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Abstract - Attitudes and behaviors of Family Physicians regarding use of antibiotics
Oğuz Karabay, Davut Özdemir, Ertuğrul Güçlü, Mustafa Yıldırım, Nevin İnce, Abdulkadir Küçükbayrak, Selma Çakır, Mustafa Gülenç, Mehmet İnce, Keziban Demirli

 

Attitudes and behaviors of Family Physicians regarding use of antibiotics

Oğuz Karabay1, Davut Özdemir2, Ertuğrul Güçlü3, Mustafa Yıldırım2, Nevin İnce4, Abdulkadir Küçükbayrak5, Selma Çakır6, Mustafa Gülenç7, Mehmet İnce8, Keziban Demirli9

1Sakarya University, School of Medicine, Dept. of Infectious Diseases and Clinical Microbiology, Sakarya, Turkey

2Düzce University School of Medicine, Dept. of Infectious Diseases and Clinical Microbiology, Düzce, Turkey

3State Hospital, Dept. of Infectious Diseases and Clinical Microbiology, Ardahan, Turkey

4State Hospital, Dept. of Infectious Diseases and Clinical Microbiology, Nevşehir, Turkey

5İzzet Baysal University School of Medicine, Dept. of Infectious Diseases and Clinical Microbiology, Bolu, Turkey

6State Hospital, Dept. of Infectious Diseases and Clinical Microbiology, Gölcük, Kocaeli, Turkey

7State Hospital, Dept. of Infectious Diseases and Clinical Microbiology, Çaycuma, Zonguldak, Turkey

8Private Versa Hospital, Nevşehir, Turkey

9State Hospital, Dept. of Infectious Diseases and Clinical Microbiology, Hakkari, Turkey

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. J Microbiol Infect Dis 2011; 1(2):47-52

Key words: Antibiotic usage, Family Physicians, Attitudes, Behaviors

Volume 01, Number 02 (2011)