Oral antibiotic use without consulting a physician: A survey of ED patients
Oral antibiotic use without consulting a physician: A survey of ED patients
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DOI：
10.1053/ajem.2001.20035
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发表时间：
2001-01-01
影响因子：
3.6
通讯作者：
Cody, R
中科院分区：
文献类型：
--
作者：
Richman, PB;Garra, G;Cody, R
本研究的目的是确定患者在未咨询医生的情况下使用抗生素的程度，并检查与此类口服抗生素滥用相关的患者特征。研究设计为前瞻性调查。研究地点为郊区、社区、急诊科（艾德），参与者为8周内入组的定向艾德患者的便利样本。受试者提供了关于其在艾德就诊前12个月内口服抗生素使用情况的标准化问题的书面答案。分类和连续数据分别用卡方和t检验进行分析。所有检验均为P尾检验，α设定为0.05。入组了1363例受试者; 80%为白色，54%为女性，58%上过大学，85%有私人医生，88%有健康保险。平均年龄为45 ± 19岁。43%的患者在过去一年中使用过口服抗生素。22%的患者表示，他们的医生经常为他们的感冒症状开抗生素，17%的患者在没有咨询医生的情况下服用了“剩余”抗生素，最常见的是咳嗽（11%）或喉咙痛（42%），尿路感染症状的频率要低得多（0.7%），女性（19%对15%男性; P = 0.04）和上过大学的患者（19%对14%没有上过大学; P = 0.01）更有可能服用“剩余”抗生素。我们的艾德患者中有相当比例的人在没有咨询医生的情况下服用了口服抗生素，而这些症状通常是由病毒引起的。进一步的研究是必要的，以检查当地模式的门诊病人自我处方影响社区口服抗生素耐药性。(Am急诊医学杂志2001;19：57-60. W.B，Saunders Company的版权（C）2001）。
The purpose of our study was to determine the extent to which patients use antibiotics without consulting a physician and to examine patient characteristics associated with such oral antibiotic misuse. The study design was a prospective survey. The setting was a suburban, community, emergency department (ED), The participants were a convenience sample of oriented, ED patients who were enrolled during an 8-week period, Subjects provided written answers to standardized questions regarding their use of oral antibiotics over the 12 months preceding their ED visit. Categorical and continuous data were analyzed by chi square and t-tests respectively. All test were P-tailed with alpha set at 0.05. One thousand three hundred sixty three subjects were enrolled; 80% were White, 54% were female, 58% had attended college, 85% had a private physician, and 88% had health insurance. The mean age was 45 +/- 19 years. 43% of patients had used oral antibiotics within the past year. Twenty-two percent of patients indicated that their physicians routinely prescribed antibiotics for their cold symptoms, Seventeen percent of patients had taken "left over" antibiotics without consulting their physician, most commonly for a cough (11%) or sore throat (42%), and much less frequently for urinary tract infection symptoms (0.7%), Women (19% Versus 15% men; P =.04) and patients who attended college (19% Versus 14% no college; P =.01) were more likely to have taken "left-over" antibiotics. A significant percentage of our ED patients had taken oral antibiotics without consulting a physician for symptoms frequently caused by viruses. Further study is warranted to examine whether local patterns of outpatient self prescribing affect community oral antibiotic resistance. (Am J Emerg Med 2001;19:57-60. Copyright (C) 2001 by W.B, Saunders Company).