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Akılcı Antibiyotik Kullanımı Hakkında, Halkın Bilgi Düzeyinin Araştırılması

Year 2024, Volume: 14 Issue: 5, 235 - 239, 25.09.2024

Abstract

Giriş-amaç: Toplumda en çok kullanılan ilaçlar arasında antimikrobik ajanlar bulunmaktadır. Aynı zamanda yanlış kullanım oranı en fazla olan ilaç grubudur. Bu çalışmadaki amacımız, halkın antibiyotik ilaç kullanımı hakkında bilgi düzeyini araştırmaktır.
Gereç ve yöntemler: Bu çalışma 06.11.2022-26.11.2022 tarihinde 18 yaş ve üzeri 459 kişinin katılımı ile gerçekleştirildi. Katılımcılar internet üzerinden gönderdiğimiz 11 soruluk anketi cevaplandılar. Bulgular: Kadın oranı %75,8 oaln katılımcıların %64.7’si 18-24 yaş aralığındadır. Katılımcıların %82,1 bir sonraki hatalıklarında artmış antibiyotikleri kullanmadıklarını ifade ederken %80,6’sı hastaneye gidip doktordan antibiyotik yazmasını istememiştir. cinsiyet, sağlık bölümlerinde okuma ve sağlık ile ilgili bilgilere ulaşma durumunun; artmış antibyotik kullanımı ve antibiyotik yazdırmak için hastaneye gitmek arasında anlamlı düzeyde ilişki bulunmamıştır (p>0.05).
Sonuç: Dirençli bakterilerin ortaya çıkışı, anibiyotiklerin yaygın ve yanlış kullanımın kaçınılmaz sonucudur. Sağlık bölümlerinde okuma durumunun ilaç kullanımı arasında bir farkınolmaması bilgilendirmelerinin herkese yönelik yapılması gerektiğini, sağlık ile alakalı bilgilerie internet üzerinden ulaşan kişilerin oranı düşük olmadığını göz öünden bulundurarak bilgilendirmelerin sanal ortamlarda da yaygınlaşması faydalı olabilir.

References

  • 1. Waksman, Selman A. History of the word ‘antibiotic’. J Hist Med Allied Sci 1973;28(3):284-286.
  • 2. Milić, Nataša, et al. Occurrence of antibiotics as emerging contaminant substances in aquatic environment. Int J Environ Health Res. 2013;23(4):296-310.
  • 3. Barbosa, Teresa M., and Stuart B. Levy. The impact of antibiotic use on resistance development and persistence. Drug Resist Updat. 2000;3(5):303-311.
  • 4. Istúriz, Raúl E., and Claude Carbon. Antibiotic use in developing countries. Infect Control Hosp Epidemiol. 2000;21(6):394-397.
  • 5. Tunger, Ozlem, et al. Rational antibiotic use. J Infect Dev Ctries. 2009;3(2):88-93.
  • 6. Gyssens, Inge C. Quality measures of antimicrobial drug use. Int J Antimicrob Agents. 2001;17(1):9-19.
  • 7. Goossens, Herman, et al. National campaigns to improve antibiotic use. Eur J Clin Pharmacol. 2006;62(5):373-379.
  • 8. Friedman, Meyer, and Gerald W. Friedland. Medicine's 10 greatest discoveries. Yale University Press: New Haven;1998.
  • 9. O’Neill, Jim. Tackling a global health crisis: initial steps. The Review on Antimicrobial Resistance Chaired by Jim O’Neill: London;2015.
  • 10. Moser, Claus, et al. Antibiotic therapy as personalized medicine–general considerations and complicating factors. APMIS. 2019;127(5):361-371.
  • 11. Labi, Appiah-Korang, et al. Antibiotic use in a tertiary healthcare facility in Ghana: a point prevalence survey. Antimicrob Resist Infect Control. 2018;7:15.
  • 12. Hulscher, Marlies EJL, Richard PTM Grol, and Jos WM Van Der Meer. "Antibiotic prescribing in hospitals: a social and behavioural scientific approach. Lancet Infect Dis. 2010;10(3):167-175.
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  • 14. Daneman, Nick, et al. Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. JAMA Intern Med. 2015;175(8):1331-1339.
  • 15. Albrich, Werner C., Dominique L. Monnet, and Stephan Harbarth. "Antibiotic selection pressure and resistance in Streptococcus pneumoniae and Streptococcus pyogenes. Emerg Infect Dis. 2004;10(3):514-517.
  • 16. World Health Organization. The rational use of drugs. No. EM/RC33/R. 10, Geneva,1986.
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  • 18. Arason, Vilhjalmur A., et al. Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. BMJ. 1996;313(7054):387-391.
  • 19. Ulu Botan, Emine, et al. Van il merkezinde bir aile sağlığı merkezine başvuran erişkinlerde antibiyotik kullanımı ve etkileyen faktörler. Van Tıp Derg. 2017;24(1):29-34.
  • 20. Artantaş, Aylin Baydar, et al. Bir hastanenin aile hekimliği polikliniklerine başvuran erişkinlerin antibiyotik kullanımı konusundaki bazı alışkanlıkları, görüşleri ve bilgilerinin değerlendirilmesi. Ankara Med J. 2015;15(2):38-47.
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  • 22. Ilhan, Mustafa N., et al. Self‐medication with antibiotics: questionnaire survey among primary care center attendants. Pharmacoepidemiol Drug Saf. 2009;18(12):1150-1157.
  • 23. Yılmaz, M., & Tiraki, Z. Sağlık okuryazarlığı nedir? Nasıl ölçülür?. DEUHFED 2016;9(4):142-147.
  • 24. Wang, Xiu, & Shahzad. Exploring the determinants of online health information-seeking behavior using a meta-analytic approach. Sustain Sci 2019; 11(17): 1–14.
  • 25. Anderson, Alistair. Online health information and public knowledge, attitudes, and behaviours regarding antibiotics in the UK: Multiple regression analysis of Wellcome Monitor and Eurobarometer Data. PLoS One. 2018;13(10):e0204878.

