Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study
Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study
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DOI：
10.3399/096016407782605027
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发表时间：
2007-12-01
影响因子：
5.9
通讯作者：
Dinant, Geert-Jan
中科院分区：
文献类型：
--
作者：
Cals, Jochen W. L.;Boumans, Dennis;Dinant, Geert-Jan
背景患者的期望是临床医生抗生素处方决定的最强预测因素之一。虽然公众对抗生素的知识、信念和经验有助于这些期望，但对这些公众观点知之甚少。AimTo深入了解抗生素和呼吸道感染的公众知识、信念和经验。研究设计横断面，基于互联网的问卷调查。SettingMembers of the general public against 16 years and over in Netherlands.MethodsPublic knowledge，beliefs，and experience of antibiotics and respiratory tract infections.Design of study横断面，基于互联网的问卷调查。和经验的抗生素和呼吸道感染，以及预测的准确知识的抗生素的有效性，使用20个问题的子项目。该问卷是给荷兰社区为基础的全国互联网小组的15 673人。其中，1248符合条件的应答者被邀请参加; 935应答者（75%）完成了questionnaire.ResultsOf的参与者，44.6%准确地确定抗生素是有效的细菌，而不是病毒。近60%的应答者认为急性支气管炎需要抗生素治疗。认为需要抗生素的呼吸道感染相关症状的范围从6.5%的咳嗽透明痰，咳嗽持续超过2 weeks.ConclusionPublic误解的有效性，和适应症，抗生素存在。近一半的应答者（47.8%）错误地将抗生素视为治疗病毒感染的有效药物。医生应该意识到，不必要的处方可能会助长对抗生素和呼吸道感染的误解。对于疾病标签为“急性支气管炎”的患者，接受抗生素治疗的期望值高于呼吸道感染中显著存在的任何单独或联合症状。在制定针对公众、患者和医生的干预措施时，应考虑公众的信念和期望，以减少不必要的抗生素处方。
BackgroundPatient expectations are among the strongest predictors of clinicians' antibiotic prescribing decisions. Although public knowledge, beliefs, and experiences of antibiotics contribute to these expectations, little is known about these public views.AimTo gain insight into public knowledge, beliefs, and experiences of antibiotics and respiratory tract infections.Design of studyCross-sectional, internet-based questionnaire study.SettingMembers of the general public aged 16 years and over in the Netherlands.MethodsPublic knowledge, beliefs, and experiences of antibiotics and respiratory tract infections, as well as predictors of accurate knowledge of antibiotic effectiveness, were measured using 20 questions with sub-items. The questionnaire was given to a Dutch community-based nationwide internet panel of 15 673 individuals. Of these, 1248 eligible responders were invited to participate; 935 responders (75%) completed the questionnaire.ResultsOf the participants, 44.6% accurately identified antibiotics as being effective against bacteria and not viruses. Acute bronchitis was considered to require treatment with antibiotics by nearly 60% of responders. The perceived need for antibiotics for respiratory tract infection-related symptoms ranged from 6.5% for cough with transparent phlegm, to 46.2% for a cough lasting for more than 2 weeks.ConclusionPublic misconceptions on the effectiveness of, and indications for, antibiotics exist. Nearly half of all responders (47.8%) incorrectly identified antibiotics as being effective in treating viral infections. Doctors should be aware that unnecessary prescribing could facilitate misconceptions regarding antibiotics and respiratory tract infections. Expectations of receiving antibiotics were higher for the disease label 'acute bronchitis' than for any of the separate or combined symptoms prominently present in respiratory tract infection. Public beliefs and expectations should be taken into account when developing interventions targeting the public, patients, and physicians to reduce unnecessary prescribing of antibiotics for respiratory tract infections.