Op-128 "antibiotics Are Probably One Of The Greatest Inventions Of The Century, Right?" A Qualitative Interview Study Of Patient Beliefs About Antibiotic Use For Lrti And Resistance In Europe

Author(s): 
Lucy Brookes-Howell 1, Christopher · Butler1, Kerenza Hood1, Myfanwy Davies1, Lucy Cooper1, Herman Goossens2
1 Cardiff University
2 University of Antwerp
Text: 
Aims: As part of the GRACE Network of Excellence a large-scale interview study was carried out to explore Clinicians' and patients' attitudes to antibiotics, resistance and variation in antibiotic use for Lower Respiratory Tract Infection (LRTI) in Europe. This paper focuses on the analysis of the patient interviews. Design & Methods: Interviews with 121 patients who had recently consulted a Primary Care Clinician with symptoms of LR TI were conducted in 9 European countries. Interviews were audio-recorded, transcribed and, where necessary, translated into English for analysis. They were analysed using a qualitative framework approach and constant comparison. Results: Using data extracts we describe how patient's views differ in relation to; the role of antibiotics and when they are needed (e.g. due to certain types of symptoms, duration of symptoms, Doctor's expertise) and antibiotic taking activity (e.g. when to stop taking antibiotics, self-medication of antibiotics). We then discuss these views in relation to patient's awareness and understanding of antibiotic resistance (e.g. resistance as a societal not personal problem, over-prescribing a 'disservice' to society).
Conclusions: There is relatively little empirical research on the beliefs and attitudes of the people who have a direct impact on resistance through their behaviour in everyday practice - the patient. There is even less research on patient beliefs across different cultural contexts. Through close analysis of such data we are able to highlight the importance of learning from such an insight into patient's understanding of infections and antibiotics in considering interventions to enhance appropriate antibiotic use in the future.
Literature: 
OP-128
"ANTIBIOTICS ARE PROBABLY ONE OF THE GREATEST INVENTIONS OF THE CENTURY, RIGHT?" A QUALITATIVE INTERVIEW STUDY OF PATIENT BELIEFS ABOUT ANTIBIOTIC USE FOR LRTI AND RESISTANCE IN EUROPE