BibTex RIS Kaynak Göster

Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor

Yıl 2013, Cilt: 11 Sayı: 2, 45 - 50, 01.09.2013
https://doi.org/10.4274/Jcp.11.03522

Öz

Girifl: Ulusal akılcı antibiyotik kullanım politikalarının iyileştirilmesine yön vermek amacıyla çocuk doktorları, aile hekimleri ve pratisyen hekimlerin çocuklarda üst solunum yolu enfeksiyonlarında antibiyotik yazma davranışlarını etkileme olasılığı olan sosyokültürel, sosyodemografik ve düşünsel faktörler araştırıldı. Gereç ve Yöntem: Etik kurul onayı alındıktan sonra ülkenin farklı bölgelerinde çalışan 7421 hekime anketler dağıtıldı. Reçete etme davranışlarını etkileyen her bir faktörün bağımsız etkisini ortaya koyabilmek için, bu kişilerden elde edilen 1477 anket sonucu çok değişkenli analiz ile incelendi. Bulgular: Sonuçlarımız; çocuk hekimi olmanın, tıp fakültesinde çalışmanın ve fizik muayene için yeterli vakit ayırmanın bağımsız olarak az antibiyotik reçete edilmesi ile ilişkili olduğunu gösterdi. Aile hekimi ve pratisyen hekimler çocuklarda üst solunum yolu enfeksiyonları için daha fazla antibiyotik yazmaktaydılar. Sonuç: Çocuklarda üst solunum yolu enfeksiyonlarında antibiyotik reçete etme davranışını düzenleyen en önemli faktörler fizik muayene süresi ve eğitimin kalitesiydi. Güncel Pediatri 2013; 11: 45-50

