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Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt

机译:关于在埃及米尼亚使用抗生素治疗急性呼吸道感染的态度和信念以及提供者实践

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The inappropriate use of antibiotics in the community is one of the major causes of antimicrobial resistance. This study aimed to explore the physician prescribing pattern of antibiotics for acute respiratory infections (ARIs) and to explore the knowledge, attitudes, and practices of patients regarding antibiotic use for ARIs. The study was conducted in Upper Egypt and used quantitative and qualitative research techniques. Eligible patients exiting outpatient clinics with ARIs were invited to participate in the study. A qualitative study was conducted through 20 focus group discussions. Out of 350 encounters for patients with various ARIs, 292 (83%) had been prescribed at least one antibiotic. Factors significantly associated with antibiotic prescribing for adults included patient preference that an antibiotic be prescribed. For children younger than 18, presentation with fever, cough, loss of appetite, and sore throat, along with the caregiver’s antibiotic preference, were associated with an antibiotic prescription. Several misconceptions regarding antibiotic use among community members were stated, such as the strong belief of the curing and prophylactic power of antibiotics for the common cold. Interventions to promote proper antibiotic use for ARIs need to be piloted, targeting both physicians and the public. Educational programs for physicians and campaigns to raise public awareness regarding proper antibiotic use for ARIs need to be developed.
机译:社区中抗生素的不适当使用是引起抗生素耐药性的主要原因之一。这项研究旨在探讨医师对急性呼吸道感染(ARI)的抗生素处方方式,并探讨患者使用ARI的抗生素知识,态度和做法。该研究在上埃及进行,并使用了定量和定性研究技术。退出ARIs门诊的合格患者被邀请参加研究。通过20个焦点小组讨论进行了定性研究。在患有各种ARIs的患者的350次治疗中,有292次(83%)被处方了至少一种抗生素。与成人处方抗生素显着相关的因素包括患者偏爱使用抗生素。对于18岁以下的孩子,出现发烧,咳嗽,食欲不振和喉咙痛的情况,以及看护者对抗生素的偏爱,都与抗生素处方有关。有人对社区成员中的抗生素使用存在一些误解,例如坚信抗生素对普通感冒的治愈和预防作用。需要推广针对ARIs正确使用抗生素的干预措施,以医师和公众为对象。需要制定针对医师的教育计划和运动,以提高公众对ARIs正确使用抗生素的认识。

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