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Alike W van der Velden,1 Aurelio Sessa,2 Attila Altiner,3 Antonio Carlos Campos Pignatari,4 Adrian Shephard5 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands; 2Italian College of General Practitioners and Primary Care, Florence, Italy; 3Institute of General Practice, Rostock University Medical Center, Rostock, Germany; 4Paulista School of Medicine (EPM), Federal University of São Paulo (UNIFESP), São Paulo, Brazil; 5Reckitt Benckiser Healthcare Ltd, Slough, UKCorrespondence: Alike W van der VeldenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, STR 6.103, P.O. Box 85500, Utrecht, GA 3508, The NetherlandsEmail A.W.vanderVelden@umcutrecht.nlBackground: Acute sore throat is one of the most common problems for which patients consult their general practitioner and is a key area for inappropriate antibiotic prescribing. The objective of this study was to investigate patients’ attitudes related to healthcare-seeking behavior and self-management of sore throat.Methods: We conducted an observational, questionnaire-based study across 13 countries (Australia, Brazil, China, France, Germany, Italy, the Philippines, Russia, Saudi Arabia, South Africa, Thailand, the UK and the USA) on respondents who reported having had a sore throat in the previous 12 months. Data were collected on their experiences, contact with healthcare professionals, treatment practices and opinions about antibiotics.Results: A total of 5196 respondents (approximately 400 per country) completed the survey. Over 80% of respondents sought advice for a sore throat, with 30% consulting a general practitioner. The desire to limit the worsening of symptoms was the main reason for seeking treatment. Other reasons concerned resolving persistent symptoms and reducing the impact on daily life/sleep. Self-management for sore throat was mainly medicated sore throat remedies. “Wanting an antibiotic” was rated much lower (55%) than most other reasons for visiting a doctor, but this differed greatly between countries. The percentage of respondents using antibiotics varied widely, for example, 10% in the UK and 45% in Saudi Arabia. There was considerable variation in the proportion of respondents who thought that antibiotics would be effective against sore throat (from 24% in France to 94% in Saudi Arabia).Conclusions: Our findings suggest that knowledge of effective treatments for sore throat varied widely. The results of this study should enable healthcare professionals to better anticipate patients’ needs. This will support healthcare professionals in their role as antibiotic stewards, helping to reduce the misuse of antibiotics, and further guiding patients towards symptomatic self-management of sore throat.Keywords: primary care, community health, disease management, health literacy, medications, pharmacy |