Kaynakça

  • 1. Teng CL, Achike FI, Phua KL, Norhayati Y, Nurjahan MI, Nor AH, Koh CN, et al. General and URTI-specific antibiotic prescription rates in a Malaysian primary care setting. Int J Antimicrob Agents 2004;24:496-501.
  • 2. Nicolau D. Clinical and economic implications of antimicrobial resistance for the management of community-acquired respiratory tract infections. J Antimicrob Chemother 2002;50:61-70.
  • 3. Johnston BL. Methicillin-resistant Staphylococcus aureus as a cause of community-acquired pneumonia--a critical review. Semin Respir Infect 1994;9:199-206.
  • 4. Levy I, Leibovici L, Drucker M, Samra Z, Konisberger H, Ashkenazi S. A prospective study of Gram-negative bacteremia in children. Pediatr Infect Dis J 1996;15:117-22.
  • 5. Cunha BA. Effective antibiotic-resistance control strategies. Lancet 2001;357:1307-8.
  • 6. Mainous AG 3rd, Hueston WJ, Clark JR. Antibiotics and upper respiratory infection: do some folks think there is a cure for the common cold. J Fam Pract 1996;42:357-61.
  • 7. Rao N, Jacobs S, Joyce L. Cost-effective eradication of an outbreak of methicillin-resistant Staphylococcus aureus in a community teaching hospital. Infect Control Hosp Epidemiol 1988;9:255-60.
  • 8. Corbett KK, Gonzales R, Leeman-Castillo BA, Flores E, Maselli J, Kafadar K. Appropriate antibiotic use: variation in knowledge and awareness by Hispanic ethnicity and language. Prev Med 2005;40:162-9.
  • 9. Chang GC, Tang SF. Parental knowledge, attitudes and antibiotic use for acute upper respiratory tract infection in children attending a primary healthcare clinic in Malaysia. Singapore Med J 2006;47:266-70.
  • 10. Okeke IN, Lamikanra A, Edelman R. Socioeconomic and behavioral factors leading to acquired bacterial resistance to antibiotics in developing countries. Emerg Infect Dis 1999;5:18-27.
  • 11. Avorn J, Solomon DH. Cultural and economic factors that (mis)shape antibiotic use: the nonpharmacologic basis of therapeutics. Ann Intern Med 2000;133:128-35.
  • 12. Simpson SA, Wood F, Butler CC. General practitioners’ perceptions of antimicrobial resistance: a qualitative study. J Antimicrob Chemother 2006;59:292-6.
  • 13. Irwin RS, Baumann MH, Bolser DC, Boulet LP, Braman SS, Brightling CE, et al. Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest 2006;129 (Suppl 1):1-23.
  • 14. Diagnosis and Management of Acute Otitis Media. Subcommittee on Management of Acute Otitis Media: Diagnosis and management of acute otitis media (editorial). Pediatrics 2004;113:1451-65.
  • 15. Wong DM, Blumberg DA, Lowe LG. Guidelines for the use of antibiotics in acute upper respiratory tract infections. Am Fam Physician 2006;74:956-66.
  • 16. Centre for Clinical Practice. Respiratory tract infections – antibiotic prescribing. Prescribing of antibiotics for self-limiting respiratory tract infections in adults and children in primary care (editorial). London (UK): National Institute for Health and Clinical Excellence (NICE); 2008.
  • 17. Stojanovi-Spehar S, Blazekovi-Milakovi S, Bergman-Markovi B, Vrca-Botica M, Matijasevi I. Prescribing antibiotics to preschool children in primary health care in Croatia. Coll Antropol 2008;32:125-30.
  • 18. Sahin H, Arsu G, Köseli D, Büke C. Evaluation of primary health care physicians’ knowledge on rational antibiotic use. Mikrobiyol Bul 2008;42:343-8.
  • 19. Kho BP, Ong CM, Tan FT, Wee CY. Antibiotic prescribing for upper respiratory tract infections in sarawak district hospitals. Med J Malaysia 2013;68:136-40.
  • 20. Bauchner H, Pelton SI, Klein JO. Parents, physicians, and antibiotic use. Pediatrics 1999;103:395-8.
  • 21. Linder JA, Singer DE, Stafford RS. Association between antibiotic prescribing and visit duration in adults with upper respiratory tract infections. Clin Ther 2003;25:2419-30.
  • 22. Turkiye’de saglik egitimi ve saglik insan gucu durum raporu, Ankara 2010:1-281.
  • 23. Turkiye saglik sektoru raporu. Yased. Haziran 2012:27. http:// www.yased.org.tr.
  • 24. Marsden D. Perspectives on performance pay in government organizations: a short review of history, research and theory so far, and main trends in OECD member countries. Introductory paper for the OECD-GOV/PUMA experts meeting. Performance-related pay of government employees: Assesing reforms across OECD countries, experts meeting, OECD, Paris 2003.
  • 25. Hekimlerin degerlendirmesi ile performansa dayali odeme. Turk Tabipleri Birligi Etik Kurulu, Ankara 2009:1-64.
  • 26. Armour BS, Pitts MM, Maclean R, Cangialose C, Kishel M, Imai H, et al. The effect of explicit financial incentives on physician behavior. Arch Intern Med 2001;161:1261-6.
  • 27. Simpson SA, Wood F, Butler CC. General practitioners’ perceptions of antimicrobial resistance: a qualitative study. J Antimicrob Chemother 2006;59:292-6.
  • 28. Huang N, Morlock L, Lee CH, Chen LS, Chou YJ Antibiotic prescribing for children with nasopharyngitis (common colds), upper respiratory infections, and bronchitis who have healthprofessional parents. Pediatrics 2005;116:826-32.
  • 29. Lim KHJ, Yap KB. The prescribing pattern of outpatient polyclinic doctors. Singapore Med J 1999;40:416-9.
  • 30. Chang SC, Shiu MN, Chen TJ. Antibiotic usage in primary care units inTaiwan after the institution of national health insurance. Diagn Microbiol Infect Dis 2001;40:137-43.
  • 31. Chalker J. Improving antibiotic prescribing in Hai Phong Province, Vietnam: the ‘antibiotic-dose’ indicator. Bull World Health Organ 2001;79:313-20.

Longer Time Spent for Patient in Outpatient Setting is Associated with Lower Antibiotic Prescription

Yıl 2013, Cilt: 11 Sayı: 2, 45 - 50, 01.09.2013
https://doi.org/10.4274/Jcp.11.03522

