Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Spain.
Fam Pract. 2012 Jun;29(3):352-60. doi: 10.1093/fampra/cmr084. Epub 2011 Oct 19.
Resistance to antibiotics is a public health threat. A number of studies confirm the relationship between antibiotic use and the resistance rate. As a whole, physicians represent a large proportion of the health professionals involved in the use of this therapeutic group. Our study therefore sought to ascertain the opinions and attitudes of GPs in Spain with respect to antibiotics and resistance.
We used the focus group (FG) method, with each group comprising 4-12 primary care physicians and a moderator. Based on a previous systematic review, we drew up an agenda to be followed during the holding of the sessions. Group proceedings were recorded and the transcriptions then analysed separately by two researchers.
Five FGs were formed, including a total of 33 physicians. The factors/attitudes that influenced the prescribing of antibiotics by GPs were fear, complacency, insufficient knowledge and external responsibility of the pharmaceutical industry, patients and over-the-counter antibiotics. The groups felt that antibiotic resistance was not a problem at a community level.
Identification of attitudes/knowledge related with inappropriate antibiotic prescribing will enable specific interventions to be designed, with the aim of targeting these shortcomings to improve antibiotic use and help reduce resistance.
抗生素耐药性是公共卫生的威胁之一。许多研究证实了抗生素使用与耐药率之间的关系。总的来说，医生是涉及使用这类治疗药物群体的大量卫生专业人员之一。因此，我们的研究旨在了解西班牙全科医生对抗生素和耐药性的看法和态度。
我们使用了焦点小组（FG）的方法，每个小组由 4-12 名初级保健医生和一名主持人组成。根据之前的系统评价，我们制定了一个议程，以便在会议期间遵循。记录了小组会议的进展情况，然后由两名研究人员分别对转录本进行分析。
共形成了 5 个 FG，共包括 33 名医生。影响全科医生开抗生素处方的因素/态度包括恐惧、自满、知识不足以及制药行业、患者和非处方抗生素的外部责任。这些小组认为社区层面不存在抗生素耐药性问题。
确定与不适当使用抗生素相关的态度/知识将能够设计具体的干预措施，旨在针对这些不足，以改善抗生素的使用并帮助减少耐药性。
