Patient perceptions of antibiotic use and resistance at a single university dermatology clinic

Goettsche, Lainee; Weig, Emily A.; Chung, Jina; Hoff, Brian M; İnce, Dilek; Wanat, Karolyn A.

doi:10.1080/09546634.2018.1473549

Cited by 4 publications

(4 citation statements)

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“…There was a high level of awareness of antibiotic resistance and it's causes among patients. Similar high levels of awareness of antibiotic resistance have been recorded in other contexts [23]. However, it was surprising to find that 7.3% of patients thought the cause was the human body becoming 'immune' to antibiotics.…”

Section: Discussionsupporting

confidence: 58%

Patient perceptions of phage therapy for diabetic foot infection

et al. 2020

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Infections of diabetic foot ulcers are common, generally recalcitrant and often complicated by antibiotic resistance. Alternative antimicrobial strategies are needed. Phage therapy is a promising alternative that is being rediscovered. Despite phage therapy’s 100-year history, there have been no investigations into patient thoughts and concerns. This study aimed to explore patient awareness of and concern about antibiotic resistance and gain insight into the perceptions of phage therapy among a patient group that could potentially benefit from phage therapy. Patients with an active or resolved (healed or amputated) diabetic foot ulcer were eligible to participate. A survey was distributed digitally to eligible patients across Scotland via the NHS Research Scotland Diabetes Network and hard copies were available in diabetic foot clinics at the Royal Infirmary of Edinburgh and Queen Elizabeth University Hospital, Glasgow. A focus group of five survey respondents was held in Glasgow. Fifty-five survey responses were obtained. There was a high level of awareness (76.4%; N = 55) and concern (83.3%; N = 54) about antibiotic resistance. While largely aware of viruses, most patients had not heard of phage or phage therapy. Patients were no more concerned about phage than antibiotic therapy, with most suggesting more information could alleviate any concerns. Patient acceptability of phage therapy was high, a finding confirmed by the focus group. Patients are concerned about antibiotic resistance and supportive of ‘new’ antimicrobials. We have demonstrated that patients are supportive, enthusiastic and accepting of phage therapy. Although ‘Western’ phage therapy remains in its infancy, an understanding of patient ideas, concerns and expectations will be important in eventually shaping and successfully reintroducing phage therapy.

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Section: Discussionsupporting

confidence: 58%

Patient perceptions of phage therapy for diabetic foot infection

et al. 2020

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“…Concerns exist about the impact that bacterial resistance could have on the health of individuals and their families, and many people believe that they should advise their close contacts not to take antibiotics without a doctor's prescription. Similar results were found in studies conducted in Europe, where 76.4% of respondents were concerned about the impact of resistance on their health and that of their families [25], and in Australia, where 35% of respondents felt that they should know more about antibiotics and resistance [26], and in the United States where over 90% believed that antibiotics should be used more responsibly [27]. The fact that the population demands more information on this topic represents an opportunity for local authorities to design interventions to improve antibiotic use.…”

Section: Discussionsupporting

confidence: 84%

Knowledge, Attitude and Practice Regarding Antibacterial and Their Resistance in Medellín-Colombia: A Cross-Sectional Study

et al. 2023

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Objective: To describe the knowledge, attitudes, and practices (KAPs) profile on bacterial resistance and antibiotic in the general population of Medellín. Material and methods: A cross-sectional study was conducted from September to December 2022, with 902 participants selected through stratified sampling with proportional allocation of different sectors of the city. The KAP scale was developed through a literature review, elimination of duplicate items, validity assessment, and reliability evaluation using Cronbach’s alpha. Each item was presented with absolute and relative frequencies on a Likert scale, with a total score ranging from 0 to 100, where a higher score indicates better knowledge, attitudes, and practices. Comparisons were made using Mann-Whitney U, Kruskal-Wallis H, and linear regression. Results: The knowledge score median was 73.3 (IQR 63.3–93.3), with 36.9% reporting that antibiotics can be stopped once symptoms improve and 26.1% considering them as analgesics or antipyretics. The attitudes score was 83.3 (IQR 73.3–93.3), with 95.3% expressing concern about the impact on their health or that of their family and over 90% agreeing that more information is needed on antibiotic resistance. The practice score was the lowest at 63.9 (IQR 50–75), with 48% having been prescribed antibiotics at the pharmacy and 42.6% taking them to treat flu symptoms. Economic status (β 2.645), education in health-related areas (β 6.224), gender (β 2.892), and education level (β 3.257) determined knowledge. Knowledge (β 0.387), gender (β 2.807), and education level (β 0.686) influenced attitudes, but practices were only determined by Knowledge (β 0.084) attitudes (β 0.552) and age group (β 2.858). Conclusions: Knowledge about antibiotics and bacterial resistance does not significantly influence the practices of the population. Therefore, interventions aimed at improving knowledge need to be reconsidered as they may not contribute to the appropriate use of antibiotics and prevention of resistance to these drugs.