Öz

Introduction: In order to guide the improvement in the national judicious antibiotic use policy, the socio-cultural, socio-demographic, and cognitive factors that may potentially influence the prescribing habits of pediatricians, family physicians and general practitioners to upper respiratory tract infections in children were investigated. Materials and Methods: After receiving approval from ethic committee, questionnaire was sent to 7421 physicians who had been practicing in the different regions of the country. Responses obtained from 1477 of them were evaluated by multivariate analysis to demonstrate independent effect of each factor influencing the prescribing habits. Results: Our results have shown that being a pediatrician, working in medical school, and spending enough time for physical examination were independently associated with less antibiotic prescription. Family physicians and general practitioners were more likely to prescribe antibiotics for viral upper respiratory infections in children. Conclusions: The most important modifying factors about antibiotic prescription habits for upper respiratory tract infections in children were physical examination period and quality of education. Journal of Current Pediatrics 2013; 11: 45-50

Kaynakça

  • 1. Teng CL, Achike FI, Phua KL, Norhayati Y, Nurjahan MI, Nor AH, Koh CN, et al. General and URTI-specific antibiotic prescription rates in a Malaysian primary care setting. Int J Antimicrob Agents 2004;24:496-501.
  • 2. Nicolau D. Clinical and economic implications of antimicrobial resistance for the management of community-acquired respiratory tract infections. J Antimicrob Chemother 2002;50:61-70.
  • 3. Johnston BL. Methicillin-resistant Staphylococcus aureus as a cause of community-acquired pneumonia--a critical review. Semin Respir Infect 1994;9:199-206.
  • 4. Levy I, Leibovici L, Drucker M, Samra Z, Konisberger H, Ashkenazi S. A prospective study of Gram-negative bacteremia in children. Pediatr Infect Dis J 1996;15:117-22.
  • 5. Cunha BA. Effective antibiotic-resistance control strategies. Lancet 2001;357:1307-8.
  • 6. Mainous AG 3rd, Hueston WJ, Clark JR. Antibiotics and upper respiratory infection: do some folks think there is a cure for the common cold. J Fam Pract 1996;42:357-61.
  • 7. Rao N, Jacobs S, Joyce L. Cost-effective eradication of an outbreak of methicillin-resistant Staphylococcus aureus in a community teaching hospital. Infect Control Hosp Epidemiol 1988;9:255-60.
  • 8. Corbett KK, Gonzales R, Leeman-Castillo BA, Flores E, Maselli J, Kafadar K. Appropriate antibiotic use: variation in knowledge and awareness by Hispanic ethnicity and language. Prev Med 2005;40:162-9.
  • 9. Chang GC, Tang SF. Parental knowledge, attitudes and antibiotic use for acute upper respiratory tract infection in children attending a primary healthcare clinic in Malaysia. Singapore Med J 2006;47:266-70.
  • 10. Okeke IN, Lamikanra A, Edelman R. Socioeconomic and behavioral factors leading to acquired bacterial resistance to antibiotics in developing countries. Emerg Infect Dis 1999;5:18-27.
  • 11. Avorn J, Solomon DH. Cultural and economic factors that (mis)shape antibiotic use: the nonpharmacologic basis of therapeutics. Ann Intern Med 2000;133:128-35.
  • 12. Simpson SA, Wood F, Butler CC. General practitioners’ perceptions of antimicrobial resistance: a qualitative study. J Antimicrob Chemother 2006;59:292-6.
  • 13. Irwin RS, Baumann MH, Bolser DC, Boulet LP, Braman SS, Brightling CE, et al. Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest 2006;129 (Suppl 1):1-23.
  • 14. Diagnosis and Management of Acute Otitis Media. Subcommittee on Management of Acute Otitis Media: Diagnosis and management of acute otitis media (editorial). Pediatrics 2004;113:1451-65.
  • 15. Wong DM, Blumberg DA, Lowe LG. Guidelines for the use of antibiotics in acute upper respiratory tract infections. Am Fam Physician 2006;74:956-66.
  • 16. Centre for Clinical Practice. Respiratory tract infections – antibiotic prescribing. Prescribing of antibiotics for self-limiting respiratory tract infections in adults and children in primary care (editorial). London (UK): National Institute for Health and Clinical Excellence (NICE); 2008.
  • 17. Stojanovi-Spehar S, Blazekovi-Milakovi S, Bergman-Markovi B, Vrca-Botica M, Matijasevi I. Prescribing antibiotics to preschool children in primary health care in Croatia. Coll Antropol 2008;32:125-30.
  • 18. Sahin H, Arsu G, Köseli D, Büke C. Evaluation of primary health care physicians’ knowledge on rational antibiotic use. Mikrobiyol Bul 2008;42:343-8.
  • 19. Kho BP, Ong CM, Tan FT, Wee CY. Antibiotic prescribing for upper respiratory tract infections in sarawak district hospitals. Med J Malaysia 2013;68:136-40.
  • 20. Bauchner H, Pelton SI, Klein JO. Parents, physicians, and antibiotic use. Pediatrics 1999;103:395-8.
  • 21. Linder JA, Singer DE, Stafford RS. Association between antibiotic prescribing and visit duration in adults with upper respiratory tract infections. Clin Ther 2003;25:2419-30.
  • 22. Turkiye’de saglik egitimi ve saglik insan gucu durum raporu, Ankara 2010:1-281.
  • 23. Turkiye saglik sektoru raporu. Yased. Haziran 2012:27. http:// www.yased.org.tr.
  • 24. Marsden D. Perspectives on performance pay in government organizations: a short review of history, research and theory so far, and main trends in OECD member countries. Introductory paper for the OECD-GOV/PUMA experts meeting. Performance-related pay of government employees: Assesing reforms across OECD countries, experts meeting, OECD, Paris 2003.
  • 25. Hekimlerin degerlendirmesi ile performansa dayali odeme. Turk Tabipleri Birligi Etik Kurulu, Ankara 2009:1-64.
  • 26. Armour BS, Pitts MM, Maclean R, Cangialose C, Kishel M, Imai H, et al. The effect of explicit financial incentives on physician behavior. Arch Intern Med 2001;161:1261-6.
  • 27. Simpson SA, Wood F, Butler CC. General practitioners’ perceptions of antimicrobial resistance: a qualitative study. J Antimicrob Chemother 2006;59:292-6.
  • 28. Huang N, Morlock L, Lee CH, Chen LS, Chou YJ Antibiotic prescribing for children with nasopharyngitis (common colds), upper respiratory infections, and bronchitis who have healthprofessional parents. Pediatrics 2005;116:826-32.
  • 29. Lim KHJ, Yap KB. The prescribing pattern of outpatient polyclinic doctors. Singapore Med J 1999;40:416-9.
  • 30. Chang SC, Shiu MN, Chen TJ. Antibiotic usage in primary care units inTaiwan after the institution of national health insurance. Diagn Microbiol Infect Dis 2001;40:137-43.
  • 31. Chalker J. Improving antibiotic prescribing in Hai Phong Province, Vietnam: the ‘antibiotic-dose’ indicator. Bull World Health Organ 2001;79:313-20.
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Özge Serçe Bu kişi benim

