Dataset Information

Cross-sectional study of the use of antimicrobials following common infections by rural residents in Anhui, China.

ABSTRACT:

Objective

To describe help seeking behaviour from a medical doctor and antimicrobial use for common infections among rural residents of Anhui province, China.

Design

A cross-sectional retrospective household survey.

Setting

12 administrative villages from rural Anhui, China.

Participants

2760 rural residents selected through cluster-randomised sampling using an interviewer administered questionnaire.

Method

Logistic regression models were used to estimate associations between exposures (health insurance and antimicrobial-related knowledge), adjusted for confounders (sex, age and education), and help-seeking behaviour from a medical doctor and antimicrobial use following common infections, including acute respiratory tract infections (ARTIs), gastrointestinal tract infections (GTIs) and urinary tract infections (UTIs).

Results

In total 2611 (94.6%) rural residents completed the questionnaire. Help seeking from a medical doctor was highest for ARTIs (59.4%) followed by GTIs (42.1%), and UTIs (27.8%). Around two-thirds (82.3% for ARTIs, 87.0% for GTIs and 66.0% for UTIs) of respondents sought help within 3 days following symptom onset and over three quarters (88% for ARTIs, 98% for GTIs and 77% for UTIs) reported complete recovery within 7 days. Of the help-seeking respondents, 94.5% with ARTI symptoms recalled being prescribed either oral or intravenous antimicrobials (GTIs 81.7% and UTIs 70.4%). Use of antimicrobials bought from medicine shops without prescriptions ranged from 8.8% for GTIs to 17.2% for ARTIs; while use of antimicrobials leftover from previous illnesses or given by a relative ranged from 7.6% for UTIs to 13.4% for ARTIs. Multivariate logistic regression analysis revealed that respondents with a higher antimicrobial-related knowledge score and lack of insurance were associated with lower levels of help-seeking for ARTIs; while respondents with a higher antimicrobial-related knowledge score were less likely to be prescribed either oral or intravenous antimicrobials.

Conclusions

Excessive antimicrobial use in the studied primary care settings is still prevalent.

SUBMITTER: Chai J

PROVIDER: S-EPMC6500192 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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Publications

Cross-sectional study of the use of antimicrobials following common infections by rural residents in Anhui, China.

Chai Jing J Coope Caroline C Cheng Jing J Oliver Isabel I Kessel Anthony A Hu Zhi Z Wang DeBin D

BMJ open 20190411 4

<h4>Objective</h4>To describe help seeking behaviour from a medical doctor and antimicrobial use for common infections among rural residents of Anhui province, China.<h4>Design</h4>A cross-sectional retrospective household survey.<h4>Setting</h4>12 administrative villages from rural Anhui, China.<h4>Participants</h4>2760 rural residents selected through cluster-randomised sampling using an interviewer administered questionnaire.<h4>Method</h4>Logistic regression models were used to estimate asso ...[more]

PMID: 30975670

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Dataset Information

Cross-sectional study of the use of antimicrobials following common infections by rural residents in Anhui, China.

Objective

Design

Setting

Participants

Method

Results

Conclusions

Publications

Cross-sectional study of the use of antimicrobials following common infections by rural residents in Anhui, China.

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