Bai Yu, Wang Sijie, Yin Xiaoxv, Bai Jigeng, Gong Yanhong, Lu Zuxun
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, P. R. China.
Shanxi Women and Children Health Care Center, Taiyuan, 518001, Shanxi, P. R. China.
Sci Rep. 2016 Mar 24;6:23429. doi: 10.1038/srep23429.
Misuse of antibiotics by the medical profession is a global concern. Examining doctors' knowledge about antimicrobials will be important in developing strategies to improve antibiotic use. The aim of the study was to survey Chinese doctors' knowledge on antibiotics and reveal the factors associated with their level of knowledge. A cross-sectional survey was conducted in Shanxi in central China. A total of 761 physicians were surveyed using a structured self-administered questionnaire. A generalized linear regression model was used to identify the factors associated with doctors' knowledge on antibiotic. Based on a full score of 10, the average score for doctors' knowledge on antibiotics was 6.29 (SD = 1.79). Generalized linear regression analysis indicated that doctors who either worked in the internal medicine department, who were chief doctors or who received continuing education on antibiotic, had better knowledge of antibiotics. Compared with doctors working in tertiary hospitals, doctors working in secondary hospitals or primary healthcare facilities had poorer knowledge about antibiotics. Chinese doctors have suboptimal knowledge about antimicrobials. Ongoing education is effective to enhance doctors' knowledge, but the effect remains to be further improved. More targeted interventions and education programs should improve knowledge about antimicrobials, especially for doctors working in primary healthcare institutions.
医疗行业对抗生素的滥用是一个全球关注的问题。考察医生对抗菌药物的了解对于制定改善抗生素使用的策略至关重要。本研究的目的是调查中国医生对抗生素的知识，并揭示与其知识水平相关的因素。在中国中部的山西进行了一项横断面调查。使用结构化的自填式问卷对总共761名医生进行了调查。采用广义线性回归模型来确定与医生抗生素知识相关的因素。以满分10分计，医生抗生素知识的平均得分为6.29（标准差=1.79）。广义线性回归分析表明，在内科工作、担任主任医师或接受过抗生素继续教育的医生，对抗生素有更好的了解。与在三级医院工作的医生相比，在二级医院或基层医疗机构工作的医生对抗生素的了解较差。中国医生对抗菌药物的知识掌握欠佳。持续教育对于提高医生的知识水平是有效的，但效果仍有待进一步提高。应开展更具针对性的干预措施和教育项目，以增进对抗菌药物的了解，特别是针对在基层医疗机构工作的医生。
