Larson Elaine, Lin Susan X, Gomez-Duarte Cabilia
Columbia University School of Nursing, New York, New York 10032, USA.
Emerg Infect Dis. 2003 Sep;9(9):1096-102. doi: 10.3201/eid0909.020371.
Trained interviewers visited 631 inner city households to determine community prevalence and predictors of antibiotic use. Infectious disease symptoms were reported in 911 (33.2%) of 2,743 household members in the previous 30 days: medical attention was sought by 441 (48.4%) of 911 persons, and 354 (8.9%) of 911 took antibiotics for symptoms. Reported symptoms were respiratory (68.9%(, gastrointestinal (15.3%(, fever (12.8%(, and skin infection (2.8%(. Medical attention was sought significantly more often among those with chronic illness, those born in the United States, and those with fever, runny nose, or skin infections (all p<0.05). Antibiotics were taken significantly more often among those with poor health, those who spent more time at home, and those with fever and respiratory symptoms. Interventions to promote judicious use of antibiotics must include clinicians and the public, and for the Hispanic population such interventions must also be culturally relevant and provided in Spanish.
经过培训的访员走访了631户市中心家庭，以确定社区中抗生素使用的流行情况及预测因素。在之前的30天里，2743名家庭成员中有911人（33.2%）报告了传染病症状：911名出现症状者中有441人（48.4%）寻求了医疗护理，911名出现症状者中有354人（8.9%）因症状服用了抗生素。报告的症状包括呼吸道症状（68.9%）、胃肠道症状（15.3%）、发热（12.8%）和皮肤感染（2.8%）。慢性病患者、在美国出生者以及出现发热、流鼻涕或皮肤感染症状者寻求医疗护理的频率显著更高（所有p<0.05）。健康状况不佳者、在家时间更长者以及出现发热和呼吸道症状者服用抗生素的频率显著更高。促进合理使用抗生素的干预措施必须包括临床医生和公众，对于西班牙裔人群，此类干预措施还必须具有文化相关性并以西班牙语提供。
