Vnímání rizika antibiotické rezistence a znalost principů racionální ATB preskripce mezi českými praktickými lékaři – závěry z pilotního šetření
Authors:
Jaroslava Hasmanová Marhánková 1; Martin Zielina 2; Ivan Petrúšek 1; Ludmila Bezdíčková 3; Marek Štefan 4; Milan Trojánek 4
Authors‘ workplace:
Katedra sociologie FSV UK v Praze
1; Ústav lékařské etiky a humanitních základů medicíny 2. LF UK v Praze
2; Katedra všeobecného praktického lékařství IPVZ, Praha
4; Klinika infekčních nemocí a cestovní medicíny 2. LF UK a FN Motol, Praha
5
Published in:
Čas. Lék. čes. 2024; 163: 38-43
Category:
Original Article
Overview
The issue of antibiotic resistance stands as one of the foremost contemporary global challenges in healthcare. This study presents findings from a pilot survey conducted among Czech general practitioners, concentrating on their perception of antibiotic resistance risk and their knowledge of the AWaRe classification. This classification, in accordance with international guidelines, serves as the principal indicator for monitoring the quality of antibiotic prescriptions.
The results of the pilot research suggest that physicians perceive antibiotic resistance as a major problem, but one that is primarily related to health challenges outside the Czech healthcare system. We can also identify the influence of socio-demographic characteristics (mainly age and gender) on the perceived severity of the spread of antibiotic resistance. The second part of the analysis focuses on the ability of respondents to assess individual antibiotics in terms of their suitability for routine and rational, empirical antibiotic prescription according to the AWaRe classification.
In particular, the research findings highlight the importance of regional differences and emphasize the need to consider structural aspects within the antibiotic prescribing debate.
Keywords:
antibiotic prescription, antibiotic resistance, AWaRe classification, GP’s attitudes
Sources
- Fleming A. Penicillin. Nobel Lecture, December 11, 1945. The Nobel Prize, 2018. Dostupné na: www.nobelprize.org/uploads/2018/06/fleming-lecture.pdf
- Antimicrobial resistance. WHO, 2023. Dostupné na: https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance
- Adopt AWaRe: Handle antibiotics with care. WHO, 2019. Dostupné na: https://adoptaware.org
- Murray CJ, Ikuta KS, Sharara F et al. Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. Lancet 2022; 399: 629–655.
- Special Eurobarometer SP522: Antimicrobial Resistance. EU, 2022. Dostupné na: https://europa.eu/eurobarometer/surveys/detail/2632
- Průzkum SÚKL: Češi u lékaře antibiotika spíš odmítají, než vyžadují. Asi desetina je neužívá, pokud je lékař předepíše. SÚKL, 2021. Dostupné na: www.sukl.cz/sukl/pruzkum-sukl-cesi-u-lekare-antibiotika-spis-odmitaji-nez
- Cole A. GPs feel pressurized to prescribe unnecessary antibiotics, survey finds. Brit Med J 2014; 349: g5238.
- McCullough AR, Rathbone J, Parekh S et al. Not in my backyard: a systematic review of clinicians' knowledge and beliefs about antibiotic resistance. J Antimic Chemother 2015; 70: 2465–2473.
- Björkman I, Berg J, Viberg N et al. Awareness of antibiotic resistance and antibiotic prescribing in UTI treatment: a qualitative study among primary care physicians in Sweden. Scand J Prim Health Care 2013; 31: 50–55.
- AWaRe index. KZP, 2021. Dostupné na: https://puk.kancelarzp.cz/aware-index
- Porovnání krajů – pořadí krajů. ČSÚ, 2022. Dostupné na: www.czso.cz/csu/czso/porovnani-kraju-poradi-kraju
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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