Lack of Knowledge of Antibiotic Risks Contributes to Primary Care Patients' Expectations of Antibiotics for Common Symptoms.

IF 4.4 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Lindsey A Laytner, Barbara W Trautner, Susan Nash, Roger Zoorob, Jennifer O Okoh, Eva Amenta, Kiara Olmeda, Juanita Salinas, Michael K Paasche-Orlow, Larissa Grigoryan
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Abstract

Patient expectations of receiving antibiotics for common symptoms can trigger unnecessary use. We conducted a survey (n = 564) between January 2020 to June 2021 in public and private primary care clinics in Texas to study the prevalence and predictors of patients' antibiotic expectations for common symptoms/illnesses. We surveyed Black patients (33%) and Hispanic/Latine patients (47%), and over 93% expected to receive an antibiotic for at least 1 of the 5 pre-defined symptoms/illnesses. Public clinic patients were nearly twice as likely to expect antibiotics for sore throat, diarrhea, and cold/flu than private clinic patients. Lack of knowledge of potential risks of antibiotic use was associated with increased antibiotic expectations for diarrhea (odds ratio [OR] = 1.6; 95% CI, 1.1-2.4) and cold/flu symptoms (OR = 2.9; 95% CI, 2.0-4.4). Lower education and inadequate health literacy were predictors of antibiotic expectations for diarrhea. Future antibiotic stewardship interventions should tailor patient education materials to include information on antibiotic risks and guidance on appropriate antibiotic indications.

对抗生素风险缺乏了解导致初级保健患者期望用抗生素治疗常见症状。
患者对常见症状接受抗生素治疗的预期可能会引发不必要的用药。我们于 2020 年 1 月至 2021 年 6 月期间在得克萨斯州的公立和私立初级保健诊所进行了一项调查(n = 564),以研究患者对常见症状/疾病使用抗生素的预期的普遍性和预测因素。我们对黑人患者(33%)和西班牙裔/拉丁裔患者(47%)进行了调查,超过 93% 的患者期望至少在 5 种预定义症状/疾病中的 1 种疾病上使用抗生素。与私人诊所的患者相比,公立诊所的患者希望在喉咙痛、腹泻和感冒/流感时使用抗生素的几率几乎是私人诊所患者的两倍。对使用抗生素的潜在风险缺乏了解与腹泻(几率比 [OR] = 1.6;95% CI,1.1-2.4)和感冒/流感症状(OR = 2.9;95% CI,2.0-4.4)的抗生素使用预期增加有关。教育程度较低和健康知识不足是腹泻患者期望使用抗生素的预测因素。未来的抗生素监管干预措施应调整患者教育材料,使其包括抗生素风险信息和适当的抗生素适应症指导。
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来源期刊
Annals of Family Medicine
Annals of Family Medicine 医学-医学:内科
CiteScore
3.70
自引率
4.50%
发文量
142
审稿时长
6-12 weeks
期刊介绍: The Annals of Family Medicine is a peer-reviewed research journal to meet the needs of scientists, practitioners, policymakers, and the patients and communities they serve.
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