亚美尼亚埃里温综合诊所全科医生对抗生素耐药性的知识、态度和实践

D. Muradyan, A. Demirchyan, V. Petrosyan
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引用次数: 1

摘要

目的:本研究的目的是测量全科医生对抗生素耐药性的知识、态度和行为得分;在调整其他因素后,探讨全科医生抗生素处方实践得分与其知识和态度得分之间的关系;确定全科医生合理使用抗生素的障碍。方法:采用横断面研究设计。在亚美尼亚埃里温私营和公立综合诊所的全科医生中进行了一项自我管理的调查。所有在埃里温综合诊所工作并精通亚美尼亚语的全科医生都有资格参加这项研究。这项研究是在亚美尼亚埃里温的初级保健设施进行的。所有为30,000或更多人群服务的综合诊所(n=18)都被纳入研究。在进行调查时,所有在选定综合诊所的全科医生都被邀请参加调查,每所综合诊所的目标是20名全科医生。结果:总共有291名全科医生参与了这项研究。知识、态度和实践的平均百分比分别为58.3%、67.5%和63.0%。在调整分析中,实践百分比得分与态度百分比得分显著相关,但实践和知识得分之间的关系不显著。全科医生报告的主要障碍是:缺乏快速诊断检测、实验室检测费用高、某些抗生素费用高以及缺乏指南。结论:确定的低知识,态度和实践平均百分比分数表明这些领域需要改进。快速和廉价的诊断测试的可用性以及处方的强制执行可能潜在地防止抗生素耐药性的发展。关键词:耐药性,全科医生,综合诊所,处方
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Knowledge, Attitude, And Practice Towards Antibiotic Resistance Among General Practitioners in Polyclinics in Yerevan, Armenia
Aim: The objectives of the study were measuring knowledge, attitude, and practice scores among general practitioners on antibiotic resistance; exploring associations between antibiotics prescribing practice score among general practitioners and their knowledge and attitude scores after adjusting for other factors; and identifying barriers for rational antibiotics prescription by general practitioners. Methods: A cross-sectional study design was used. A self-administered survey was conducted among general practitioners employed in private and public polyclinics in Yerevan, Armenia. All general practitioners, working in Yerevan polyclinics and fluent in the Armenian language, were eligible for the study. The study was conducted in primary healthcare facilities of Yerevan, Armenia. All polyclinics (n=18) serving 30,000 or more populations were included in the study. All general practitioners available in selected polyclinics at the time of the survey were invited to take part in the survey, to target 20 general practitioners from each polyclinic. Results: Overall, 291 general practitioners participated in the study. Knowledge, attitude, and practice mean percent scores were 58.3%, 67.5%, and 63.0%, respectively. In the adjusted analysis, the practice percent score was significantly associated with the attitude percent score, though the relationship between the practice and knowledge scores was insignificant. The main barriers reported by general practitioners: lack of rapid diagnostic tests, high costs of laboratory tests, high costs of some antibiotics, and lack of guidelines. Conclusion: Identified low knowledge, attitude, and practice mean percent scores suggest a need for improvements in these areas. Availability of rapid and inexpensive diagnostic tests, enforcement of prescriptions could potentially prevent the development of antibiotic resistance. Keywords: drug resistance, general practitioners, polyclinics, prescribing
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