Canadian Community Health Survey (CCHS) Rapid Response January-June 2018 - Antibiotic Medication Use

Canadian Community Health Survey (CCHS) Rapid Response January-June 2018 - Antibiotic Medication Use
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Antibiotic medication use (AMU)

AMU is offered as a rapid response module from January to June 2018, and data is collected from all provinces. It collects information about the use of oral antibiotics that are prescribed in Canada. In this module, oral antibiotic prescriptions include those prescribed by physicians and pharmacists, and those received in a hospital for later use. It excludes antibiotics that are administered to patients while they are in the hospital.

Data collected by this module include: the number of prescriptions per respondent and the medical reason for the prescription; the place the prescription originated (e.g., physician's office, pharmacy, dentist); patient adherence to the prescribed antibiotic treatment; and ways of discarding leftover antibiotics.

The overuse of antibiotics, the use of non-prescribed antibiotics, or non-adherence to prescribed treatment (e.g., not completing all the medication) may be contributing to an increase in antibiotic-resistant bacteria. The data from this module will be used to assess the different types of antibiotic-use behaviour.

Antibiotic medication use (AMU) - Question identifier:AMU_R005

The next questions are about oral antibiotics that have been prescribed to you in the past 12 months, including those received at a hospital for later use. Please exclude the antibiotics administered to you while in the hospital.

Oral antibiotics are taken by mouth and are used to treat infections.

Antibiotic medication use (AMU) - Question identifier:AMU_Q005

In the past 12 months, have you been prescribed any oral antibiotics?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Antibiotic medication use (AMU) - Question identifier:AMU_Q010

In the past 12 months, were you prescribed more than one (oral antibiotic)?

  • 1: Yes
  • 2: No, just one
  • 8: RF
  • 9: DK

Antibiotic medication use (AMU) - Question identifier:AMU_Q015

[Thinking of the last time you were prescribed an oral antibiotic (in the past 12 months)], what medical reason was your prescription for?

  • 1: Chest infection (e.g., bronchitis, bronchiolitis, pneumonia, chest cough)
  • 2: Ear, nose, throat, sinus, eye infection (e.g., strep throat, pink eye, sinusitis, sore throat, pharyngitis, tonsillitis)
  • 3: Urinary tract infection - UTI (e.g., bladder, kidney, urethra infection)
  • 4: Skin infection (e.g., acne, cellulitis, abscess, boil, nail infection)
  • 5: Gastrointestinal infection (e.g., food poisoning, diarrhea, vomiting, gastritis, ulcer)
  • 6: Other (e.g., dental infection, STIs, gonorrhea, chlamydia, blood infection, sepsis, bone infection, osteomyelitis)
  • 8: RF
  • 9: DK

Antibiotic medication use (AMU) - Question identifier:AMU_Q020

(Thinking about this last oral antibiotic), was it prescribed at a...?

"Another place" can include a medical specialist's office, pharmacy or optometrist's office.

  • 1: Walk-in clinic or doctor's office
  • 2: Hospital as an outpatient (e.g., emergency ward or day clinic)
  • 3: Hospital while you were admitted
  • 4: Dentist's office
  • 5: Another place
  • 8: RF
  • 9: DK

Antibiotic medication use (AMU) - Question identifier:AMU_Q025

(Thinking about this last oral antibiotic) did you, or someone on your behalf, receive information from a health care professional, including a pharmacist, on how to take it?

By "how to take it", we mean the frequency and duration of taking them, the reasons why they were prescribed, the consequences of not complying, etc. The information could have been provided verbally or in writing.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Antibiotic medication use (AMU) - Question identifier:AMU_Q030

(Again, thinking about this last oral antibiotic), did you take it as prescribed?

Taking "as prescribed" means taking the exact amount of antibiotic per day, for the number of days prescribed.

  • 1: Yes (took it as prescribed)
  • 2: No (did not take it as prescribed)
  • 3: Not applicable (did not get prescription filled))
  • 4: Still taking it
  • 8: RF
  • 9: DK

Antibiotic medication use (AMU) - Question identifier:AMU_Q035

In what way did you not take it as prescribed?

"Another way" could include not following other suggested guidelines, such as taking the antibiotic with or without food.

  • 1: Incorrect daily dosage, such as missing a dose / taking too many or too few
  • 2: Did not finish it
  • 3: Another way
  • 4: Did not take it at all
  • 8: RF
  • 9: DK

Antibiotic medication use (AMU) - Question identifier:AMU_Q040

In the past 12 months, thinking of all the oral antibiotics you were prescribed, did you have any left?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Antibiotic medication use (AMU) - Question identifier:AMU_Q045

What did you do with them?

  • 1: Threw them in the garbage
  • 2: Flushed them down the toilet / sink
  • 3: Kept them / did nothing
  • 4: Gave them to someone else for their use
  • 5: Returned them to the pharmacy
  • 6: Other action
  • 8: RF
  • 9: DK
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