The public's attitudes to and compliance with antibiotics
The public's attitudes to and compliance with antibiotics
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DOI：
10.1093/jac/dkm161
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发表时间：
2007-08-01
影响因子：
5.2
通讯作者：
Davey, Peter
中科院分区：
文献类型：
--
作者：
McNulty, Cliodna A. M.;Boyle, Paul;Davey, Peter
尽管三分之一的公众仍然认为抗生素对咳嗽和感冒有效，但仅仅让公众相信抗生素对咳嗽和感冒有效可能不足以降低处方水平。卫生部赞助的大型家庭调查表明，那些对抗生素有更多知识的人不太可能被开抗生素，虽然那些对抗生素有更多知识的人更有可能完成一个疗程，但他们也更有可能自我克制，并保留剩余的抗生素。未来旨在降低处方水平的运动应重点关注目前更有可能被处方抗生素的人群：年轻女性和教育水平较低的人群。他们还应检查和考虑修改咨询行为和其他涉及患者对抗生素期望的行为组成部分。这应该包括延迟的抗生素处方。减少剩菜使用的最简单方法可能是将抗生素处方的疗程缩短至3或5天。我们还应该向受教育程度更高的年轻女性宣传“不要回收抗生素”的信息，这些女性更有可能在没有建议的情况下储存，服用和分享抗生素。
Although a third of the public still believe that antibiotics work against coughs and colds, simply getting the public to believe otherwise may not be enough to reduce the level of prescribing. The large Department of Health sponsored household survey demonstrated that those with a greater knowledge about antibiotics were no less likely to be prescribed an antibiotic, and although those with increased knowledge about antibiotics were more likely to complete a course they were also more likely to self-medicate and to keep left-over antibiotics. Future campaigns that are aimed at reducing the level of prescribing should be focused towards those more likely to be prescribed antibiotics at present: younger women and those with a lower level of education. They should also examine and consider modifying consultation behaviour and other behavioural components involved in patient' expectations for antibiotics. This should include delayed antibiotic prescriptions. The easiest way to reduce the use of leftovers may be to shorten the course of antibiotics prescribed to 3 or 5 days. We should also promote a 'Do not recycle antibiotics' message towards the more highly educated, young women who are more likely to store, take and share antibiotics without advice.