1. Is the level of knowledge a predictor of rational antibiotic use in Serbia?
- Author
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Dragica Bukumiric, Alisa V. Savkov, Olga Horvat, Milica Paut Kusturica, Zdenko Tomić, Ana Tomas, and Ana Sabo
- Subjects
Male ,Questionnaires ,0301 basic medicine ,Viral Diseases ,Pediatrics ,Medical Doctors ,Health Care Providers ,Antibiotics ,lcsh:Medicine ,Social Sciences ,Common Cold ,Geographical Locations ,0302 clinical medicine ,Sociology ,Surveys and Questionnaires ,Medicine and Health Sciences ,030212 general & internal medicine ,Young adult ,lcsh:Science ,Response rate (survey) ,education.field_of_study ,Multidisciplinary ,Antimicrobials ,Drugs ,Common cold ,Middle Aged ,Anti-Bacterial Agents ,3. Good health ,Europe ,Professions ,Prescriptions ,Infectious Diseases ,Research Design ,Female ,Serbia ,Research Article ,Adult ,medicine.medical_specialty ,Adolescent ,Patients ,medicine.drug_class ,030106 microbiology ,Population ,Research and Analysis Methods ,Microbiology ,Education ,Young Adult ,03 medical and health sciences ,Antibiotic resistance ,General Practitioners ,Microbial Control ,Physicians ,medicine ,Humans ,Medical prescription ,education ,Educational Attainment ,Aged ,Pharmacology ,Survey Research ,business.industry ,lcsh:R ,Biology and Life Sciences ,medicine.disease ,Educational attainment ,Health Care ,Logistic Models ,Social Class ,Antibiotic Resistance ,Family medicine ,People and Places ,lcsh:Q ,Population Groupings ,Antimicrobial Resistance ,business - Abstract
Introduction The objective of this study was to investigate the knowledge, attitudes and behavior regarding antibiotics of the general population. Methods The study sample consisted of adult subjects who consulted general practitioners at health centers in Serbia and agreed to complete the questionnaire. A total of 668 questionnaires were distributed; 500 respondents completed the entire questionnaire (response rate 74.85%). Results The average age was 51.65 ± 16.56 years, 60.80% of the respondents were women. The median antibiotic knowledge score was 9. Predictors of adequate antibiotic knowledge were higher education level and a family member whose ocuppation was related to health-care. Overall, 58.4% of respondents believed that antibiotics could be used to treat common cold. Around a half of the respondents (47.2%) self-medicated with antibiotics at least once during their life-time, and around a quarter (24.2%) during the last treatment of infection. Patients with inadequate knowledge had 3 times higher chances of self-medicating with antibiotics compared to those with adequate knowledge. Although 98.20% of respondents claimed that antibiotic treatment should be started after a visit to a doctor and receiving a prescription, only 65.8% obtained antibiotics with prescription from a doctor during the last infection. Conclusions Although these results demonstrate that respondents had a relatively adequate level of knowledge regarding antibiotics use, some areas of misconceptions and improper behavior were identified. Therefore, further rationalization should be focused on educational campaigns targeting the behavior of patients with regard to antibiotic use.
- Published
- 2017
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