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Patients' perception about rational use of antibiotics

Abstract number: P1508

Keuleyan E., Benchev R., Yovchevski P., Smilov N., Valentinova M., Tete S., Anakieva T.

Objectives: On the occasion of 18 November 2009 – the day of antibiotics, an inquiry was performed at the Medical Institute – Ministry of the Interior, aimed to know the current patients' perception about antibiotic usage.

Methods: A questionnaire of 11 questions with multiple choice answers was developed by a multi-disciplinary equip and was distributed on 10 and 11 November 2009 among in-patients and out-patients of our 350-bed national multi-profile hospital. The inquiry was anonymous. Correct answers were announced on 18 November 2009.

Results: Ninety four forms were returned out of 149 distributed (63%). Probably, because of coincidence with grippe epidemics, 71% of patients (Ps) responded that antibiotics (AB) were created both against bacterial and viral infections. Majority (84%) considered AB indispensable to treat severe infections, e.g. pneumonia, peritonitis, but only 40% mentioned AB important in severe pandemics, e.g. plague, anthrax. Only 2% considered AB should be used in common cold and uncomplicated diarrhea. Top answers to the question: "What are the most frequent reasons for failure of AB therapy, were: "the duration of treatment was not respected" (60%) and "microorganisms are not susceptible" (53%). Replies to the question "Why AB should be prescribed only upon special considerations" showed that Ps are informed about AB resistance (83% responded, because the overuse of AB is followed by development of AB resistance, and 27% were aware about emergence of pan-resistant bacteria). Almost all (96%) responded that one should not take AB without prescription. Patients' perception about possibilities doctors to limit AB resistance was revealed as follow: "to prescribe the most appropriate AB in most appropriate regimen" – 64% and "to prescribe AB on specific occasions and after antibiogramme" – 62%. As to the control of infections, majority of Ps acknowledged the role of hand washing (78%), but only 36% considered the importance of vaccines.

Conclusions: This investigation revealed that majority of patients was aware about antibiotic resistance and was against the self-medication. At the same time it showed area for further education, e.g. accent on the importance of prophylaxis of infections through immunizations.

Session Details

Date: 10/04/2010
Time: 00:00-00:00
Session name: Abstracts 20th European Congress of Clinical Microbiology and Infectious Diseases
Subject:
Location: Vienna, Austria, 10 - 13 April 2010
Presentation type:
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