Abstract：
BACKGROUND: Aged care staff and doctors frequently highlight consumers\' role in antibiotic treatment decisions. However, few studies include consumers. This study aimed to investigate consumer perspectives on antibiotic use in residential aged care.
METHODS: A search across 6 online databases yielded 3,373 studies, with 5 meeting inclusion criteria. Participant quotes, themes, statistical analyses, and authors\' interpretive summaries in the included studies were inductively coded and refined to generate themes.
RESULTS: Three themes emerged: perception of benefits and risks of antibiotics, perceived role in antibiotic treatment decision-making, and information-communication needs. Consumers held positive attitudes toward antibiotics, did not associate antibiotics with the exclusive treatment of bacterial infections, and had limited awareness of potential risks, such as antibiotic resistance. Studies showed diverse perceptions regarding residents\' and their families\' involvement in antibiotic treatment decision-making with some residents actively seeking antibiotics and others trusting doctors to decide. Studies also described consumer need for effective provider-consumer communication and information sharing that was affected by contextual barriers such as motivation, preferences, available information resources, and provider attitudes.
CONCLUSIONS: Limited literature is available on consumer perspectives on antibiotic use in aged care. The review highlights that consumer needs are more complex than simply wanting an antibiotic. Antimicrobial stewardship programs should target consumer awareness, beliefs, and provider-consumer communication to enhance antibiotic use in aged care.
METHODS: A search across 6 online databases yielded 3,373 studies, with 5 meeting inclusion criteria. Participant quotes, themes, statistical analyses, and authors\' interpretive summaries in the included studies were inductively coded and refined to generate themes.
RESULTS: Three themes emerged: perception of benefits and risks of antibiotics, perceived role in antibiotic treatment decision-making, and information-communication needs. Consumers held positive attitudes toward antibiotics, did not associate antibiotics with the exclusive treatment of bacterial infections, and had limited awareness of potential risks, such as antibiotic resistance. Studies showed diverse perceptions regarding residents\' and their families\' involvement in antibiotic treatment decision-making with some residents actively seeking antibiotics and others trusting doctors to decide. Studies also described consumer need for effective provider-consumer communication and information sharing that was affected by contextual barriers such as motivation, preferences, available information resources, and provider attitudes.
CONCLUSIONS: Limited literature is available on consumer perspectives on antibiotic use in aged care. The review highlights that consumer needs are more complex than simply wanting an antibiotic. Antimicrobial stewardship programs should target consumer awareness, beliefs, and provider-consumer communication to enhance antibiotic use in aged care.
摘要：
目的：老年护理人员和医生经常强调消费者在抗生素治疗决策中的作用。然而,很少有研究包括消费者。本研究旨在调查消费者对住宅老年护理中抗生素使用的看法。
方法：在六个在线数据库中进行的搜索得出了3373项研究，五个符合纳入标准。参与者报价，主题,统计分析，对纳入研究的作者和作者的解释性摘要进行归纳编码和提炼，以产生主题。
结果：出现了三个主题：对抗生素的益处和风险的感知；在抗生素治疗决策和信息交流需求中的感知作用。消费者对抗生素持积极态度，没有将抗生素与细菌感染的独家治疗联系起来，对潜在风险的认识有限，如抗生素耐药性。研究表明，人们对居民及其家人参与抗生素治疗决策的看法不同，一些居民积极寻求抗生素，另一些居民信任医生做出决定。研究还描述了消费者需要有效的提供者-消费者沟通和信息共享，这受到诸如动机等背景障碍的影响，preferences,可用的信息资源，和提供者的态度。
结论：关于老年护理中抗生素使用的消费者观点，可以获得有限的文献。该评论强调，消费者的需求比简单地想要抗生素要复杂得多。抗菌药物管理计划应以消费者意识为目标，信念和提供者-消费者沟通，以加强抗生素在老年护理中的使用。
方法：在六个在线数据库中进行的搜索得出了3373项研究，五个符合纳入标准。参与者报价，主题,统计分析，对纳入研究的作者和作者的解释性摘要进行归纳编码和提炼，以产生主题。
结果：出现了三个主题：对抗生素的益处和风险的感知；在抗生素治疗决策和信息交流需求中的感知作用。消费者对抗生素持积极态度，没有将抗生素与细菌感染的独家治疗联系起来，对潜在风险的认识有限，如抗生素耐药性。研究表明，人们对居民及其家人参与抗生素治疗决策的看法不同，一些居民积极寻求抗生素，另一些居民信任医生做出决定。研究还描述了消费者需要有效的提供者-消费者沟通和信息共享，这受到诸如动机等背景障碍的影响，preferences,可用的信息资源，和提供者的态度。
结论：关于老年护理中抗生素使用的消费者观点，可以获得有限的文献。该评论强调，消费者的需求比简单地想要抗生素要复杂得多。抗菌药物管理计划应以消费者意识为目标，信念和提供者-消费者沟通，以加强抗生素在老年护理中的使用。
