Raupach-Rosin Heike, Rübsamen Nicole, Schütte Gesa, Raschpichler Gabriele, Chaw Pa Saidou, Mikolajczyk Rafael
Research Group Epidemiological and Statistical Methods, Department of Epidemiology, Helmholtz Centre for Infection Research, Braunschweig, Germany.
PhD Programme "Epidemiology", Braunschweig-Hannover, Germany.
Front Microbiol. 2019 Apr 12;10:776. doi: 10.3389/fmicb.2019.00776. eCollection 2019.
Assessment of public awareness on antibiotic use and resistance can identify key issues for campaigns addressing these problems. Our aim was to assess the knowledge, attitudes, and practice (KAP) related to antibiotic use and multi-drug resistant (MDR) pathogens in a general population in Germany.
We conducted a KAP survey on antibiotics and on MDR pathogens using an online panel recruited from the general population, which was established using stratified random sampling from the population registry in four districts in Lower Saxony, Germany.
In the 12 months preceding the survey, 32.3% of the participants had received at least one prescription for antibiotics, 95.7% reported to follow the recommendations of prescribers, and 10.3% reported to stop taking antibiotics as soon as they feel better. Up to 94.9% of the participants had heard of MDR pathogens, 42.7% reported to know somebody who had been tested positive for it, 0.8% had an infection with it, and 37.2% were worried of contracting it. In case of contact with a carrier of MDR pathogens, over 90% would increase hand hygiene and 0.8% would avoid the carrier completely. Participants considered health care workers (75.1%) and everybody in society (87.8%) to be responsible for combating the spread of MDR pathogens.
There is a high reported exposure to antibiotics and awareness of the problem of MDR pathogens. Despite personal worries, most of the participants indicated a reasonable, non-stigmatizing behavior toward carriers of MDR pathogens, and that every individual was responsible to avoid their spread.
评估公众对抗生素使用和耐药性的认识可以确定解决这些问题的宣传活动的关键问题。我们的目的是评估德国普通人群中与抗生素使用和多重耐药（MDR）病原体相关的知识、态度和行为（KAP）。
我们使用从普通人群中招募的在线小组对抗生素和MDR病原体进行了KAP调查，该小组是通过从德国下萨克森州四个地区的人口登记处进行分层随机抽样建立的。
在调查前的12个月中，32.3%的参与者至少接受过一次抗生素处方，95.7%的人报告遵循开处方者的建议，10.3%的人报告一旦感觉好转就停止服用抗生素。高达94.9%的参与者听说过MDR病原体，42.7%的人报告认识某个检测呈阳性的人，0.8%的人感染过MDR病原体，37.2%的人担心感染MDR病原体。在接触MDR病原体携带者的情况下，超过90%的人会加强手部卫生，0.8%的人会完全避开携带者。参与者认为医护人员（75.1%）和社会中的每个人（87.8%）都有责任对抗MDR病原体的传播。
报告显示抗生素接触率高，且对MDR病原体问题有认识。尽管个人有所担忧，但大多数参与者对MDR病原体携带者表现出合理、无歧视的行为，并且每个人都有责任避免其传播。
