台灣地區民眾抗生素認知與用藥行為

Knowledge and Use of Antibiotics among People in Taiwan

廖建彰(Chien-Chang Liao) ； 張祐剛(Yu-Kang Chang) ； 陳秀熙(Hsiu-His Chen) ； 呂宗烟(Chung-Yen Lu) ； 黃鈴雅(Ling-Ya Huang) ； 宋鴻樟(Fung-Chang Sung)

《台灣公共衛生雜誌》 25卷2期 (2006/04) Pp. 135-142

https://doi.org/10.6288/TJPH2006-25-02-06

摘要

Objectives: Inappropriate usage of antibiotics has been associated with bacterial antibiotic resistance. This study reported the medication behaviors and the knowledge of taking antibiotics for adults in Taiwan. Method: With random telephone dialing system, we interviewed adults aged 20 years and above to collect information of their sociodemographic characteristics, and knowledge and use of antibiotics. Results: Among 1507 adults interviewed, 1279 persons (84.9%) knew or had heard of antibiotics, and 548 persons (36.4%) and/or their children aged less than 18 years had taken antibiotics in the last six months. Knowledge scores of antibiotics increased among those with more education. Near 60% of respondents were self-reported non-compliant with physician's order to complete the entire medication course. Among those with antibiotics prescription in the last 6 months, 70.1% did not complete the medication if the symptom had become alleviative. Individuals who were more likely non-compliant with physician's order were those who had purchased antibiotics from drugstores with no prescription, compared with those with the prescription (94.5% vs. 66.9%) (p＜0.0001). However, there was no significant association between knowledge level and the inadequate antibiotics medication. Conclusion: Good knowledge does not assure of adequate medication. The challenge of achieving better compliance with antibiotics use among general population is more complex than just education.

關鍵字

抗生素 ； 認知 ； 使用 ； 遵醫囑

並列摘要

Objectives: Inappropriate usage of antibiotics has been associated with bacterial antibiotic resistance. This study reported the medication behaviors and the knowledge of taking antibiotics for adults in Taiwan. Method: With random telephone dialing system, we interviewed adults aged 20 years and above to collect information of their sociodemographic characteristics, and knowledge and use of antibiotics. Results: Among 1507 adults interviewed, 1279 persons (84.9%) knew or had heard of antibiotics, and 548 persons (36.4%) and/or their children aged less than 18 years had taken antibiotics in the last six months. Knowledge scores of antibiotics increased among those with more education. Near 60% of respondents were self-reported non-compliant with physician's order to complete the entire medication course. Among those with antibiotics prescription in the last 6 months, 70.1% did not complete the medication if the symptom had become alleviative. Individuals who were more likely non-compliant with physician's order were those who had purchased antibiotics from drugstores with no prescription, compared with those with the prescription (94.5% vs. 66.9%) (p＜0.0001). However, there was no significant association between knowledge level and the inadequate antibiotics medication. Conclusion: Good knowledge does not assure of adequate medication. The challenge of achieving better compliance with antibiotics use among general population is more complex than just education.

並列關鍵字

Antibiotics ； Knowledge ； Use ； compliance with physician's order

參考文獻

張上淳(2003)。台灣近年來抗生素使用改善措施及其影響。感控雜誌。13，33-42。

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Chang SC,Shiu MN,chen TJ(2001).Antibiotic usage in primary care units in Taiwan after the Institute of National Health Insurance.Diagn Microbiol Infect Dis.40,137-43.

Chang SC,Chen HJ,Hsiao ML(1998).Antibiotic usage in public hospitals in Taiwan.J Microbiol Immunol Infect.31,125-32.