General practitioners' knowledge, attitude and prescribing of antibiotics for upper respiratory tract infections in Selangor, Malaysia: findings and implications
General practitioners' knowledge, attitude and prescribing of antibiotics for upper respiratory tract infections in Selangor, Malaysia: findings and implications
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DOI：
10.1586/14787210.2015.1012497
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发表时间：
2015-04-01
影响因子：
5.7
通讯作者：
Godman, Brian
中科院分区：
文献类型：
--
作者：
Hassali, Mohamed Azmi;Kamil, Tengku Karmila Tengku;Godman, Brian
背景：抗生素被广泛用于治疗上呼吸道感染（URTI）。它们的不合理使用会增加成本和耐药性。目的：评估知识，态度和处方抗生素的URTI在雪兰莪州，马来西亚，使用横断面调查全科医生（GP）在私人诊所工作，在2011年。结果：139名医生完成了问卷调查（应答率= 34.8%）。49.6%（n = 69）同意抗生素有助于治疗URTI，大多数GP同意抗生素可以减少URTI的持续时间和并发症。大多数全科医生报告说，他们认为患者期望使用抗生素，36.7%（n = 51）的人同意，如果他们不开抗生素，患者会更换医生，21.6%（n = 30）的人同意，即使他们认为抗生素是不必要的，他们也会开抗生素。根据六项标准进行评估时，大多数全科医生对URTI的处方知识水平中等。然而，抗生素处方可以明显减少。结论：需要进一步的计划来教育全科医生和病人关于抗生素的建设目前的举措。
Background: Antibiotics are widely prescribed especially for upper respiratory tract infections (URTIs). Their irrational use can increase costs and resistance. Aim: Assess knowledge, attitude and prescribing of antibiotics for URTIs in Selangor, Malaysia, using a cross-sectional survey among general practitioners (GPs) working in private clinics in 2011. Results: One hundred and thirty-nine physicians completed the questionnaire (response rate = 34.8%). 49.6% (n = 69) agreed antibiotics are helpful in treating URTIs, with most GPs agreeing antibiotics may reduce URTI duration and complications. The majority of GPs reported they felt patients expected antibiotics, with 36.7% (n = 51) agreeing patients would change doctors if they did not prescribe antibiotics and 21.6% (n = 30) agreeing when requested they prescribe antibiotics even if they believe them to be unnecessary. When assessed against six criteria, most GPs had a moderate level of knowledge of prescribing for URTIs. However, antibiotic prescriptions could be appreciably reduced. Conclusion: Further programs are needed to educate GPs and patients about antibiotics building on current initiatives.