Investigation of the Public Knowledge Level about Rational Antibiotic Use

Year 2024, Volume: 14 Issue: 5, 235 - 239, 25.09.2024

Abstract

Background: Antimicrobial agents are among the most commonly used drugs in society. It is also the group of drugs with the highest misuse rate. Our aim in this study is to investigate the level of knowledge of the public about the use of antibiotic drugs.
Materials and methods: This study was conducted between 06.11.2022-26.11.2022 with the participation of 459 people aged 18 and over. Participants filled outquestionnaires we sent online. Our data collection form consists of 11 questions.
Results: In this study, the rate of women is 75.8% and 64.7% of the participants are between the ages of 18-24. While 82.1% of the participants stated that they did not use the remaining antibiotics in their next illness, 80.6% did not go to the hospital and did not ask the doctor to prescribe antibiotics. Gender, reading in health departments and access to health-related information did not have a significant relationship between increased use of antibiotics and going to the hospital to prescribe antibiotics (p>0.05).
Conclusion: The emergence of resistant bacteria is the result of widespread and misuse of antibiotics. The fact that there is no difference between reading status and drug use in health departments shows that information should be made for everyone. In addition, considering that the rate of people accessing health-related information over the internet is not low, it may be beneficial to spread information in virtual environments.

References

  • 1. Waksman, Selman A. History of the word ‘antibiotic’. J Hist Med Allied Sci 1973;28(3):284-286.
  • 2. Milić, Nataša, et al. Occurrence of antibiotics as emerging contaminant substances in aquatic environment. Int J Environ Health Res. 2013;23(4):296-310.
  • 3. Barbosa, Teresa M., and Stuart B. Levy. The impact of antibiotic use on resistance development and persistence. Drug Resist Updat. 2000;3(5):303-311.
  • 4. Istúriz, Raúl E., and Claude Carbon. Antibiotic use in developing countries. Infect Control Hosp Epidemiol. 2000;21(6):394-397.
  • 5. Tunger, Ozlem, et al. Rational antibiotic use. J Infect Dev Ctries. 2009;3(2):88-93.
  • 6. Gyssens, Inge C. Quality measures of antimicrobial drug use. Int J Antimicrob Agents. 2001;17(1):9-19.
  • 7. Goossens, Herman, et al. National campaigns to improve antibiotic use. Eur J Clin Pharmacol. 2006;62(5):373-379.
  • 8. Friedman, Meyer, and Gerald W. Friedland. Medicine's 10 greatest discoveries. Yale University Press: New Haven;1998.
  • 9. O’Neill, Jim. Tackling a global health crisis: initial steps. The Review on Antimicrobial Resistance Chaired by Jim O’Neill: London;2015.
  • 10. Moser, Claus, et al. Antibiotic therapy as personalized medicine–general considerations and complicating factors. APMIS. 2019;127(5):361-371.
  • 11. Labi, Appiah-Korang, et al. Antibiotic use in a tertiary healthcare facility in Ghana: a point prevalence survey. Antimicrob Resist Infect Control. 2018;7:15.
