BibTex RIS Cite

Attitudes and behaviors of Family Physicians regarding use of antibiotics

Year 2011, Volume: 1 Issue: 02, 53 - 57, 01.06.2011
https://doi.org/10.5799/ahinjs.02.2011.02.0013

Abstract

Objectives: Antimicrobials are the most widely used drug groups and antibiotic resistance due to irrational antimicrobial usage is a major problem in the world. The aim of this study is to evaluate attitudes of family physicians antimicrobial prescribing. Materials and methods: This study was conducted in November 2006 in Bolu and Duzce provinces where the first family physician practices were initiated in Turkey. The records of family physicians were reviewed retrospectively. Patients\' data, social security institution of the patients, the diagnosis and prescribed antibiotics, duration, dosage and routes of antibiotic administration were recorded. Results: A total of 4,497 patients were included in the study consisting of 1,752 (39%) men, and 2,745 (61%) women. The mean age of the patients was 36.6 ± 22.7 years. Antimicrobials were prescribed to 1,167 patients (25.9%). Among 1,167 antibiotics, 1,064 (91.2%) were administered orally, 77 (6.6%) were paranteral and 26 (2.2%) were taken through other routes. In 39 (3.3%) patients, there was no indication for antimicrobial use. In 103 patients (9.1%) from the accurate antibiotic indication group, the choice of the agent was not consistent with the guidelines. In 273 patients (23.4%) on antimicrobial therapy, duration of the antibiotic was inappropriate. The most common indication of the antibiotic prescription was tonsillopharyngitis and the most prescribed antibiotics for this diagnosis were beta lactam/beta lactamase inhibitors. Conclusions: In conclusion, there is still considerable overuse of antibiotics by primary care patients, especially the ones suffering respiratory tract infections. Educational interventions on antimicrobial use could be useful.

References

  • 1. World Health Organization (WHO). The rational use of drugs. Report of the Conference of Experts, Nairobi (25-29 November 1985) Geneva, 1987.
  • 2. Akan H. Akılcı antibiyotik kullanımı ve Türk Hematoloji Derne- ği. ANKEM Derg. 2006; 20:65-67.
  • 3. Top M, Tarcan M. Türkiye ilaç ekonomisi ve ilaç harcamaları 1998-2003 dönemi değerlendirmesi. Liberal Düşünce Dergisi 2004; 9;177-200.
  • 4. Unal S: Rasyonel Antibiyotik Kullanımı ANKEM Derg. 2005;19:180-181.
  • 5. Öztürk R. Akılcı antibiyotik kullanımı ve ülkemizde antimikrobik maddelere direnç sorunu. İ.Ü. Cerrahpaşa Tıp Fakültesi, Sü- rekli Tıp Eğitimi Etkinlikleri Sempozyum Dizisi No:61, 2008; 1-16.
  • 6. Mollahaliloğlu S, Bora Başara B, Eryılmaz Z. T.C. Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2010. Hıfzıssıhha Mektebi Müdürlüğü, Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Sağlık Bakanlığı, Ankara, 2010.
  • 7. Akici A, Kalaca S, Ugurlu MU, Oktay S. Prescribing habits of general practitioners in the treatment of childhood respiratory-tract infections, Eur J Clin Pharmacol 2004; 60:211-216.
  • 8. Çetin ÇB, Yalçın AN, Turgut H, Çelik A, Çaylar A. Toplumda antibiyotik kullanımı, İnfeksiyon Dergisi 1999; 13: 263-265.
  • 9. Şaşmaz T, Buğdaycı R, Kurt AÖ, Tezcan H. Mersin’de bir merkez Sağlık Ocağında Akut Solunum Yolu İnfeksiyonları için Reçete Edilen Antibiyotiklerin İncelenmesi, Mersin Üniversitesi Tıp Fakültesi Derg. 2002; 3: 185-190.
  • 10. T.C. Düzce Valiliği. Available at: http://www.duzce.gov.tr/index.php?option=com_content&task=view&id=441&Itemid=1 93. (Accessed 24 September 2011).
  • 11. T.C. Bolu Valiliği. Genel Bilgiler. Available at: http://www.bolu. gov.tr/documents/genel_bilgiler.pdf. (Accessed 24 September 2011)
  • 12. Karabay O, Hosoglu S. Increased antimicrobial consumption following reimbursement reform in Turkey. J Antimicrob Chemother 2008; 61:1169-1171.
  • 13. WHO (2000) Overcoming Antimicrobial Resistance. World Health Report on Infectious Diseases 2000, Geneva. http:// www.who.int/infectious-disease-report/2000/index. (Accessed 16 June.2011)
  • 14. Baytemur M. The problems in rationale antibiotic usage in primary health care. ANKEM Derg. 2005; 19:182-184.
  • 15. Hosoglu S, Esen S, Ozturk R, et al. The effect of a restriction policy on the antimicrobial consumption in Turkey: a countrywide study. Eur J Clin Pharmacol 2005; 61: 727-731.
  • 16. Sahin H, Arsu G, Koseli D, Buke C. Evaluation of primary health care physicians’ knowledge on rational antibiotic use. Mikrobiyol Bul 2008; 42:343-348.
  • 17. Ilhan M. Toplumda antibiyotik kullanımı sıklığı ve hekimlerin antibiyotik reçetesi yazma durumları ile ilişkili etmenlerin belirlenmesi araştırması. T.C. Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Ankara, 2011.
  • 18. Panasiuk L, Lukas W, Paprzycki P, Verheij T, Godycki-Ćwirko M, Chlabicz S. Antibiotics in the treatment of upper respiratory tract infections in Poland. Is there any improvement? J Clin Pharm Ther 2010; 35::665-669.

