“Navigating Healthcare and Social Interactions: The Impact of Multidrug-Resistant Bacteria on Wound Patients”– a qualitative study

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Abstract

Background Multidrug-resistant bacteria are a growing global health concern, fueled by antibiotic misuse and poor hygiene. Wound carriers face increased infection risks, as compromised skin becomes vulnerable to bacterial colonization. Hard-to-heal wounds require evidence-based care to minimize complications. While antibiotics aid treatment, overuse accelerates resistance. Many multidrug-resistant bacteria carriers experience stigma and inconsistent healthcare support, highlighting knowledge gaps among both patients and professionals. The aim of this study was to describe how people with wounds carrying multidrug-resistant bacteria experience the response from their surroundings. Methods In this qualitative study, semi-structured interviews were performed with eight patients with wounds, aged 31 to 79 years, carrying multidrug-resistant bacteria. The participants consist of seven men and one woman, with data analyzed through content analysis. The research follows COREQ guidelines to ensure methodological rigor. Results The analysis identified two overarching themes: “Response from the surroundings” and “Carriership of multidrug-resistant bacteria affects the surroundings.” The first theme encompasses sub-themes related to interactions with healthcare providers, family, friends, and broader societal responses. The second theme examines the excessive use of protective equipment, the carriers' perceived responsibility toward others, and society’s role in disseminating accurate information about multidrug-resistant bacteria. Additionally, the study reveals substantial knowledge gaps among participants regarding their carrier status and multidrug resistance. Many were unaware of the bacteria they carried or the appropriate management guidelines. While most reported positive experiences with healthcare professionals, some encountered inadequate treatment and stigma, emphasizing the need for consistent and informed care. Notably, the internet emerged as a key resource for health information, shaping participants’ understanding of their condition. Conclusions Though most participants felt well-treated, some experienced negative treatment. Increasing knowledge about multidrug-resistant bacteria among carriers and the public is crucial to reducing fear and improving care quality.

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