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Patient Willingness to Have Tests to Guide Antibiotic Use for Respiratory Tract Infections: From the WWAMI Region
Malaika Schwartz1, Victoria Hardy1, Gina A Keppel1
1From the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
Introduction:
The majority of consultations for acute respiratory tract infections (RTIs) lead to prescriptions for antibiotics, which have limited clinical benefit. We explored patients' willingness to have blood tests as part of the diagnostic work-up for RTIs, and patient knowledge about antibiotics.
Methods:
Patients at 6 family medicine clinics were surveyed. Regression modeling was used to determine independent predictors of willingness to have venous and point-of-care (POC) blood tests, and knowledge of the value of antibiotics for RTIs.
Results:
Data were collected from 737 respondents (response rate 83.8%), of whom 65.7% were women, 60.1% were white, and 25.1% were current smokers; patients' mean age was 46.9 years. Sex (female), race (white), and a preference to avoid antibiotics were independent predictors of greater level of antibiotic knowledge. A total of 63.1% were willing to have a venous draw and 79% a POC blood test, to help guide antibiotic decision-making. Non-American Indian/Alaskan Native race, current smoking, and greater knowledge of antibiotics were independent predictors of willingness to have a POC test.
Conclusion:
A large majority of patients seemed willing to have POC tests to facilitate antibiotic prescribing decisions for RTIs. Poor knowledge about antibiotics suggests better education regarding antibiotic use might influence patient attitudes towards use of antibiotics for RTIs.