항생제에 대한 지식이 소비자의 항생제 사용행태에 미치는 영향 = The Association Between Consumers’ Knowledge and Behavior on Antibiotics Use for Common Cold

다국어 초록 (Multilingual Abstract)

The objective of this study is to examine the association between the knowledge and behavior of consumers on antibiotics use for common cold. Consumers’ knowledge about antibiotics was measured by a questionnaire consisting of six items related to the effect of antibiotics and another three items about use of antibiotics. Telephone interview was conducted during the days between June 24 and July 2, 2009, and 1,015 persons responded the interview. Final analysis included 896 persons without missing data. Thirty six percent of respondents answered that they checked their prescriptions to ensure that antibiotics was prescribed for common cold. About 6% asked their doctors to prescribe antibiotics for common cold, and 9.7% asked them not to. More than a quarter of respondents answered that they used to take antibiotics leftover from a previous illness. Patients who knew better about the effect of antibiotics on common cold were more likely to ask doctors not to prescribe antibiotics (OR 2.30, 95% CI 1.45~3.65), or to check prescriptions (OR 1.86, 95% CI 1.40~2.46). Higher knowledge about use of antibiotics was related to low probability of asking doctors to prescribe antibiotics.
This result suggests that consumers' knowledge about antibiotics can influence doctor’s prescription of antibiotics for common cold.

참고문헌 (Reference)

1 국무조정실, "항생제 내성관리 종합대책('08~'12)" 국무조정실, 농림부, 보건복지부, 환경부, 해양수산부, 식품의약품 안전청 2007

2 김소선, "항생제 내성 홍보효과 조사 및 컨텐츠 개발 연구" 연세대학교/식품의약품안전청 2007

3 김성옥, "항생 제 사용실태 및 인지도 조사" 국민건강보험공단/식품의약품안전청 2004

4 고해영, "초등학생 이하 자녀의 항생제 복용에 대한 보호자 인식조사" 한국임상약학회 20 (20): 72-77, 2010

5 장숙랑, "일차의료의사의 항생제 처방 문화의 이해 - 급성 상기도 감염율 중심으로" 대한가정의학회 25 (25): 901-907, 2004

6 신새론, "일부지역 직장건강검진 대상자들의 감기에 대한 이해" 대한가정의학회 31 (31): 512-522, 2010

7 오옥희, "인체용 항생제 총사용량 조사(2008~2009)" (주)퍼스트 디스/질병관리본부 2010

8 박석원, "소아 상기도 감염에 대한 설문 조사" 대한소아과학회 44 (44): 642-653, 2001

9 김남순, "급성 상기도 질환에서 일차의료의사의 항생제 처방에 영향을 주는 요인" 대한예방의학회 38 (38): 1-8, 2005

10 이사라, "감기에 대한 인식도 및 의료이용 행태" 대한가정의학회 30 (30): 440-448, 2009

11 Butler, C. C, "Understanding the culture of prescribing: Qualitative study of general practitioners' and patients' perceptions of antibiotics for sore throats" 5 : 637-, 1998

12 Davey, P, "The patient's role in the spread and control of bacterial resistance to antibiotics" 8 : 43-, 2002

13 Trepka, M. J., "The effect of a community intervention trial on parental knowledge and awareness of antibiotic resistance and appropriate antibiotic use in children" 107 : 6-, 2001

14 You, J., "Public knowledge, attitudes and behavior on antibiotic use: A telephone survey in Hong Kong" 36 : 153-, 2008

15 Larrabee, T, "Prescribing practices that promote antibiotic resistance: Strategies for change" 17 : 126-, 2002

16 Kim, J. S, "Patient knowledge of upper respiratory infections an unnecessary utilization of antibiotics" 22 : 200-, 2001

17 Filipetto, F. A., "Patient knowledge and perception of upper respiratory infections, antibiotic indications and resistance" 2 : 35-, 2008

18 McNulty, C. A. M, "Optimising antibiotic prescribing in primary care" 18 : 329-, 2001

19 Cho, H. J, "Knowledge and beliefs of primary care physicians, pharmacists, and parents on antibiotic use for the pediatric common cold" 58 : 623-, 2004

20 Carmeli, Y, "Health and economic outcomes of vancomycin-resistant enterococci" 162 : 2223-, 2002

21 McGowan, J. E, "Economic impact of antimicrobial resistance" 7 : 286-, 2001

22 Pontes, M. C. F, "Debiasing effects of education about appropriate antibiotic use on consumers' preferences for physicians" 30 : 2005

23 Vanden Eng, J., "Consumer attitudes and use of antibiotics" 9 : 1128-, 2003

24 Davis, D. A, "Changing Physician Performance" 274 : 700-, 1995

25 Smith, R. D, "Antimicrobial resistance: a global response" 80 : 126-, 2002

26 Belongia, E. A, "Antibiotic use and upper respiratory infections: A survey of knowledge, attitudes, and experience in wisconsin and Minnesota" 34 : 346-, 2002

27 Lee, M. Y, "A study on factors influencing upon right medication of antibiotic for antibiotic consumers" 11 : 48-, 1994