The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan

Susanne Kaae; Lilit  Ghazaryan; Karaman  Pagava; Irma  Korinteli; Larisa  Makalkina; Gaukhar  Zhetimkarinova; Ainur  Ikhambayeva; Elizaveta  Tentiuc; Svetlana  Ratchina; Polina  Zakharenkova; Salomudin  Yusufi; Nargis  Maqsudova; Louise C. Druedahl; Sofia Kälvemark Sporrong; Lourdes Cantarero Arevalo; Lotte Stig Nørgaard

The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan

Susanne Kaae, Lilit Ghazaryan, Karaman Pagava, Irma Korinteli, Larisa Makalkina, Gaukhar Zhetimkarinova, Ainur Ikhambayeva, Elizaveta Tentiuc, Svetlana Ratchina, Polina Zakharenkova, Salomudin Yusufi, Nargis Maqsudova, Louise C. Druedahl, Sofia Kälvemark Sporrong, Lourdes Cantarero Arevalo, Lotte Stig Nørgaard

4 Citations (Scopus)

Abstract

Background: To reduce antimicrobial resistance (AMR), initiatives such as surveillance activities and activities to increase knowledge about how and why antibiotics (ABs) are (mis)used are needed. More surveillance systems are in place in the WHO Western European region than in the Eastern region, and only sparse knowledge exists about the current culture of AB use in the Eastern European countries. Objective: To investigate AB knowledge, attitudes and behaviors in countries in the WHO Eastern European region in order to identify overall similarities and differences across the region and how AB knowledge, attitudes and behavior patterns may be influenced by the national health care system. Methods: Semi-structured interviews were conducted in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan with patients, doctors and pharmacists. In total, 80 interviews were carried out. A directed content analysis was applied, followed by a comparative analysis, identifying the similarities and differences in AB attitudes, knowledge and behaviors between the countries and discussing how the national health care systems might influence these patterns. Results: Cross-national patterns were identified regarding patients seeking ABs over-the-counter (OTC), patient variations in their requests for ABs when consulting doctors, and, finally, doctors and pharmacists appearing knowledgeable about ABs and their uses, with doctors displaying careful attitudes towards AMR. Indications of national differences between the countries included the ability of patients to afford ABs, prescribing practices of doctors and pharmacist attitudes towards selling ABs without prescriptions. Multiple aspects involved in patient and pharmacist AB decision making were detected, such as various rationales involved in buying/selling ABs OTC, implying that these processes are more complex than previously reported in the literature. Conclusions: Similarities across the Eastern European region could be seen in patient needs and uses of antibiotics obtained OTC at community pharmacies, whereas doctors appeared more influenced by specific structures of the national healthcare system.

Original language	English
Journal	Research in Social and Administrative Pharmacy
ISSN	1934-8150
Publication status	Published - Feb 2020

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Kaae, S., Ghazaryan, L., Pagava, K., Korinteli, I., Makalkina, L., Zhetimkarinova, G., Ikhambayeva, A., Tentiuc, E., Ratchina, S., Zakharenkova, P., Yusufi, S., Maqsudova, N., Druedahl, L. C., Kälvemark Sporrong, S., Cantarero Arevalo, L., & Nørgaard, L. S. (2020). The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan. Research in Social and Administrative Pharmacy.

The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan. / Kaae, Susanne; Ghazaryan, Lilit ; Pagava, Karaman et al.
In: Research in Social and Administrative Pharmacy, 02.2020.

Research output: Contribution to journal › Journal article › Research › peer-review

Kaae, S, Ghazaryan, L, Pagava, K, Korinteli, I, Makalkina, L, Zhetimkarinova, G, Ikhambayeva, A, Tentiuc, E, Ratchina, S, Zakharenkova, P, Yusufi, S, Maqsudova, N, Druedahl, LC , Kälvemark Sporrong, S , Cantarero Arevalo, L & Nørgaard, LS 2020, 'The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan', Research in Social and Administrative Pharmacy.

Kaae S, Ghazaryan L, Pagava K, Korinteli I, Makalkina L, Zhetimkarinova G et al. The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan. Research in Social and Administrative Pharmacy. 2020 Feb.

Kaae, Susanne ; Ghazaryan, Lilit ; Pagava, Karaman et al. / The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan. In: Research in Social and Administrative Pharmacy. 2020.

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title = "The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan",

abstract = "Background: To reduce antimicrobial resistance (AMR), initiatives such as surveillance activities and activities to increase knowledge about how and why antibiotics (ABs) are (mis)used are needed. More surveillance systems are in place in the WHO Western European region than in the Eastern region, and only sparse knowledge exists about the current culture of AB use in the Eastern European countries. Objective: To investigate AB knowledge, attitudes and behaviors in countries in the WHO Eastern European region in order to identify overall similarities and differences across the region and how AB knowledge, attitudes and behavior patterns may be influenced by the national health care system. Methods: Semi-structured interviews were conducted in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan with patients, doctors and pharmacists. In total, 80 interviews were carried out. A directed content analysis was applied, followed by a comparative analysis, identifying the similarities and differences in AB attitudes, knowledge and behaviors between the countries and discussing how the national health care systems might influence these patterns. Results: Cross-national patterns were identified regarding patients seeking ABs over-the-counter (OTC), patient variations in their requests for ABs when consulting doctors, and, finally, doctors and pharmacists appearing knowledgeable about ABs and their uses, with doctors displaying careful attitudes towards AMR. Indications of national differences between the countries included the ability of patients to afford ABs, prescribing practices of doctors and pharmacist attitudes towards selling ABs without prescriptions. Multiple aspects involved in patient and pharmacist AB decision making were detected, such as various rationales involved in buying/selling ABs OTC, implying that these processes are more complex than previously reported in the literature. Conclusions: Similarities across the Eastern European region could be seen in patient needs and uses of antibiotics obtained OTC at community pharmacies, whereas doctors appeared more influenced by specific structures of the national healthcare system.",

