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Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt

The inappropriate use of antibiotics in the community is one of the major causes of antimicrobial resistance. This study aimed to explore the physician prescribing pattern of antibiotics for acute respiratory infections (ARIs) and to explore the knowledge, attitudes, and practices of patients regard...

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Autores principales: Kandeel, Amr, El-Shoubary, Waleed, Hicks, Lauri A., Abdel Fattah, Mohamed, Dooling, Kathleen L., Lohiniva, Anna Leena, Ragab, Omnia, Galal, Ramy, Talaat, Maha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4790377/
https://www.ncbi.nlm.nih.gov/pubmed/27025759
http://dx.doi.org/10.3390/antibiotics3040632
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author Kandeel, Amr
El-Shoubary, Waleed
Hicks, Lauri A.
Abdel Fattah, Mohamed
Dooling, Kathleen L.
Lohiniva, Anna Leena
Ragab, Omnia
Galal, Ramy
Talaat, Maha
author_facet Kandeel, Amr
El-Shoubary, Waleed
Hicks, Lauri A.
Abdel Fattah, Mohamed
Dooling, Kathleen L.
Lohiniva, Anna Leena
Ragab, Omnia
Galal, Ramy
Talaat, Maha
author_sort Kandeel, Amr
collection PubMed
description The inappropriate use of antibiotics in the community is one of the major causes of antimicrobial resistance. This study aimed to explore the physician prescribing pattern of antibiotics for acute respiratory infections (ARIs) and to explore the knowledge, attitudes, and practices of patients regarding antibiotic use for ARIs. The study was conducted in Upper Egypt and used quantitative and qualitative research techniques. Eligible patients exiting outpatient clinics with ARIs were invited to participate in the study. A qualitative study was conducted through 20 focus group discussions. Out of 350 encounters for patients with various ARIs, 292 (83%) had been prescribed at least one antibiotic. Factors significantly associated with antibiotic prescribing for adults included patient preference that an antibiotic be prescribed. For children younger than 18, presentation with fever, cough, loss of appetite, and sore throat, along with the caregiver’s antibiotic preference, were associated with an antibiotic prescription. Several misconceptions regarding antibiotic use among community members were stated, such as the strong belief of the curing and prophylactic power of antibiotics for the common cold. Interventions to promote proper antibiotic use for ARIs need to be piloted, targeting both physicians and the public. Educational programs for physicians and campaigns to raise public awareness regarding proper antibiotic use for ARIs need to be developed.
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spelling pubmed-47903772016-03-24 Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt Kandeel, Amr El-Shoubary, Waleed Hicks, Lauri A. Abdel Fattah, Mohamed Dooling, Kathleen L. Lohiniva, Anna Leena Ragab, Omnia Galal, Ramy Talaat, Maha Antibiotics (Basel) Article The inappropriate use of antibiotics in the community is one of the major causes of antimicrobial resistance. This study aimed to explore the physician prescribing pattern of antibiotics for acute respiratory infections (ARIs) and to explore the knowledge, attitudes, and practices of patients regarding antibiotic use for ARIs. The study was conducted in Upper Egypt and used quantitative and qualitative research techniques. Eligible patients exiting outpatient clinics with ARIs were invited to participate in the study. A qualitative study was conducted through 20 focus group discussions. Out of 350 encounters for patients with various ARIs, 292 (83%) had been prescribed at least one antibiotic. Factors significantly associated with antibiotic prescribing for adults included patient preference that an antibiotic be prescribed. For children younger than 18, presentation with fever, cough, loss of appetite, and sore throat, along with the caregiver’s antibiotic preference, were associated with an antibiotic prescription. Several misconceptions regarding antibiotic use among community members were stated, such as the strong belief of the curing and prophylactic power of antibiotics for the common cold. Interventions to promote proper antibiotic use for ARIs need to be piloted, targeting both physicians and the public. Educational programs for physicians and campaigns to raise public awareness regarding proper antibiotic use for ARIs need to be developed. MDPI 2014-11-14 /pmc/articles/PMC4790377/ /pubmed/27025759 http://dx.doi.org/10.3390/antibiotics3040632 Text en © 2014 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kandeel, Amr
El-Shoubary, Waleed
Hicks, Lauri A.
Abdel Fattah, Mohamed
Dooling, Kathleen L.
Lohiniva, Anna Leena
Ragab, Omnia
Galal, Ramy
Talaat, Maha
Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt
title Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt
title_full Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt
title_fullStr Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt
title_full_unstemmed Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt
title_short Patient Attitudes and Beliefs and Provider Practices Regarding Antibiotic Use for Acute Respiratory Tract Infections in Minya, Egypt
title_sort patient attitudes and beliefs and provider practices regarding antibiotic use for acute respiratory tract infections in minya, egypt
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4790377/
https://www.ncbi.nlm.nih.gov/pubmed/27025759
http://dx.doi.org/10.3390/antibiotics3040632
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