Rostkowska Olga Maria, Raczkiewicz Dorota, Knap-Wielgus Weronika, Zgliczyński Wojciech Stefan
Department of Transplantation Medicine, Nephrology and Internal Diseases, Medical University of Warsaw, 02-006 Warsaw, Poland.
Department of Medical Statistics, School of Public Health, Center of Postgraduate Medical Education, 01-826 Warsaw, Poland.
Antibiotics (Basel). 2022 Jun 30;11(7):882. doi: 10.3390/antibiotics11070882.
Antibiotic resistance (ABR) is at the top of global health threats. This paper aims to assess Polish physicians' readiness to impact ABR through prescribing routines. Surveying Polish physicians participating in specialization courses at the Center for Postgraduate Medical Education in Warsaw, Poland from October 2019 to March 2020. Information was obtained from 504 physicians aged 25-59, mean 32.8 ± 5.9 years, mainly women (65%). Most doctors (78%) prescribed antibiotics at least once a week. Physicians indicated clinical practice guidelines as resources most often consulted in the management of infections (90%). However, clinical experience was also declared a powerful resource. In total, 54% of respondents recalled receiving information about the prudent use of antibiotics within 12 months, which partially translated into changing views (56%) and practice (42%). Physicians disagreed that national campaigns provide good promotion of prudent antibiotics use (75%) or that they are effective (61%). Only 40% of doctors were aware of the national campaign promoting responsible antibiotics use, 24% had heard about the European Antibiotic Awareness Day and 20% knew about the World Antimicrobial Awareness Week. Prescribers most often rely on clinical practice guidelines and their own experience as resources for antibiotics use. Doctors' awareness of available resources and information campaigns concerning antibiotics and antibiotic resistance should be improved.
抗生素耐药性（ABR）是全球健康威胁之首。本文旨在评估波兰医生通过处方习惯对抗生素耐药性产生影响的准备情况。于2019年10月至2020年3月对波兰华沙研究生医学教育中心参加专科课程的医生进行了调查。从504名年龄在25 - 59岁之间（平均32.8±5.9岁）的医生那里获取了信息，其中主要是女性（65%）。大多数医生（78%）每周至少开具一次抗生素处方。医生们指出临床实践指南是感染管理中最常查阅的资源（90%）。然而，临床经验也被宣称是一种强大的资源。总体而言，54%的受访者回忆起在12个月内收到过关于谨慎使用抗生素的信息，这在一定程度上转化为了观念的改变（56%）和实践的改变（42%）。医生们不同意全国性运动能很好地推广谨慎使用抗生素（75%）或认为这些运动有效（61%）。只有40%的医生知晓推广负责任使用抗生素的全国性运动，24%听说过欧洲抗生素意识日，20%知道世界抗菌药物 Awareness 周。处方者在使用抗生素时最常依赖临床实践指南和他们自己的经验作为资源。应提高医生对抗生素及抗生素耐药性相关可用资源和宣传活动的认知。