Attitudes and behaviors of Family Physicians regarding use of antibiotics

Year 2011, Volume: 1 Issue: 02, 53 - 57, 01.06.2011
https://doi.org/10.5799/ahinjs.02.2011.02.0013

Abstract

References

  • 1. World Health Organization (WHO). The rational use of drugs. Report of the Conference of Experts, Nairobi (25-29 November 1985) Geneva, 1987.
  • 2. Akan H. Akılcı antibiyotik kullanımı ve Türk Hematoloji Derne- ği. ANKEM Derg. 2006; 20:65-67.
  • 3. Top M, Tarcan M. Türkiye ilaç ekonomisi ve ilaç harcamaları 1998-2003 dönemi değerlendirmesi. Liberal Düşünce Dergisi 2004; 9;177-200.
  • 4. Unal S: Rasyonel Antibiyotik Kullanımı ANKEM Derg. 2005;19:180-181.
  • 5. Öztürk R. Akılcı antibiyotik kullanımı ve ülkemizde antimikrobik maddelere direnç sorunu. İ.Ü. Cerrahpaşa Tıp Fakültesi, Sü- rekli Tıp Eğitimi Etkinlikleri Sempozyum Dizisi No:61, 2008; 1-16.
  • 6. Mollahaliloğlu S, Bora Başara B, Eryılmaz Z. T.C. Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2010. Hıfzıssıhha Mektebi Müdürlüğü, Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Sağlık Bakanlığı, Ankara, 2010.
  • 7. Akici A, Kalaca S, Ugurlu MU, Oktay S. Prescribing habits of general practitioners in the treatment of childhood respiratory-tract infections, Eur J Clin Pharmacol 2004; 60:211-216.
  • 8. Çetin ÇB, Yalçın AN, Turgut H, Çelik A, Çaylar A. Toplumda antibiyotik kullanımı, İnfeksiyon Dergisi 1999; 13: 263-265.
  • 9. Şaşmaz T, Buğdaycı R, Kurt AÖ, Tezcan H. Mersin’de bir merkez Sağlık Ocağında Akut Solunum Yolu İnfeksiyonları için Reçete Edilen Antibiyotiklerin İncelenmesi, Mersin Üniversitesi Tıp Fakültesi Derg. 2002; 3: 185-190.
  • 10. T.C. Düzce Valiliği. Available at: http://www.duzce.gov.tr/index.php?option=com_content&task=view&id=441&Itemid=1 93. (Accessed 24 September 2011).
  • 11. T.C. Bolu Valiliği. Genel Bilgiler. Available at: http://www.bolu. gov.tr/documents/genel_bilgiler.pdf. (Accessed 24 September 2011)
  • 12. Karabay O, Hosoglu S. Increased antimicrobial consumption following reimbursement reform in Turkey. J Antimicrob Chemother 2008; 61:1169-1171.
  • 13. WHO (2000) Overcoming Antimicrobial Resistance. World Health Report on Infectious Diseases 2000, Geneva. http:// www.who.int/infectious-disease-report/2000/index. (Accessed 16 June.2011)
  • 14. Baytemur M. The problems in rationale antibiotic usage in primary health care. ANKEM Derg. 2005; 19:182-184.
  • 15. Hosoglu S, Esen S, Ozturk R, et al. The effect of a restriction policy on the antimicrobial consumption in Turkey: a countrywide study. Eur J Clin Pharmacol 2005; 61: 727-731.
  • 16. Sahin H, Arsu G, Koseli D, Buke C. Evaluation of primary health care physicians’ knowledge on rational antibiotic use. Mikrobiyol Bul 2008; 42:343-348.
  • 17. Ilhan M. Toplumda antibiyotik kullanımı sıklığı ve hekimlerin antibiyotik reçetesi yazma durumları ile ilişkili etmenlerin belirlenmesi araştırması. T.C. Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Ankara, 2011.
  • 18. Panasiuk L, Lukas W, Paprzycki P, Verheij T, Godycki-Ćwirko M, Chlabicz S. Antibiotics in the treatment of upper respiratory tract infections in Poland. Is there any improvement? J Clin Pharm Ther 2010; 35::665-669.
There are 18 citations in total.

