Primary healthcare antibiotic therapy in Poland: a patient perspective – preliminary survey study

Arkadiusz Adamiszak, Sylwia Adamiszak, Ł. Dobrek, O. Fedorowicz, A. Bienert
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Abstract

Introduction and Objective. Growing resistance to commonly used antibiotics has challenged 21st-century medicine. To date, antibiotic policy has induced bacterial resistance and isolation of multi-drug resistant superbugs insensitive to known antibiotics. The aim of the study was to investigate the knowledge of primary healthcare patients about antibiotic usage, and to identify incorrect patient habits. Materials and method. The research was based on a proprietary, anonymous Internet survey consisting of 21 questions, in which only adults could participate. The survey selected nine questions to assess the respondents’ knowledge. Results. 201 patients participated in the study. About 50% of participants based their knowledge about antibiotics on information obtained during a medical visit, 16.4% on consultations with a pharmacist, 24.9% on the Internet, and 11.4% exchanged experiences with friends. Every third respondent was not satisfied with the information obtained from a doctor. People with higher education reported this issue more often (p<0.05). Nearly 35% of people living in the countryside (p<0.05) admitted to using the part of a drug left after previous antibiotic therapy, and 10% administered antibiotics obtained from friends or relatives. Every fourth patient believed that antibiotics were effective against colds and flu. The average knowledge test result was 5.49 out of 9 points, and a positive score of 6 or more was obtained by nearly 60% of the respondents. Conclusions. The results of this preliminary study indicate that more focus should be given to improving patients’ education and compliance with treatment recommendations.
波兰初级保健抗生素治疗:患者视角——初步调查研究
引言和目的。对常用抗生素日益增长的耐药性给21世纪的医学带来了挑战。迄今为止,抗生素政策已经诱导了细菌耐药性和对已知抗生素不敏感的多重耐药超级细菌的分离。该研究的目的是调查初级保健患者关于抗生素使用的知识,并确定不正确的患者习惯。材料和方法。这项研究基于一项专有的、匿名的网络调查,包括21个问题,只有成年人才能参与。该调查选择了九个问题来评估受访者的知识。结果:201例患者参与了研究。约50%的参与者通过就诊获得抗生素知识,16.4%通过咨询药剂师,24.9%通过互联网,11.4%通过与朋友交流经验。三分之一的受访者对从医生那里获得的信息不满意。受过高等教育的人报告这一问题的频率更高(p<0.05)。近35%的农村人口(p<0.05)承认使用了以前抗生素治疗后遗留的部分药物,10%的人使用了从朋友或亲戚那里获得的抗生素。四分之一的病人相信抗生素对感冒和流感有效。平均知识测试成绩为5.49分(满分9分),近60%的受访者获得了6分及以上的正分数。结论。本初步研究结果表明,应更加重视提高患者的教育和依从性的治疗建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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