Factors associated with doctors' knowledge on antibiotic use in China.
Factors associated with doctors' knowledge on antibiotic use in China.
复制标题
中国医生抗生素使用知识的相关因素
DOI：
10.1038/srep23429
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发表时间：
2016-03-24
影响因子：
4.6
通讯作者：
Lu Z
中科院分区：
文献类型：
--
作者：
Bai Y;Wang S;Yin X;Bai J;Gong Y;Lu Z
医学界滥用抗生素是一个全球性的问题。检查医生对抗菌药物的了解对于制定改善抗生素使用的策略非常重要。本研究的目的是调查中国医生对抗生素的知识，并揭示其知识水平的相关因素。在中国中部的山西进行了横断面调查。共有761名医生进行了调查，使用结构化的自填式问卷。采用广义线性回归模型分析影响医生抗生素知识的因素。按满分10分计算，医生对抗生素知识的平均得分为6.29分（SD = 1.79）。广义线性回归分析显示，内科医生、主任医师和接受过抗生素继续教育的医生对抗生素知识掌握情况较好。与在三级医院工作的医生相比，在二级医院或基层医疗机构工作的医生对抗生素的认识较差。中国医生对抗菌药物的了解不够。继续教育对提高医生知识水平是有效的，但效果有待进一步提高。更有针对性的干预措施和教育计划应该提高对抗菌药物的认识，特别是对在基层医疗机构工作的医生。
Misuse of antibiotics by the medical profession is a global concern. Examining doctors’ knowledge about antimicrobials will be important in developing strategies to improve antibiotic use. The aim of the study was to survey Chinese doctors’ knowledge on antibiotics and reveal the factors associated with their level of knowledge. A cross-sectional survey was conducted in Shanxi in central China. A total of 761 physicians were surveyed using a structured self-administered questionnaire. A generalized linear regression model was used to identify the factors associated with doctors’ knowledge on antibiotic. Based on a full score of 10, the average score for doctors’ knowledge on antibiotics was 6.29 (SD = 1.79). Generalized linear regression analysis indicated that doctors who either worked in the internal medicine department, who were chief doctors or who received continuing education on antibiotic, had better knowledge of antibiotics. Compared with doctors working in tertiary hospitals, doctors working in secondary hospitals or primary healthcare facilities had poorer knowledge about antibiotics. Chinese doctors have suboptimal knowledge about antimicrobials. Ongoing education is effective to enhance doctors’ knowledge, but the effect remains to be further improved. More targeted interventions and education programs should improve knowledge about antimicrobials, especially for doctors working in primary healthcare institutions.