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“…Um estudo numa clínica de dermatologia, com 512 participantes, demonstrou resultados superiores em que 50,7% acredita que a RAB é «um dos maiores problemas que o Mundo enfrenta» e 86,3% que é um «assunto que pode afetar a família». 46 No entanto, 73,5% tinham escolaridade equivalente ao ensino superior, o que pode explicar a maior sensibilização para o possível impacto da RAB na família. O valor obtido foi superior na apreciação da RAB como «problema mundial» e pode dever-se ao papel mais preponderante dos meios de comunicação social na maior compreensão da RAB como problema grave de saúde pública.…”

Section: Discussionunclassified

PRACI: Perceção dos utentes sobre antibioterapia, Resistência a Antimicrobianos e Controlo de Infeção

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2019

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A tualmente, a resistência aos antimicrobianos (RAB) é um dos problemas de saúde pública mais preocupantes a nível global, com ameaça de regresso à era pré-antibiótico. 1 Na Europa, o impacto das infeções por bactérias resistentes Rev Port Med Geral Fam 2019;35:346-59 346 Nuno Miguel Parente* PRACI -Perceção dos utentes sobre antibioterapia, Resistência a Antimicrobianos e Controlo de Infeção RESUMO Objetivo: Caracterizar os conhecimentos dos utentes sobre práticas inerentes à antibioterapia, concetualização de resistência a antimicrobianos (RAB), controlo de infeção e averiguar a existência de relação entre a informação sobre RAB e restantes variáveis. Tipo de estudo: Estudo observacional, transversal e analítico. Local: USF Viver Mais. População: Utentes inscritos na USF Viver Mais com 18-69 anos (n=6.952).Métodos: Questionário anónimo aplicado a uma amostra de 365 utentes. Incluiu variáveis demográficas como idade, sexo e escolaridade, presentes na Parte I, e 15 perguntas de escolha simples na Parte II sobre conceito e funcionamento do antimicrobiano (AB), atitudes relativas ao AB, adequação do AB a determinados sintomas e doenças, práticas de controlo de infeção, fonte de informação sobre RAB, definição e dimensão da RAB. Resultados: Houve maior representatividade do sexo feminino (61,9%), do grupo com 45-54 anos e escolaridade ≥ 12º ano. A maioria reconheceu o papel dos AB nas infeções víricas e mais de 70% identificou os AB como fármacos anti-piréticos e anti--inflamatórios. A principal indicação para AB foi a odinofagia com duração ≥ 5 dias e aproximadamente 89% concordou em utilizar AB de familiares/amigos. Cerca de 50% considerou importante a higienização das mãos após contacto com uma instituição de saúde e 69,4% após contacto com secreções respiratórias. O reconhecimento do conceito da RAB constatou-se em 58,1% dos utentes, em que 50% a percecionou como problema pessoal e familiar. Mais de 88% conceptualizou a RAB como uma falha de resposta do corpo aos AB.Verificou-se relação entre a informação sobre RAB do doente e as seguintes variáveis: escolaridade; conhecimento sobre o efeito negativo do AB na flora autóctone; importância do AB no tratamento da constipação, gripe e odinofagia; autossuspeição do utente da necessidade de tratamento com AB; decisão de antibioterapia gerida pelo médico e confiança no médico não--prescritor de AB (p<0,05). Conclusões: Em geral, os utentes demonstraram baixo conhecimento nas diversas áreas, apesar de sobreponível à literatura. Deste modo, o médico de família pode dirigir as suas ações para a informação adequada do conceito de RAB e implicações no ecossistema. Palavras-chave:Resistência a antimicrobianos; Antibióticos; Controlo de infeção; Literacia em saúde. reflete-se anualmente em aproximadamente 33.110 mortes e 874.541 anos de vida ajustados para incapacidade. 2 Relativamente ao custo, na União Europeia ABSTRACT PARIC -PATIENTS' PERCEPTION ON ANTIBIOTIC USE, ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL Objective: To characterize the knowledge about practices inher...

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Patient perceptions of antibiotic use and resistance at a single university dermatology clinic

Cited by 4 publications

References 4 publications

Patient perceptions of phage therapy for diabetic foot infection

Patient perceptions of phage therapy for diabetic foot infection

Knowledge, Attitude and Practice Regarding Antibacterial and Their Resistance in Medellín-Colombia: A Cross-Sectional Study

PRACI: Perceção dos utentes sobre antibioterapia, Resistência a Antimicrobianos e Controlo de Infeção

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