РАЦИОНАЛЬНАЯ АНТИБИОТИКОТЕРАПИЯ: ПРОБЛЕМЫ И ПУТИ ОПТИМИЗАЦИИ ИНФОРМИРОВАНИЯ ПАЦИЕНТОВ

Natalya N. Gracheva; Irina F. Samoshchenkova; Elena I. Yushkova

Authors

Natalya N. Gracheva Orel State University named after I.S. Turgenev https://orcid.org/0009-0002-8294-6061
Irina F. Samoshchenkova Orel State University named after I.S. Turgenev https://orcid.org/0000-0001-9673-1091
Elena I. Yushkova Orel State University named after I.S. Turgenev https://orcid.org/0009-0004-7021-7835

Keywords:

antibiotics, rational antibiotic therapy, antimicrobial resistance, patient information, drug safety

Abstract

Aim. assess of patients’ level of awareness regarding the rules for the rational use of antibiotics, as well as the development of practical recommendations for optimizing patient education by pharmaceutical professionals.

Material and methods. The study was conducted in 2025-2026 and included two stages: an analytical review of scientific publications and regulatory documents on the problem of antimicrobial resistance, as well as a one-time questionnaire. The sample consisted of 50 respondents aged 18 and over, divided into four age groups. The questionnaire contained 12 closed and semi-closed questions aimed at assessing knowledge about the indications for taking antibiotics, their use practices (compliance with the duration of the course, self-medication), sources of information and the need for additional counseling. Statistical processing was performed using descriptive statistics methods.

Results. A high level of formal knowledge has been established: 74% of respondents correctly indicated that antibiotics are effective against bacteria, and 68% start taking them only as prescribed by a doctor. However, significant behavioral risks have been identified: 53% of those surveyed consider it acceptable to use leftover antibiotics when experiencing similar symptoms, and 12% may stop the course early if their health improves; 70% described the possibility of purchasing antibiotics without a prescription as “accessible”. The main and most trusted source of information are medical and pharmaceutical professionals (90% of cases), while 84% of respondents expressed interest in receiving additional structured information.

Conclusion. A gap has been identified between formal awareness and the actual behavior of patients, which confirms the need for systemic measures. Priority areas for optimization have been proposed: standardizing information provided when dispensing antibiotics, introducing unified patient handouts, and strengthening the educational role of pharmaceutical professionals. Implementing these recommendations will help improve treatment adherence and reduce the risks of developing antimicrobial resistance.

Financing: The authors declared that there was no source of financing