author = "Susanne Kaae and Lilit Ghazaryan and Karaman Pagava and Irma Korinteli and Larisa Makalkina and Gaukhar Zhetimkarinova and Ainur Ikhambayeva and Elizaveta Tentiuc and Svetlana Ratchina and Polina Zakharenkova and Salomudin Yusufi and Nargis Maqsudova and Druedahl, {Louise C.} and {K{\"a}lvemark Sporrong}, Sofia and {Cantarero Arevalo}, Lourdes and N{\o}rgaard, {Lotte Stig}",

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year = "2020",

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language = "English",

journal = "Research in Social and Administrative Pharmacy",

issn = "1934-8150",

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TY - JOUR

T1 - The antibiotic knowledge, attitudes and behaviors of patients, doctors and pharmacists in the WHO Eastern European region – a qualitative, comparative analysis of the culture of antibiotic use in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan

AU - Kaae, Susanne

AU - Ghazaryan, Lilit

AU - Pagava, Karaman

AU - Korinteli, Irma

AU - Makalkina, Larisa

AU - Zhetimkarinova, Gaukhar

AU - Ikhambayeva, Ainur

AU - Tentiuc, Elizaveta

AU - Ratchina, Svetlana

AU - Zakharenkova, Polina

AU - Yusufi, Salomudin

AU - Maqsudova, Nargis

AU - Druedahl, Louise C.

AU - Kälvemark Sporrong, Sofia

AU - Cantarero Arevalo, Lourdes

AU - Nørgaard, Lotte Stig

N1 - Sent to production

PY - 2020/2

Y1 - 2020/2

N2 - Background: To reduce antimicrobial resistance (AMR), initiatives such as surveillance activities and activities to increase knowledge about how and why antibiotics (ABs) are (mis)used are needed. More surveillance systems are in place in the WHO Western European region than in the Eastern region, and only sparse knowledge exists about the current culture of AB use in the Eastern European countries. Objective: To investigate AB knowledge, attitudes and behaviors in countries in the WHO Eastern European region in order to identify overall similarities and differences across the region and how AB knowledge, attitudes and behavior patterns may be influenced by the national health care system. Methods: Semi-structured interviews were conducted in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan with patients, doctors and pharmacists. In total, 80 interviews were carried out. A directed content analysis was applied, followed by a comparative analysis, identifying the similarities and differences in AB attitudes, knowledge and behaviors between the countries and discussing how the national health care systems might influence these patterns. Results: Cross-national patterns were identified regarding patients seeking ABs over-the-counter (OTC), patient variations in their requests for ABs when consulting doctors, and, finally, doctors and pharmacists appearing knowledgeable about ABs and their uses, with doctors displaying careful attitudes towards AMR. Indications of national differences between the countries included the ability of patients to afford ABs, prescribing practices of doctors and pharmacist attitudes towards selling ABs without prescriptions. Multiple aspects involved in patient and pharmacist AB decision making were detected, such as various rationales involved in buying/selling ABs OTC, implying that these processes are more complex than previously reported in the literature. Conclusions: Similarities across the Eastern European region could be seen in patient needs and uses of antibiotics obtained OTC at community pharmacies, whereas doctors appeared more influenced by specific structures of the national healthcare system.

AB - Background: To reduce antimicrobial resistance (AMR), initiatives such as surveillance activities and activities to increase knowledge about how and why antibiotics (ABs) are (mis)used are needed. More surveillance systems are in place in the WHO Western European region than in the Eastern region, and only sparse knowledge exists about the current culture of AB use in the Eastern European countries. Objective: To investigate AB knowledge, attitudes and behaviors in countries in the WHO Eastern European region in order to identify overall similarities and differences across the region and how AB knowledge, attitudes and behavior patterns may be influenced by the national health care system. Methods: Semi-structured interviews were conducted in Armenia, Georgia, Kazakhstan, Moldova, Russia and Tajikistan with patients, doctors and pharmacists. In total, 80 interviews were carried out. A directed content analysis was applied, followed by a comparative analysis, identifying the similarities and differences in AB attitudes, knowledge and behaviors between the countries and discussing how the national health care systems might influence these patterns. Results: Cross-national patterns were identified regarding patients seeking ABs over-the-counter (OTC), patient variations in their requests for ABs when consulting doctors, and, finally, doctors and pharmacists appearing knowledgeable about ABs and their uses, with doctors displaying careful attitudes towards AMR. Indications of national differences between the countries included the ability of patients to afford ABs, prescribing practices of doctors and pharmacist attitudes towards selling ABs without prescriptions. Multiple aspects involved in patient and pharmacist AB decision making were detected, such as various rationales involved in buying/selling ABs OTC, implying that these processes are more complex than previously reported in the literature. Conclusions: Similarities across the Eastern European region could be seen in patient needs and uses of antibiotics obtained OTC at community pharmacies, whereas doctors appeared more influenced by specific structures of the national healthcare system.

M3 - Journal article

SN - 1934-8150

JO - Research in Social and Administrative Pharmacy

JF - Research in Social and Administrative Pharmacy

ER -