A Qualitative Analysis of the Culture of Antibiotic Use for Upper Respiratory Tract Infections Among Patients in Northwest Russia
Introduction: Due to the globally persistent threat of Antimicrobial Resistance (AMR), the purpose of this study was to gain an in-depth understanding of the antibiotic (AB) practices, knowledge and attitudes among patients residing in five regions in the northwest part of Russia. Given the high pre...
Published in: | Frontiers in Pharmacology |
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Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap
2022
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-469210 https://doi.org/10.3389/fphar.2022.800695 |
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ftuppsalauniv:oai:DiVA.org:uu-469210 2024-02-11T10:07:14+01:00 A Qualitative Analysis of the Culture of Antibiotic Use for Upper Respiratory Tract Infections Among Patients in Northwest Russia Cantarero-Arevalo, Lourdes Norgaard, Lotte S. Kälvemark Sporrong, Sofia Jacobsen, Ramune Almarsdottir, Anna Birna Hansen, Johanne M. Titkov, Dmitry Rachina, Svetlana Panfilova, Ekaterina Merkulova, Viktoria Eseva, Olga Riabkova, Nadezhda Kaae, Susanne 2022 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-469210 https://doi.org/10.3389/fphar.2022.800695 eng eng Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap Uppsala universitet, Institutionen för farmaci Univ Copenhagen, Dept Pharm, WHO Collaborating Ctr Res & Training Patient Per, Copenhagen, Denmark. Finnish Inst Hlth & Welf THL, Helsinki, Finland. Sechenov First Moscow State Med Univ, Moscow, Russia. St Petersburg City Ctr Med Prevent, St Petersburg, Russia. Arkhangelsk Reg Ctr Publ Hlth & Med Prevent, Arkhangelsk, Russia. Pskov Reg Publ Hlth Ctr, Pskov, Russia. Petrozavodsk State Univ, Inst Med, Petrozavodsk, Russia.;Hosp V A Baranova, Petrozavodsk, Russia. Frontiers Media SA Frontiers in Pharmacology, 2022, 13, orcid:0000-0001-5848-8625 orcid:0000-0002-8142-9807 orcid:0000-0002-8187-365X http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-469210 doi:10.3389/fphar.2022.800695 PMID 35173616 ISI:000759784300001 info:eu-repo/semantics/openAccess antimicrobial resistance antibiotics urtis patient perspective qualitative attitudes Russia Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2022 ftuppsalauniv https://doi.org/10.3389/fphar.2022.800695 2024-01-17T23:33:51Z Introduction: Due to the globally persistent threat of Antimicrobial Resistance (AMR), the purpose of this study was to gain an in-depth understanding of the antibiotic (AB) practices, knowledge and attitudes among patients residing in five regions in the northwest part of Russia. Given the high prevalence, this study focused on ABs for Upper Respiratory Tract Infections (URTI).Methods: The qualitative, semi-structured interviews followed a guide organized by major themes such as common symptoms, consultations with doctors and external influences in decision-making. Patient participants were recruited via convenience sampling. Fifty-five interviews were conducted among patients using ABs for URTIs purchased with or without prescription. Data was analyzed using a direct content analysis and validation rounds were conducted between interviewers and data analyzers.Results: Self-medication with ABs seemed a common practice across all five Russian regions; in some cases, patients tried to persuade pharmacists into selling them ABs without prescription. Factors, such as time spent going to the doctor, need of a sick leave or self-persuasion, influenced the decisions of whether or not to seek the doctor for symptoms of URTIs. Knowledge of ABs and AMR was generally low; however, some patients with seemingly good knowledge practiced self-medication from time to time. Family members and friends were often involved in decisions about how to handle symptoms of URTIs, especially among those patients using ABs without prescription. Few patients had noticed ABs awareness campaigns, and very few reported having learned something important from them.Conclusion: Despite enforced regulation of AB use in Russia, self-medication still exists. Knowledge is not always linked to appropriate use of AB, and the few campaigns conducted were not always noticed. Article in Journal/Newspaper Northwest Russia Uppsala University: Publications (DiVA) Frontiers in Pharmacology 13 |
institution |
Open Polar |
collection |
Uppsala University: Publications (DiVA) |
op_collection_id |
ftuppsalauniv |
language |
English |
topic |
antimicrobial resistance antibiotics urtis patient perspective qualitative attitudes Russia Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
