Clinician knowledge and beliefs after statewide program to promote appropriate antimicrobial drug use
Clinician knowledge and beliefs after statewide program to promote appropriate antimicrobial drug use
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DOI：
10.3201/eid1106.05144
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发表时间：
2005-06-01
影响因子：
11.8
通讯作者：
Belongia, EA
中科院分区：
文献类型：
--
作者：
Kiang, KM;Kieke, BA;Belongia, EA
1999 年，威斯康星州发起了一场针对初级保健临床医生和公众的教育运动，以促进明智地使用抗微生物药物。我们评估了它对临床医生知识和信念的影响；明尼苏达州担任控制州。活动前（1999年）和活动后（2002年）调查问卷的结果表明，威斯康星州临床医生认为，请求抗菌药物的患者比例（1999年为50%，2002年为30%；p < 0.001）和儿童家长请求抗菌药物的比例显着下降（1999年为25%，2002年为20%；p = 0.004）。威斯康星州临床医生在抗菌药物处方方面受非预测性临床结果（脓性鼻涕 [p = 0.044]、排痰性咳嗽 [p = 0.010]）的影响较小。 2002 年，这两个州的临床医生不太可能推荐针对病毒性呼吸道疾病成人病例进行抗菌药物治疗。对于可比较的儿科病例情况，只有威斯康星州的临床医生从 1999 年到 2002 年有显着改善。尽管这两个州的临床医生在多项调查答复中都有所改善，但威斯康星州的整体改善更大。
In 1999, Wisconsin initiated an educational campaign for primary care clinicians and the public to promote judicious anti microbial drug use. We evaluated its impact on clinician knowledge and beliefs; Minnesota served as a control state. Results of pre- (1999) and post- (2002) campaign questionnaires indicated that Wisconsin clinicians perceived a significant decline in the proportion of patients requesting antimicrobial drugs (50% in 1999 to 30% in 2002; p < 0.001) and in antimicrobial drug requests from parents for children (25% in 1999 to 20% in 2002; p = 0.004). Wisconsin clinicians were less influenced by nonpredictive clinical findings (purulent nasal discharge [p = 0.044], productive cough [p = 0.010]) in terms of antimicrobial drug prescribing. In 2002, clinicians from both states were less likely to recommend antimicrobial agent treatment for the adult case scenarios of viral respiratory illness. For the comparable pediatric case scenarios, only Wisconsin clinicians improved significantly from 1999 to 2002. Although clinicians in both states improved on several survey responses, greater overall improvement occurred in Wisconsin.