Factors determining antibiotic use in the general population: A qualitative study in Spain

Autor: Ana Jeremías López, Juan M. Vazquez-Lago, Adolfo Figueiras, Olalla Vazquez-Cancela, Laura Souto-Lopez
Rok vydání: 2020
Předmět:
0301 basic medicine
Male
Health Care Providers
Pharmacists
Geographical locations
0302 clinical medicine
Informed consent
Antibiotics
Health care
Medicine and Health Sciences
Medicine
Public and Occupational Health
030212 general & internal medicine
Medical Personnel
education.field_of_study
Multidisciplinary
Antimicrobials
Drugs
Drug Resistance
Microbial

Focus Groups
Qualitative Studies
Anti-Bacterial Agents
Europe
Professions
Research Design
Female
Public Health
Research Article
medicine.medical_specialty
Science
030106 microbiology
Population
Research and Analysis Methods
Microbiology
03 medical and health sciences
Antibiotic resistance
Microbial Control
Physicians
Humans
European Union
Medical prescription
education
Pharmacology
business.industry
Public health
Biology and Life Sciences
Antibiotic misuse
Focus group
Health Care
Spain
Family medicine
Antibiotic Resistance
People and Places
Population Groupings
Antimicrobial Resistance
business
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 2, p e0246506 (2021)
ISSN: 1932-6203
Popis: Background Antibiotic resistance is an important Public Health problem and many studies link it to antibiotic misuse. The population plays a key role in such misuse. Objective The aim of this study was thus to explore the factors that might influence antibiotic use and resistance in the general population. Methods Qualitative research using the focus group (FG) method. Groups were formed by reference to the following criteria: age (over and under 65 years); place of origin; and educational/professional qualifications. FG sessions were recorded, transcribed and then separately analysed by two researchers working independently. Written informed consent was obtained from all participants. Results Eleven FGs were formed with a total of 75 participants. The principal factors identified as possible determinants of antibiotic misuse were: (i) lack of knowledge about antibiotics; (ii) doctor-patient relationship problems; (iii) problems of adherence; and, (iv) use without medical prescription. Antibiotic resistance is a phenomenon unknown to the population and is perceived as an individual problem, with the term “resistance” being confused with “tolerance”. None of the groups reported that information about resistance had been disseminated by the health care sector. Conclusions The public is unaware of the important role it plays in the advance of antimicrobial resistance. There is evidence of diverse factors, many of them modifiable, which might account for antibiotic misuse. Better understanding these factors could be useful in drawing up specific strategies aimed at improving antibiotic use.
Databáze: OpenAIRE