Sakarya İli'nde Antibiyotik Tüketim Sıklığının Araştırılması

Yıl 2023, , 456 - 464, 30.09.2023

Hüseyin Pehlivan , Oğuz Karabay , Ayten Yılmaz Yalçıner , Aziz Öğütlü , Elif Elçin Günay

https://doi.org/10.31832/smj.1185249

Öz

Amaç: Antibiyotik tüketiminin halk sağlığı açısından oldukça kritik olması nedeniyle, 2019 yılı için maliyet ve reçeteyle ilgili faktörler açısından Sakarya ilinde görev yapan Aile Hekimleri (FP) ve aile hekimleri dışındaki doktorlar (ODTP'ler) tarafından reçete edilen antibiyotik kutu sayılarına ait verilerin analiz edilmesi ve değerlendirilmesi amaçlanmıştır.
Yöntemler: Bu çalışma, retrospektif verilere dayanarak antibiyotik tüketiminin ölçülmesine dayanmaktadır. Türkiye ve Sakarya iline ait 2019 yılı için reçete edilen antibiyotik kutu sayıları analiz edilerek maliyet ve hekimlerin uzmanlıklarına göre karşılaştırma yapılmıştır. Analizdeki ki-kare homojenlik testi ve iki örnekli Poisson testi kullanılmıştır. p değerinin 0,05'ten küçük olması anlamlı olarak kabul edilmiştir.
Bulgular: Sakarya'daki FP (z = 307,57, p-değeri < 0,0001) ve ODTFP'ler (z = 278,27, p-değeri < 0,0001) için kişi başına düşen konsültasyon oranı Türkiye'dekilerden anlamlı derecede yüksektir. Ancak Sakarya'daki hem FP (Chi-Sq =17231.434, df = 1, p-değeri <0,0001) hem de ODTFP'lerin (Chi-Sq = 5197.376, df = 1, p-değeri < 0,0001) Türkiye geneline göre daha az sayıda antibiyotik reçete ettiği görülmektedir. 2019 yılında en çok reçete edilen antibiyotik grubu J01C penisilinler ve türevleridir.
Sonuç: Sakarya'da Türkiye geneline göre daha az antibiyotiğin reçete edilmesinin nedeninin, hekimlere verilen düzenli eğitim ve geri bildirim olduğu düşünülmektedir. Bu bağlamda hastanelerde uygulanan geri bildirim politikaları antibiyotik tüketimi yönetimi açısından oldukça değerlidir ve hekimlerin mezuniyet sonrası eğitimleri de akılcı antibiyotik kullanımı açısından oldukça faydalıdır.

Anahtar Kelimeler

antibiyotik, tüketim, sürveyans

Investigation of Antibiotic Prescription Related Factors in Sakarya Province

Öz

Aim: Because consumption of antibiotics is very critical for public health, it was aimed to analyze and evaluate the data of number of antibiotic packages prescribed by Family Physician (FP) and other doctors than family physicians (ODTFPs) serving in the province of Sakarya and Turkey in terms of cost and prescription related factors for 2019.
Methods: This study was based on the measurement of antibiotic consumption relied on retrospective data. The number of antibiotic packages prescribed for the year 2019 belonging to Turkey and Sakarya province was analyzed and compared based on cost and expertise of physicians. Chi-square test of homogeneity and two-sample Poisson tests were used in the analysis. p value less than 0.05 was accepted as significant.
Results: Consultation per capita for FPs (z = 307.57, p-value < 0.0001) and ODTFPs (z = 278.27, p-value < 0.0001) in Sakarya were significantly higher than that of those in Turkey. However, both FPs (Chi-Sq =17231.434, df = 1, p-value <0.0001) and ODTFPs (Chi-Sq = 5197.376, df = 1, p-value < 0.0001) in Sakarya prescribed fewer antibiotics than that of in Turkey for 2019. The most prescribed antibiotic group was the J01C group penicillins and its derivatives.
Conclusions: It is thought that the reasons of fewer antibiotics prescribed in Sakarya than in Turkey are related to regular training and feedback to physicians. In this context, feedback policies implemented in hospitals are very valuable for antibiotic consumption management. And post-graduate training of physicians is very beneficial for rational antibiotic usage.

Anahtar Kelimeler

Antibiotic, consumption, surveillance

Kaynakça

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