Department of Lifestyle Medicine, School of Public Health, Center of Postgraduate Medical Education, 01-826 Warsaw, Poland.
Department of Anaesthesiology and Intensive Therapy, Independent Public Clinical Hospital No. 4, 20-097 Lublin, Poland.
Int J Environ Res Public Health. 2022 Mar 21;19(6):3739. doi: 10.3390/ijerph19063739.
Antimicrobial resistance (AMR) is an urgent public health issue. The role of medical doctors in proper antibiotic use is crucial. The aim of this study was to evaluate the knowledge and practices of Polish doctors of antimicrobial prescribing and antibiotic resistance. The study group consisted of 504 medical doctors with an average age 32.8 ± 5.9 years, mostly women (65%). The paper questionnaire was developed on the basis of a survey tool developed by the European Centre for Disease Prevention and Control (ECDC) and Public Health England (PHE). According to our study, physicians were aware that: taking antibiotics has side effects, antibiotics cannot be used against viruses, unnecessary use of antibiotics leads to AMR and that healthy people can carry resistant bacteria (each item ≥98% correct responses). Only 47% of respondents knew that the use of antibiotics as growth stimulants in livestock is illegal in the EU. Of the respondents, 98.61% saw the connection between prescribing antibiotics and AMR. However, 65.28% of the respondents reported a lack of appropriate materials on AMR counseling. Nearly 92.5% of participants "never" or "rarely" gave out resources on prudent antibiotic use. Physicians in Poland underestimate the role of hand hygiene in stimulating antibiotic resistance (ABR) (74.4%), while demonstrating satisfying knowledge about antimicrobial use, the clinical application of antimicrobial guidelines and prevention of ABR. However, educational interventions are needed to help lead challenging communication with assertive patients. Appropriate patient resources would be helpful in reaching this goal.
抗微生物药物耐药性（AMR）是一个紧迫的公共卫生问题。医生在合理使用抗生素方面的作用至关重要。本研究旨在评估波兰医生在抗菌药物处方和抗生素耐药性方面的知识和实践。研究组由 504 名平均年龄为 32.8 ± 5.9 岁的医生组成，其中大多数为女性（65%）。纸质问卷是基于欧洲疾病预防控制中心（ECDC）和英国公共卫生（PHE）开发的调查工具制定的。根据我们的研究，医生们意识到：服用抗生素有副作用，抗生素不能用于治疗病毒，抗生素的滥用会导致 AMR，健康人也可能携带耐药细菌（每个项目的正确回答率均≥98%）。只有 47%的受访者知道，在欧盟，将抗生素作为生长促进剂用于牲畜是违法的。在受访者中，98.61%的人认为开具抗生素与 AMR 之间存在关联。然而，65.28%的受访者报告称缺乏有关 AMR 咨询的适当材料。近 92.5%的参与者“从不”或“很少”提供有关谨慎使用抗生素的资源。波兰的医生低估了手部卫生在刺激抗生素耐药性（ABR）方面的作用（74.4%），尽管他们对抗生素使用、抗菌药物临床应用指南和预防 ABR 方面的知识表现出满意。然而，需要进行教育干预，以帮助医生与自信的患者进行富有挑战性的沟通。适当的患者资源将有助于实现这一目标。