Mustafa Bakır Bu kişi benim

Yayımlanma Tarihi 1 Eylül 2013
Yayımlandığı Sayı Yıl 2013 Cilt: 11 Sayı: 2

Kaynak Göster

APA Serçe, Ö., & Bakır, M. (2013). Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor. Güncel Pediatri, 11(2), 45-50. https://doi.org/10.4274/Jcp.11.03522
AMA Serçe Ö, Bakır M. Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor. Güncel Pediatri. Eylül 2013;11(2):45-50. doi:10.4274/Jcp.11.03522
Chicago Serçe, Özge, ve Mustafa Bakır. “Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor”. Güncel Pediatri 11, sy. 2 (Eylül 2013): 45-50. https://doi.org/10.4274/Jcp.11.03522.
EndNote Serçe Ö, Bakır M (01 Eylül 2013) Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor. Güncel Pediatri 11 2 45–50.
IEEE Ö. Serçe ve M. Bakır, “Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor”, Güncel Pediatri, c. 11, sy. 2, ss. 45–50, 2013, doi: 10.4274/Jcp.11.03522.
ISNAD Serçe, Özge - Bakır, Mustafa. “Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor”. Güncel Pediatri 11/2 (Eylül 2013), 45-50. https://doi.org/10.4274/Jcp.11.03522.
JAMA Serçe Ö, Bakır M. Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor. Güncel Pediatri. 2013;11:45–50.
MLA Serçe, Özge ve Mustafa Bakır. “Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor”. Güncel Pediatri, c. 11, sy. 2, 2013, ss. 45-50, doi:10.4274/Jcp.11.03522.
Vancouver Serçe Ö, Bakır M. Poliklinik Başvurularında Fizik Muayene Süresini Uzun Tutmak Antibiyotik Reçete Edilmesini Azaltıyor. Güncel Pediatri. 2013;11(2):45-50.