Barden L S, Dowell S F, Schwartz B, Lackey C
Division of Laboratory Systems, Public Health Practice Program Office, Atlanta, Georgia, USA.
Clin Pediatr (Phila). 1998 Nov;37(11):665-71. doi: 10.1177/000992289803701104.
Antibiotics are widely prescribed for children with nonspecific upper respiratory tract infections, contributing to the recent emergence of resistant pneumococci. To understand the reasons for the overprescription of antibiotics, we conducted focus groups with parents and with pediatricians and family physicians to assess their attitudes regarding the use of antibiotics. Physicians asserted that their own antibiotic prescribing could be safely reduced. Parental expectation to receive antibiotics was a major factor influencing their overuse of antibiotics. Parents indicated that they would be satisfied with the medical visit even if antibiotics were not prescribed, provided the physician explained the reasons for the decision. This study highlights differences in physician and parent perceptions about antibiotic overuse and suggests that educational efforts to narrow this communication gap will be important for improving antibiotic use.
抗生素被广泛用于治疗患有非特异性上呼吸道感染的儿童，这导致了近期耐药肺炎球菌的出现。为了解抗生素过度处方的原因，我们组织了家长、儿科医生和家庭医生参加焦点小组，以评估他们对抗生素使用的态度。医生们断言，他们自己的抗生素处方量可以安全地减少。家长对抗生素的期望是影响抗生素过度使用的一个主要因素。家长表示，即使不开抗生素，如果医生解释了不开药的原因，他们也会对此次就诊感到满意。这项研究突出了医生和家长在抗生素过度使用认知上的差异，并表明缩小这种沟通差距的教育努力对于改善抗生素使用至关重要。
