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塞尔维亚学生对抗生素使用的知识、态度和行为:是否有改进的空间?

Serbian students' knowledge, attitudes and behaviour towards antibiotic use: is there room for improvement?

机构信息

Faculty of Medicine, Department of Pharmacology Toxicology and Clinical Pharmacology, University of Novi Sad, Novi Sad, Serbia.

Department of Planning, Analyzing and Statistics, Primary Health Care Center, Pancevo, Serbia.

出版信息

Int J Public Health. 2020 Nov;65(8):1257-1267. doi: 10.1007/s00038-020-01448-6. Epub 2020 Jul 31.

DOI:10.1007/s00038-020-01448-6
PMID:32737562
Abstract

OBJECTIVES

This study has been aimed at evaluating knowledge, attitudes and behaviour of university students regarding the usage of antibiotics focusing on differences between medical and nonmedical students.

METHODS

This cross-sectional questionnaire-based study was performed on 800 students of the University of Novi Sad, Serbia.

RESULTS

The identified predictors of adequate antibiotic knowledge were enrolled in medical program, higher grade average and appropriate use of antibiotics during last infection. Multivariate regression identified following predictors of self-medication: being medical student (B = 0.715; p < 0.001), more frequent (B = 0.628; p < 0.001) and irregular (B = 0.584; p = 0.001) antibiotic use, a family member engaged in medical profession (B = 0.789; p < 0.001), living in dormitory (B = 0.679; p = 0.007) or rented apartment (B = 0.621; p = 0.002), using antibiotics until symptoms resolved (B = 1.616; p < 0.001) or until the bottle was finished (B = 0.628; p < 0.001) during the last infection.

CONCLUSIONS

Although a high number of students showed adequate knowledge about antibiotics, numerous misconceptions were recorded, including self-medication. Further educational interventions are necessary to improve their understanding, perceptions as well as their behaviour towards antibiotic use.

摘要

目的

本研究旨在评估大学生对抗生素使用的知识、态度和行为,重点关注医学生和非医学生之间的差异。

方法

本横断面问卷调查研究在塞尔维亚诺维萨德大学的 800 名学生中进行。

结果

适当抗生素知识的识别预测因子包括:入读医学专业、较高的年级平均成绩和在上次感染中适当使用抗生素。多变量回归确定了以下自我用药的预测因子:医学生(B=0.715;p<0.001)、更频繁(B=0.628;p<0.001)和不规则(B=0.584;p=0.001)使用抗生素、有从事医疗职业的家庭成员(B=0.789;p<0.001)、居住在宿舍(B=0.679;p=0.007)或出租公寓(B=0.621;p=0.002)、在上次感染期间直到症状缓解(B=1.616;p<0.001)或直到用完一瓶药(B=0.628;p<0.001)时使用抗生素。

结论

尽管许多学生对抗生素有足够的认识,但仍记录了许多误解,包括自我用药。需要进一步的教育干预来提高他们对抗生素使用的理解、看法和行为。

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