徐州市居民对“限抗令”和抗生素使用认知情况分析

Cognition on antibiotic restriction policy and antimicrobial use among adult residents in Xuzhou municipality

目的了解江苏省徐州市居民对"限抗令"和抗生素使用的认知情况,为促进"限抗令"的推广提供参考依据。方法于2017年9-11月采用分层整群随机抽样方法在徐州市区2个街道及其2个对应下属县城抽取651名常住居民作为调查对象进行问卷调查,分析其对"限抗令"和抗生素使用的认知情况。结果徐州市651名居民中,有65.6%的居民表示了解"限抗令";了解程度以"知道此政策但不知道具体内容"者最多(91.8%);以通过电视网络等媒体途径了解者最多(54.6%)。对"限抗令"实施效果调查显示,53.1%的居民认为"限抗令"颁布后对医疗现状影响较大,而46.9%的居民认为影响不大;认为"限抗令"颁布后抗生素使用有所减少者占38.7%,认为没有下降者占16.5%,尚有44.8%的居民对使用情况不了解。在对抗生素认知情况的调查中,表示对抗生素不了解的居民占40.7%,表示一般了解的居民占54.7%,表示很了解的居民占4.6%。结论徐州市民对于"限抗令"和抗生素相关知识的认知程度一般,抗生素滥用情况虽有所改善但"限抗令"实施效果仍有待提高。

Objective To explore the cognition on antibiotic restriction policy and antimicrobial use among adult residents in Xuzhou municipality of Jiangsu province and to provide references for promoting appropriate application of antibiotics. Methods We carried out a self-administered questionnaire survey among 651 permanent adult residents recruited with stratified cluster random sampling in 2 urban communities and 2 rural towns of Xuzhou municipality between September and November, 2017. Results Of all the participants, 65.6% reported the awareness about the antibiotic restriction policy set by national health administration;among the participants reporting the awareness, 91.8% did not know the details of the policy and 54.6% were aware of the polity through television programs and internet. More than a half of the participants(53.1%) considered that the implementation of the antibiotic restriction policy had an obvious influence on medical service, while 46.9% of the participants did not realize the effect of the implementation of the policy. For all the participants, 38.7% considered that there was a decrease in antibiotic use after the implementation of antibiotic restriction policy but 16.5% did not report the decrease and 44.8% did not notice the situation of antibiotic use. The self-reported proportions of the participants having too little and a general knowledge about antimicrobial were 40.7% and 54.7% and only4.6% of the participants reported having comprehensive knowledge about antimicrobial. Conclusion The cognition on antibiotic restriction policy and the knowledge about antimicrobial are at a general level among urban and rural adult residents of Xuzhou municipality and the implementation effect of antibiotic restriction policy should be improved.