Cotter M, Daly L
UCD School of Public Health and Population Science, Belfield, Dublin 4.
Ir Med J. 2007 Oct;100(9):598-601.
The emergence of drug-resistant organisms is a major problem facing health care providers worldwide. We describe the results of a questionnaire sent to 100 Irish GPs from the 2004 Irish Medical Directory in order to determine their attitudes and practices regarding the prescription of antibiotics. 75 responses were valid. 71 (94.7%) agreed antibiotic resistance is a major problem in Ireland. 61 (81.3%) agreed GPs over-prescribe antibiotics. 52 (69.3%) felt under pressure by patients to prescribe antibiotics. 5 (6.7%) admitted frequently and 33 (44.0%) admitted sometimes prescribing antibiotics to patients who may not need them, especially younger (p = 0.024) and rural GPs (p = 0.024). Antibiotics are over-prescribed in General Practice in Ireland and this is an area of concern, perhaps contributing to the increase in antimicrobial resistance.
耐药生物体的出现是全球医疗服务提供者面临的一个主要问题。我们描述了一份发给2004年爱尔兰医学名录中100名爱尔兰全科医生的调查问卷的结果，以确定他们在抗生素处方方面的态度和做法。75份回复有效。71人（94.7%）同意抗生素耐药性是爱尔兰的一个主要问题。61人（81.3%）同意全科医生过度开具抗生素。52人（69.3%）感到来自患者要求开具抗生素的压力。5人（6.7%）承认经常、33人（44.0%）承认有时会给可能不需要抗生素的患者开具抗生素，尤其是年轻的全科医生（p = 0.024）和乡村全科医生（p = 0.024）。在爱尔兰的全科医疗中，抗生素存在过度开具的情况，这是一个令人担忧的领域，可能导致了抗菌药物耐药性的增加。
