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Master Thesis

Les antibiotiques en médecine générale : une étude qualitative auprès d’une population de patients âgés entre 50 à 65 ans

Abstract : Introduction: The massive, repeated use of antibiotics creates a selective pressure on the bacteria, leading to antimicrobial resistance (AMR) and a decrease in therapeutic efficiency. Despite awareness campaigns, antibiotic consumption in France is higher than its European neighbors. It’s a major concern of global health actors. Objectives: The aim of this study was to explore the knowledge, beliefs and expectations of patients regarding antibiotics. Method: A qualitative study by semi-structured individual interviews was conducted from November 2017 to February 2018, on a random sample of 16 adult subjects aged between 50 and 65 years old. The analysis of the data was done by axial coding of the verbatim and then categorization independently by two researchers. Results: 16 patients participated in the survey. The overall knowledge of antibiotics was poor. They evaluated their antibiotic consumption as low and few consulted their general practitioner for a respiratory tract infection, preferring self-medication. Although most of them trusted their primary care physician, they mainly expected listening and detailed explanations and not just a medical expertise alone. They reported poor treatment compliance and did not respect the prescribed duration, but did not express any misgivings in taking antibiotics. Duration of symptoms, pain and fever, were seen as the main determinants of bacterial infection. Antibiotics were seen as very powerful, allowing a quick recovery but with risks of side effects. AMR was poorly known to patients, and although they defined it vaguely, they were quite aware of its consequences and the risk of decreasing therapeutic efficiency. The subjects suggested that they could fight the misuse of antibiotics, a fault shared between patients and doctors, by involving all health actors. Conclusions: Our study suggests that public awareness campaigns have had a mixed impact, having not been enough to fight false beliefs and improve the knowledge of "seniors" aged 50 to 65 years old. Therefore the general practitioner has a key role in relaying the informations through simple and targeted messages on the risks of AMR.
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Submitted on : Tuesday, May 28, 2019 - 11:53:50 AM
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Sébastien Tronel. Les antibiotiques en médecine générale : une étude qualitative auprès d’une population de patients âgés entre 50 à 65 ans. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02141880⟩



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