Antibiotic-seeking behavior in college students: What do they really expect?
Antibiotic-seeking behavior in college students: What do they really expect?
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DOI：
10.1080/07448480109595705
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发表时间：
2001-07-01
影响因子：
2.4
通讯作者：
Possner, AB
中科院分区：
文献类型：
--
作者：
Haltiwanger, KA;Hayden, GF;Possner, AB
不明智地使用抗生素有助于增加细菌耐药性，患者的期望鼓励医生过度使用抗生素。作者评估了患病大学生的求医行为水平，以确定接受抗生素处方是否会影响患者对临床医生的满意度。在129名患有上呼吸道疾病的学生中，55%的人希望得到抗生素处方。抗生素预期在认为自己有细菌感染的学生中比在认为自己有病毒感染的学生中更有可能（90%比40%; p <0.01）。明确的诊断、解释治疗的理由和抗生素处方与患者满意度显著相关。临床医生为36%的学生开了抗生素;这46名学生中只有13%在访问期间要求使用抗生素。在以前的某个时候，三分之一的学生服用了为早期疾病或其他人开的抗生素。更好的患者教育和改善临床医生与患者的沟通可能有助于减少抗生素的不明智使用。
Injudicious use of antibiotics contributes to increased bacterial resistance, and patient expectations encourage physicians to overuse antibiotics. The authors evaluated the level of ill college students' antibiotic-seeking behavior to determine if receiving an antibiotic prescription influenced patients' satisfaction with visits to a clinician. Of 129 students with upper respiratory complaints presenting to a university health center, 55% expected an antibiotic prescription. Antibiotic expectation was significantly more likely among students who thought they had a bacterial versus a viral infection (90% vs 40%; p < .01). A clear diagnosis, an explanation of the rationale for treatment, and an antibiotic prescription were significantly associated with patient satisfaction. Clinicians prescribed an antibiotic for 36% of the students; only 13% of these 46 had requested an antibiotic during the visit. At some previous time, one third of the students had taken an antibiotic prescribed for an earlier illness or for another person. Better patient education and improved clinician-patient communication can potentially help to reduce the injudicious use of antibiotics.