关键词: antibiotic resistance antibiotics attitudes knowledge medical staff opinions

来  源:   DOI:10.3390/antibiotics13060493   PDF(Pubmed)

Abstract:
BACKGROUND: Antibiotic resistance poses a significant threat to public health, that can lead to reduced effectiveness of many therapies, increased morbidity, longer hospitalization times, increased deaths, and additional costs for health care systems. Unreasonable use of antibiotics may result from a lack of adequate knowledge about antibiotic therapy and a lack of knowledge of the risks associated with antibiotic resistance, both among medical personnel and patients.
OBJECTIVE: The primary objective of the study was to verify the opinion of medical personnel on the risks associated with antibiotic resistance.
METHODS: The study was conducted in 2023 among 605 Polish sanitary workers. An anonymous survey designed specifically for the purpose of the study was used. The survey was made available on the Internet through the Trade Unions of Pharmacy Workers and directly to hospitals with the support of local authorities.
RESULTS: The majority of respondents were women (77.36%). The largest group consisted of individuals over 40 years of age (55.04%). More than half of the respondents were nurses (56.20%), and every fourth of the respondents was a physician (23.64%). Most respondents consider antibiotic resistance to be a very serious (24.13%) or extremely serious (30.75%) problem. The problem of antibiotic resistance on a global scale was mentioned, especially in the opinions of physicians and nurses (p < 0.01), people working in the profession for over a year (p < 0.01), and people with a specialization or undergoing specialist training (p = 0.00). Similarly, these groups most often indicated that antibiotic resistance poses a problem in their workplace. The main problems of antibiotic resistance were the use of antibiotics in farm animals (36.69%), the pressure on patients to take antibiotics (38.84%), and the prophylactic use of antibiotics (43.15%).
CONCLUSIONS: Medical personnel consider antibiotic resistance a somewhat serious problem, although not all agree in this regard. The risk of antibiotic resistance is much more seriously assessed by physicians and nurses, as well as by people with specializations or undergoing specialization training. Knowledge about antibiotic resistance should be further spread among all groups of medical personnel.
摘要:
背景:抗生素耐药性对公众健康构成重大威胁,这可能导致许多疗法的有效性降低,发病率增加,住院时间更长,死亡人数增加,以及医疗保健系统的额外费用。抗生素的不合理使用可能是由于缺乏关于抗生素治疗的足够知识以及缺乏与抗生素耐药性相关的风险知识。在医务人员和患者中。
目的:本研究的主要目的是验证医务人员对抗生素耐药性相关风险的看法。
方法:该研究于2023年在605名波兰卫生工作者中进行。使用了专门为研究目的设计的匿名调查。该调查通过药房工人工会在互联网上提供,并在地方当局的支持下直接提供给医院。
结果:大多数受访者是女性(77.36%)。最大的群体由40岁以上的个体组成(55.04%)。超过一半的受访者是护士(56.20%),每四分之一的受访者是医生(23.64%).大多数受访者认为抗生素耐药性是一个非常严重(24.13%)或极其严重(30.75%)的问题。提到了全球范围内的抗生素耐药性问题,特别是在医生和护士的意见中(p<0.01),从事该行业一年以上的人(p<0.01),以及具有专业化或接受专业培训的人员(p=0.00)。同样,这些群体通常表示抗生素耐药性在他们的工作场所带来了问题。抗生素耐药性的主要问题是农场动物使用抗生素(36.69%),患者服用抗生素的压力(38.84%),预防性使用抗生素(43.15%)。
结论:医务人员认为抗生素耐药性是一个严重的问题,尽管并非所有人都同意这一点。医生和护士更认真地评估抗生素耐药性的风险,以及有专业或接受专业培训的人。有关抗生素耐药性的知识应在所有医务人员中进一步传播。
公众号