Expectations for consultations and antibiotics for respiratory tract infection in primary care: the RTI clinical iceberg

Abstract

Qualitative interview study A sample of adult members of the public with diverse ethnicity and deprivation were opportunistically recruited in pharmacies in four areas of England. Responders who had recently had an RTI, were asked to participate in a later telephone interview.

Medical and psychosocial factors associated with antibiotic prescribing in primary care: survey questionnaire and factor analysis

“…In previous studies in Western and Asian populations, patients have been observed to have a variable knowledge about the role of antibiotics in the common cold and cough, 30,31 and those with a suboptimal knowledge of antibiotics tended to request antibiotics from their GPs. Patients who requested antibiotics were more likely to have them prescribed.…”

Managing Sustainable Use of Antibiotics—The Role of Trust

“…This is of interest since previous studies have shown that medical practitioners are confronted with demands for antibiotics from patients [25][26][27][28]. Time restrictions and high demand from patients jointly influence prescribers to prescribe antibiotics, even in cases where this might not be necessary in order to treat the infection.…”

“…Time restrictions and high demand from patients jointly influence prescribers to prescribe antibiotics, even in cases where this might not be necessary in order to treat the infection. In a study in the UK, it was found that about 96% of all patients who request antibiotics also receive it, indicating that antibiotic consumption might involve a shared decision-making between doctors and patients [25].…”

Ways of Optimizing Antimicrobial Therapy for the Treatment of Respiratory Diseases

“…К сожалению, пока пропаганда более рационального антибактериального подхода приносит достаточно скромные результаты. Так, в опубликованном в 2013 г. опросе 1 767 взрослых паци-ентов в Англии с острыми инфекциями дыхательных путей (ОИДП) выяснилось, что 24% считают, что антибио-тики эффективно помогают при кашле и простуде, 38% считают, что антибиотики могут убить вирусы, 32% респон-дентов ожидают, что их врач общей практики пропишет антибиотики при симптомах гриппа, 17% -при боли в горле, 13% -от кашля, 6% -от простуды и 4% -от насморка [11].…”