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Section 2 – Antibiotics and resistance
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Statement
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ICC (95 % CI)
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ICC (95 % CI)
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|
S 1: Antibiotic resistance is an important Public Health problem in our setting (Ignorance).
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0.873 (0.733; 0.940)***
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0.711 (0.394; 0.863)***
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S 2: In a primary-care context, one should wait for the microbiology results before treating an infectious disease (Ignorance).
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0.530 (0.013; 0.776)*
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0.751 (0.477; 0.882)***
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S 3: Rapid and effective diagnostic techniques are required for diagnosis of infectious diseases (Responsibility of others – Health care System).
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0.542 (0.038; 0.782)*
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0.590 (0.138; 0.805)**
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S 4: The prescription of an antibiotic to a patient does not influence the possible appearance of resistance (Ignorance).
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0.432 (−0.193; 0.730)
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0.906 (0.801; 0.955)***
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S 5: I am convinced that new antibiotics will be developed to solve the problem of resistance (Responsibility of others – Investigation)
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0.548 (0.050; 0.785)*
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0.922 (0.836; 0.963)***
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S 6: The use of antibiotics on animals is an important cause of the appearance of new resistance to pathogenic agents in humans (Responsibility of others)
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0.858 (0.703; 0.933)***
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0.509 (−0.031; 0.766)*
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S 7: In case of doubt, it is preferable to use a wide-spectrum antibiotic to ensure that the patient is cured of an infection (Fear).
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0.777 (0.532; 0.894)***
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0.926 (0.845; 0.965)***
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S 8: I frequently prescribe an antibiotic in situations in which it is impossible for me to conduct a systematic follow-up of the patient (Fear).
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0.666 (0.297; 0.841)**
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0.835 (0.653; 0.922)***
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S 9: In situations of doubt as to whether a disease might be of bacterial aetiology, it is preferable to prescribe an antibiotic (Fear).
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0.402 (−0.256; 0.715)
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0.859 (0.704; 0.933)***
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S 10: I frequently prescribe antibiotics because patients insist on it (Complacency).
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0.864 (0.715; 0.935)***
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0.429 (−0.200; 0.728)
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S 11: I sometimes prescribe antibiotics so that patients continue to trust me (Complacency).
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0.857 (0.700; 0.932)***
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0.855 (0.695; 0.931)***
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S 12: I sometimes prescribe antibiotics, even when I know that they are not indicated because I do not have the time to explain to the patient the reason why they are not called for (Indifference).
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0.860 (0.705; 0.923)***
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0.946 (0.887; 0.974)***
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S 13: If a patient feels that he/she needs antibiotics, he/she will manage to obtain them at the pharmacy without a prescription, even when they have not been prescribed (Responsibility of others – Other Professionals).
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0.822 (0.625; 0.915)***
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0.753 (0.481; 0.882)***
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S 14: Two of the main causes of the appearance of antibiotic resistance are patient self-medication and antibiotic misuse (Responsibility of others – Patients).
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0.767 (0.510; 0.889)***
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0.468 (−0.117; 0.747)
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S 15: Dispensing antibiotics without a prescription should be more closely controlled (Responsibility of others – Health care System).
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0.683 (0.325; 0.851)**
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0.692 (0.353; 0.853)**
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S 16: In a primary-care context, amoxicillin is useful for treating most respiratory infections (Ignorance).
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0.470 (−0.074; 0.748)
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0.745 (0.465; 0.879)***
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S 17: The phenomenon of resistance to antibiotics is mainly a problem in hospital settings (Responsibility of others – Other Professionals).
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0.690 (0.348. 0.852)**
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0.706 (0.382; 0.860)**
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Section 3 – In the treatment of respiratory tract infections, how would you rate the usefulness of each of these sources of knowledge?
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Statement
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ICC (95 % CI)
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ICC (95 % CI)
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|
S 1’: Clinical practice guidelines.
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0.846 (0.676; 0.927)***
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0.562 (0.079; 0.791)*
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S 2’: Documentation furnished by the Pharmaceutical Industry.
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0.579 (0.116; 0.800)*
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0.746 (0.467; 0.879)***
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S 3’: Courses held by the Pharmaceutical Industry.
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0.519 (−0.011; 0.771)*
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0.734 (0.441; 0.873)***
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S 4’: Information furnished by Medical Information Officers.
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0.851 (0.687; 0.929)***
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0.753 (0.481; 0.883)***
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S 5’: Previous clinical experience.
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0.715 (0.401; 0.864)***
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0.714 (0.399; 0.864)**
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S 6’: Continuing Education Courses.
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0.708 (0.387; 0.861)***
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0.797 (0.574; 0.904)***
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S 7’: Others, e.g., contribution of specialists (microbiologists, infectious disease specialists, etc.).
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0.948 (0.890; 0.975)***
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0.595 (0.148; 0.807)**
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S 8’: Contribution of peers (of the same specialisation).
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0.764 (0.505; 0.888)***
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0.655 (0.275; 0.836)**
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S 9’: Data collected via the Internet.
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0.723 (0.419; 0.868)**
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0.762 (0.500; 0.887)***
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