antimicrobial resistance antibiotics urtis patient perspective qualitative attitudes Russia Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Cantarero-Arevalo, Lourdes Norgaard, Lotte S. Kälvemark Sporrong, Sofia Jacobsen, Ramune Almarsdottir, Anna Birna Hansen, Johanne M. Titkov, Dmitry Rachina, Svetlana Panfilova, Ekaterina Merkulova, Viktoria Eseva, Olga Riabkova, Nadezhda Kaae, Susanne A Qualitative Analysis of the Culture of Antibiotic Use for Upper Respiratory Tract Infections Among Patients in Northwest Russia |
topic_facet |
antimicrobial resistance antibiotics urtis patient perspective qualitative attitudes Russia Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
Introduction: Due to the globally persistent threat of Antimicrobial Resistance (AMR), the purpose of this study was to gain an in-depth understanding of the antibiotic (AB) practices, knowledge and attitudes among patients residing in five regions in the northwest part of Russia. Given the high prevalence, this study focused on ABs for Upper Respiratory Tract Infections (URTI).Methods: The qualitative, semi-structured interviews followed a guide organized by major themes such as common symptoms, consultations with doctors and external influences in decision-making. Patient participants were recruited via convenience sampling. Fifty-five interviews were conducted among patients using ABs for URTIs purchased with or without prescription. Data was analyzed using a direct content analysis and validation rounds were conducted between interviewers and data analyzers.Results: Self-medication with ABs seemed a common practice across all five Russian regions; in some cases, patients tried to persuade pharmacists into selling them ABs without prescription. Factors, such as time spent going to the doctor, need of a sick leave or self-persuasion, influenced the decisions of whether or not to seek the doctor for symptoms of URTIs. Knowledge of ABs and AMR was generally low; however, some patients with seemingly good knowledge practiced self-medication from time to time. Family members and friends were often involved in decisions about how to handle symptoms of URTIs, especially among those patients using ABs without prescription. Few patients had noticed ABs awareness campaigns, and very few reported having learned something important from them.Conclusion: Despite enforced regulation of AB use in Russia, self-medication still exists. Knowledge is not always linked to appropriate use of AB, and the few campaigns conducted were not always noticed. |
format |
Article in Journal/Newspaper |
author |
Cantarero-Arevalo, Lourdes Norgaard, Lotte S. Kälvemark Sporrong, Sofia Jacobsen, Ramune Almarsdottir, Anna Birna Hansen, Johanne M. Titkov, Dmitry Rachina, Svetlana Panfilova, Ekaterina Merkulova, Viktoria Eseva, Olga Riabkova, Nadezhda Kaae, Susanne |
author_facet |
Cantarero-Arevalo, Lourdes Norgaard, Lotte S. Kälvemark Sporrong, Sofia Jacobsen, Ramune Almarsdottir, Anna Birna Hansen, Johanne M. Titkov, Dmitry Rachina, Svetlana Panfilova, Ekaterina Merkulova, Viktoria Eseva, Olga Riabkova, Nadezhda Kaae, Susanne |
author_sort |
Cantarero-Arevalo, Lourdes |
title |
A Qualitative Analysis of the Culture of Antibiotic Use for Upper Respiratory Tract Infections Among Patients in Northwest Russia |
title_short |
A Qualitative Analysis of the Culture of Antibiotic Use for Upper Respiratory Tract Infections Among Patients in Northwest Russia |
title_full |
A Qualitative Analysis of the Culture of Antibiotic Use for Upper Respiratory Tract Infections Among Patients in Northwest Russia |
title_fullStr |
A Qualitative Analysis of the Culture of Antibiotic Use for Upper Respiratory Tract Infections Among Patients in Northwest Russia |
title_full_unstemmed |
A Qualitative Analysis of the Culture of Antibiotic Use for Upper Respiratory Tract Infections Among Patients in Northwest Russia |
title_sort |
qualitative analysis of the culture of antibiotic use for upper respiratory tract infections among patients in northwest russia |
publisher |
Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap |
publishDate |
2022 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-469210 https://doi.org/10.3389/fphar.2022.800695 |
genre |
Northwest Russia |
genre_facet |
Northwest Russia |
op_relation |
Frontiers in Pharmacology, 2022, 13, orcid:0000-0001-5848-8625 orcid:0000-0002-8142-9807 orcid:0000-0002-8187-365X http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-469210 doi:10.3389/fphar.2022.800695 PMID 35173616 ISI:000759784300001 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.3389/fphar.2022.800695 |
container_title |
Frontiers in Pharmacology |
container_volume |
13 |
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1790605422511521792 |