in V. National Congress of Family Medicine in Adana, 27-30 March, 2002.
Cahit OZER, Zekeriya AKTURK, Nezih DAGDEVIREN, Melih
Trakya University Medical Faculty Department of Family Medicine,
University Medical Faculty
Department of Family Medicine,
22030 Edirne, Turkey
Mobile Phone: +90 533
Fax: +90 284 2357652
of antibiotics for acute respiratory infections results in increased
antimicrobial resistance, and adds a significant cost to the health care.
Aim: To see
the effectiveness of a semi-structured evaluation tool with one-on-one
patient education in reducing patient expectations of antibiotics for the
treatment of acute respiratory infections.
Methods: A randomized double-blinded controlled trial in 33
children with acute respiratory symptoms and their parents.
Antibiotic expectation rates of the study and control group for fever
(15,1 % versus 64,3 %), cough (30,3 % versus 60 %), and sore throat (71,8
% versus 93,1 %) differed significantly (p<0,05). Symptom-based (3,35
± 1,14) and total behavior scores (4,38 ± 1,70) were significantly
higher in the study group than the control group (p<0,05).
of an evaluation tool combined with one-on-one patient education was found
successful for changing antibiotic related behavior and reducing
antibiotic expectations of parents for acute respiratory infections.
Key words: Antibiotics,
patient education, respiratory infections.
BACK TO MAIN MENU
Respiratory Infections (ARIs) are quite common in primary care (1).
Although they are mild, self-limiting infections, they are a primary
reason for school and work absence (2). Lack of effective and widely
approved tools or guidelines for the management of ARIs causes great
differences across practices of physicians.
neither shorten the course of the illness nor prevent secondary
bacterial infection (3). Although they are not indicated, antibiotics
are widely used in outpatient practice to treat ARIs (4,5). The overuse
has been suggested as a contributing factor in the rise of antimicrobial
resistance (6) adding a significant cost to the care of these patients
expectations on drug prescription for mild and simple diseases are most
likely dependent on their educational level, socio-economic background
and cultural and religious background.
education can be defined as a learning experience using a combination of
methods such as teaching, counseling and behavior modification
techniques, which influence patient’s knowledge and health behavior.
Health information provided by physicians is a type of patient education
valued by patients.
this study we examined the effectiveness of a semi-structured evaluation
tool with one-on-one patient education for reducing parental
expectations of antibiotics in the treatment of ARIs.
This study was conducted in two stages. In the first stage, children
younger than 17 years admitted to Trakya University Family Practice
Center with symptoms related to respiratory tract on every Mondays
between January and April 2001 were evaluated with a semi-structured
examination tool (Figure 1). The same physician practiced all children
on every Mondays through the study period for standardization. The
attending physician educated the parents orally about ARIs and
antibiotics. Evaluation and education time was limited with 15 minutes;
education covering about 5 minutes. The parental education was prepared
through American Academy of Family Physicians’ recommendations for
health information (8).