  • 12. Hulscher, Marlies EJL, Richard PTM Grol, and Jos WM Van Der Meer. "Antibiotic prescribing in hospitals: a social and behavioural scientific approach. Lancet Infect Dis. 2010;10(3):167-175.
  • 13. Beceiro, Alejandro, María Tomás, and Germán Bou. Antimicrobial resistance and virulence: a successful or deleterious association in the bacterial world?. Clin Microbiol Rev. 2013;26(2):185-230.
  • 14. Daneman, Nick, et al. Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. JAMA Intern Med. 2015;175(8):1331-1339.
  • 15. Albrich, Werner C., Dominique L. Monnet, and Stephan Harbarth. "Antibiotic selection pressure and resistance in Streptococcus pneumoniae and Streptococcus pyogenes. Emerg Infect Dis. 2004;10(3):514-517.
  • 16. World Health Organization. The rational use of drugs. No. EM/RC33/R. 10, Geneva,1986.
  • 17. World Health Organization. Promoting rational use of medicines: core components. No. WHO/EDM/2002.3. World Health Organization, Geneva,2002.
  • 18. Arason, Vilhjalmur A., et al. Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. BMJ. 1996;313(7054):387-391.
  • 19. Ulu Botan, Emine, et al. Van il merkezinde bir aile sağlığı merkezine başvuran erişkinlerde antibiyotik kullanımı ve etkileyen faktörler. Van Tıp Derg. 2017;24(1):29-34.
  • 20. Artantaş, Aylin Baydar, et al. Bir hastanenin aile hekimliği polikliniklerine başvuran erişkinlerin antibiyotik kullanımı konusundaki bazı alışkanlıkları, görüşleri ve bilgilerinin değerlendirilmesi. Ankara Med J. 2015;15(2):38-47.
  • 21. Napolitano, Francesco, et al. Public knowledge, attitudes, and experience regarding the use of antibiotics in Italy. PLoS One. 2013;8(12):e84177.
  • 22. Ilhan, Mustafa N., et al. Self‐medication with antibiotics: questionnaire survey among primary care center attendants. Pharmacoepidemiol Drug Saf. 2009;18(12):1150-1157.
  • 23. Yılmaz, M., & Tiraki, Z. Sağlık okuryazarlığı nedir? Nasıl ölçülür?. DEUHFED 2016;9(4):142-147.
  • 24. Wang, Xiu, & Shahzad. Exploring the determinants of online health information-seeking behavior using a meta-analytic approach. Sustain Sci 2019; 11(17): 1–14.
  • 25. Anderson, Alistair. Online health information and public knowledge, attitudes, and behaviours regarding antibiotics in the UK: Multiple regression analysis of Wellcome Monitor and Eurobarometer Data. PLoS One. 2018;13(10):e0204878.
There are 25 citations in total.

Details

Primary Language English
Subjects Infectious Diseases, Clinical Microbiology
Journal Section Original Research
Authors

Ömer Karbuş 0000-0002-3135-0850

Zeynep Gümüşlü 0009-0008-4604-0100

Muhammed Ali Acaroğlu 0000-0002-3191-5305

Asel Dayıoğlu 0000-0003-1907-8652

Tuğba Kandemir 0000-0001-6085-3409

Ömer Demir 0000-0002-9145-1549

Şükran Köse 0000-0002-4228-1213

Publication Date September 25, 2024
Submission Date June 24, 2024
Acceptance Date August 2, 2024
Published in Issue Year 2024 Volume: 14 Issue: 5

Cite

AMA Karbuş Ö, Gümüşlü Z, Acaroğlu MA, Dayıoğlu A, Kandemir T, Demir Ö, Köse Ş. Investigation of the Public Knowledge Level about Rational Antibiotic Use. J Contemp Med. September 2024;14(5):235-239.