Details

Primary Language English
Journal Section ART
Authors

Oğuz Karabay This is me

Davut Özdemir This is me

Ertuğrul Güçlü This is me

Mustafa Yıldırım This is me

Nevin İnce This is me

Abdulkadir Küçükbayrak This is me

Selma Çakır This is me

Mustafa Gülenç This is me

Mehmet İnce This is me

Keziban Demirli This is me

Publication Date June 1, 2011
Published in Issue Year 2011 Volume: 1 Issue: 02

Cite

APA Karabay, O., Özdemir, D., Güçlü, E., Yıldırım, M., et al. (2011). Attitudes and behaviors of Family Physicians regarding use of antibiotics. Journal of Microbiology and Infectious Diseases, 1(02), 53-57. https://doi.org/10.5799/ahinjs.02.2011.02.0013
AMA Karabay O, Özdemir D, Güçlü E, Yıldırım M, İnce N, Küçükbayrak A, Çakır S, Gülenç M, İnce M, Demirli K. Attitudes and behaviors of Family Physicians regarding use of antibiotics. J Microbil Infect Dis. June 2011;1(02):53-57. doi:10.5799/ahinjs.02.2011.02.0013
Chicago Karabay, Oğuz, Davut Özdemir, Ertuğrul Güçlü, Mustafa Yıldırım, Nevin İnce, Abdulkadir Küçükbayrak, Selma Çakır, Mustafa Gülenç, Mehmet İnce, and Keziban Demirli. “Attitudes and Behaviors of Family Physicians Regarding Use of Antibiotics”. Journal of Microbiology and Infectious Diseases 1, no. 02 (June 2011): 53-57. https://doi.org/10.5799/ahinjs.02.2011.02.0013.
EndNote Karabay O, Özdemir D, Güçlü E, Yıldırım M, İnce N, Küçükbayrak A, Çakır S, Gülenç M, İnce M, Demirli K (June 1, 2011) Attitudes and behaviors of Family Physicians regarding use of antibiotics. Journal of Microbiology and Infectious Diseases 1 02 53–57.
IEEE O. Karabay, “Attitudes and behaviors of Family Physicians regarding use of antibiotics”, J Microbil Infect Dis, vol. 1, no. 02, pp. 53–57, 2011, doi: 10.5799/ahinjs.02.2011.02.0013.
ISNAD Karabay, Oğuz et al. “Attitudes and Behaviors of Family Physicians Regarding Use of Antibiotics”. Journal of Microbiology and Infectious Diseases 1/02 (June 2011), 53-57. https://doi.org/10.5799/ahinjs.02.2011.02.0013.
JAMA Karabay O, Özdemir D, Güçlü E, Yıldırım M, İnce N, Küçükbayrak A, Çakır S, Gülenç M, İnce M, Demirli K. Attitudes and behaviors of Family Physicians regarding use of antibiotics. J Microbil Infect Dis. 2011;1:53–57.
MLA Karabay, Oğuz et al. “Attitudes and Behaviors of Family Physicians Regarding Use of Antibiotics”. Journal of Microbiology and Infectious Diseases, vol. 1, no. 02, 2011, pp. 53-57, doi:10.5799/ahinjs.02.2011.02.0013.
Vancouver Karabay O, Özdemir D, Güçlü E, Yıldırım M, İnce N, Küçükbayrak A, Çakır S, Gülenç M, İnce M, Demirli K. Attitudes and behaviors of Family Physicians regarding use of antibiotics. J Microbil Infect Dis. 2011;1(02):53-7.