d598e7ae180a6af0dbd |
_version_ |
1766347416405016576 |