全英公众对抗生素使用的认识和态度 - - 疫情前后
Ellie Gilham1, Brieze Read1, Sarah Tonkin-Crine2,3
1Antimicrobial Resistance and Healthcare-Associated Infection Division, United Kingdom Health Security Agency, London, UK.
BMC public health
|November 22, 2025
概括
公众对抗生素的认识和态度发生了变化. 疫情后,对抗菌素耐药性 (AMR) 和抗生素使用的理解有所下降,以及对医疗保健专业人员的信任.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 健康 行为 健康行为
背景情况:
- 滥用抗生素是抗菌素耐药性 (AMR) 的主要驱动因素.
- 公共知识显著影响了初级保健机构的抗生素处方.
- 了解随着时间的推移,公众的看法变化对于有效的抗菌药物抵抗策略至关重要.
研究的目的:
- 调查公众对抗生素知识和态度的变化.
- 分析随着时间的推移,公众对抗菌素耐药性 (AMR) 的看法变化.
- 评估大流行对与抗生素使用相关的公众理解和信任的影响.
主要方法:
- 在英格兰从2020年到2024年进行的调查.
- 使用随机和配额抽样,对人口代表性进行加权反应.
- 采用皮尔森的奇平方测试来分析跨年分类变量差异.
主要成果:
- 个人对抗药性耐药性的责任在流行病后 (46%) 从流行病高点 (62%) 降低.
- 对抗生素对感染疗效的正确理解在流行病后 (56%) 从流行病高峰 (65%) 降低.
- 对特定感染抗生素使用的知识和对医疗保健专业人员 (HCP) 的信任也在流行后出现下降,而抗生素要求增加.
结论:
- 相关趋势显示,有关AMR和抗生素治疗的知识水平已恢复到大流行前.
- 关于AMR和抗生素使用的不确定性增加,加上对医疗保健人员的信任度下降,需要有针对性的干预措施.
- 未来的策略应该集中在重建医疗保健专家和患者之间的信任,并优化护理途径.
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