Problems of antimicrobial resistance in the primary health care system (results of the sociological study
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1
DNIPRO STATE MEDICAL UNIVERSITY, DNIPRO, UKRAINE
2
DEPARTMENT OF HEALTH OF THE DNIPROPETROVSK REGIONAL STATE ADMINISTRATION, DNIPRO, UKRAINE
Publication date: 2005-05-30
Wiadomości Lekarskie 2025;(5):981-987
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ABSTRACT
Aim: To assess the level of awareness of primary health care physicians regarding the problem of antimicrobial resistance and identify the main obstacles to
the rational use of antibiotics in practice.
Materials and Methods: A sociological survey was conducted among primary health care physicians using a specially designed questionnaire containing
questions on knowledge, antibiotic prescribing practices, and ways to address the problem of antimicrobial resistance. The survey was conducted in January
2025. Descriptive and analytical statistics were used to analyze the results obtained from 221 respondents.
Results: Most respondents (about 90%) encountered cases of antimicrobial resistance in their work. The respondents named the following as the main
reasons: the use of antibiotics without a prescription (87.8% of respondents), their excessive use (80.1%), and non-compliance by patients with the course of
treatment (77.8%). Analysis of the responses shows that respondents sometimes prescribe antibiotics from the watch and reserve groups (53.4% and 29%,
respectively), regularly prescribe antibiotics without a prescription (14%), use injectable antibiotics (21% of respondents); 54.3% note that patients often
take antibiotics on their own.
Conclusions: The survey results show that antimicrobial resistance is a serious problem in the primary healthcare system. Primary care physicians often do not
follow recommendations for selecting and prescribing antibiotics. Effectively solving the problem requires a comprehensive approach, which should include
improving antibiotic stewardship, increasing the level of knowledge of medical professionals, and widely informing the population about their proper use.