[Acute respiratory tract infections and antibiotic prescriptions: What are patients' expectations?]

Autor:	Wollny A; Institut für Allgemeinmedizin, Universitätsmedizin Rostock, Rostock, GERMANY., Altiner A; Institut für Allgemeinmedizin, Universitätsmedizin Rostock, Rostock, GERMANY., Garbe K; Institut für Allgemeinmedizin, Universitätsmedizin Rostock, Rostock, GERMANY., Klingenberg A; Insitut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH (aQua-Institut), Göttingen., Kaufmann-Kolle P; Insitut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH (aQua-Institut), Göttingen., Köppen M; Insitut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH (aQua-Institut), Göttingen., Kamradt M; Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg., Poß-Doering R; Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg., Wensing M; Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg., Leyh M; Fakultät Gestaltung, Hochschule Wismar., Voss A; Fakultät Gestaltung, Hochschule Wismar., Feldmeier G; Institut für Allgemeinmedizin, Universitätsmedizin Rostock.
Jazyk:	němčina
Zdroj:	Laryngo- rhino- otologie [Laryngorhinootologie] 2023 Mar; Vol. 102 (3), pp. 203-211. Date of Electronic Publication: 2022 Dec 21.
DOI:	10.1055/a-1949-3397
Abstrakt:	Introduction: The use of antibiotics in human medicine is partly responsible for the global increase in antibiotic resistance. Significant reductions in antibiotic prescribing were realised through educational campaigns, communication training and prescribing feedback. Based on data from the cluster-randomised CHANGE-3 trial, the present analysis focuses on the question of patient expectations for an antibiotic in acute respiratory infections. Methods: 106 of 114 General Practitioner (GP) practices in Baden-Württemberg and Mecklenburg-Western Pomerania took part in the study. 4736 patients who visited the practices with acute respiratory infections from October 2018 to May 2019 filled out a questionnaire after the doctor's consultation. The analysis was descriptive. Results: 16.7 % of patients with acute respiratory infections reported receiving antibiotics from their GP. 13.3 % of patients had hoped for an antibiotic and 5.5 % stated that they had asked their GP for an antibiotic prescription. The lowest prescription rate for antibiotics was reported by patients who had received a diagnosis of influenza from their GP. With specific diagnoses differentiated from uncomplicated respiratory tract infection, an increase in both the number of antibiotics hoped for and the number of antibiotics prescribed was observed. Discussion: Patients still receive antibiotics more often than they actually hope for. On the part of GPs, prescriptions may still be written because of perceived pressure from patients, but this is not reflected in patient expectations. In addition to dealing openly with patients' expectations, strengthening patients' health literacy, mindful doctor-patient communication and offered opportunities for re-presentation in the case of specific diagnoses could further reduce the perceived pressure on GPs. Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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