Awareness, perspectives and practices of antibiotics deprescribing among physicians in Jordan: a cross-sectional study.

IF 3.3 Q1 HEALTH POLICY & SERVICES
Journal of Pharmaceutical Policy and Practice Pub Date : 2024-07-19 eCollection Date: 2024-01-01 DOI:10.1080/20523211.2024.2378484
Rana Abu-Farha, Lobna Gharaibeh, Karem H Alzoubi, Rawand Nazal, Mohammed Zawiah, Ammena Y Binsaleh, Sireen Abdul Rahim Shilbayeh
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引用次数: 0

Abstract

Background: Antibiotics have significantly reduced mortality and improved outcomes across various medical fields; however, the rise of antibiotic resistance poses a major challenge, causing millions of deaths annually. Deprescribing, a process that involves discontinuing unnecessary antibiotics, is crucial for combating this threat. This study was designed to assess the knowledge, perceptions, and practices of physicians regarding antibiotic deprescribing in Jordan.

Methods: A cross-sectional survey was conducted between January-February 2024 to assess the knowledge, perceptions, and practices of physicians regarding antibiotic deprescribing in Jordan. An electronic questionnaire served as the data collection tool. Descriptive analysis was performed using SPSS software version 26. Additionally, logistic regression analysis was carried out to identify independent factors associated with physicians' willingness to deprescribe antibiotics.

Results: The study involved 252 physicians, primarily male (n = 168, 67.7%), with a median age of 33 years. Regarding antibiotics deprescribing, 21.8% (n = 55) expressed willingness to deprescribe inappropriate antibiotics.High awareness of deprescribing was evident, with 92.9% (n = 234) familiar with the concept, 94% (n = 237) knowledgeable about appropriate situations, and 96.8% (n = 244) recognising its potential benefits. Furthermore, 81.8% (n = 205) reported having received formal training in antibiotics deprescribing, and 85.3% (n = 215) were informed about the availability of deprescribing tools.Physicians highlighted challenges including insufficient time (44.4%, n = 112) and resistance from patients (41.3%, n = 104) and colleagues (42.1%, n = 106). Despite challenges, a significant proportion regularly assessed antibiotic necessity (46.9%, n = 117) and educated patients about antibiotic-related harms (40.5%, n = 102). Logistic regression analysis revealed no significant demographic factors influencing physicians' willingness to deprescribe antibiotics (p > 0.05).

Conclusion: Physicians in Jordan exhibit high awareness of antibiotics deprescribing and recognise its benefits. Challenges such as time constraints and communication barriers need to be addressed to facilitate effective deprescribing practices. Comprehensive guidelines and interdisciplinary collaboration are essential for promoting judicious antibiotic use and combating antimicrobial resistance.

约旦医生对取消抗生素处方的认识、观点和做法:一项横断面研究。
背景:抗生素大大降低了死亡率,改善了各医疗领域的治疗效果;然而,抗生素耐药性的增加构成了一项重大挑战,每年造成数百万人死亡。停用不必要的抗生素是应对这一威胁的关键。本研究旨在评估约旦医生对停用抗生素的认识、看法和做法:在 2024 年 1 月至 2 月期间进行了一项横断面调查,以评估约旦医生对抗生素停药的知识、看法和做法。数据收集工具为电子问卷。使用 SPSS 软件 26 版进行了描述性分析。此外,还进行了逻辑回归分析,以确定与医生停用抗生素意愿相关的独立因素:研究涉及 252 名医生,主要为男性(n = 168,67.7%),年龄中位数为 33 岁。关于抗生素停药,21.8%(n = 55)的人表示愿意停用不适当的抗生素。对停药的认识程度很高,92.9%(n = 234)的人熟悉这一概念,94%(n = 237)的人了解适当的情况,96.8%(n = 244)的人认识到停药的潜在好处。此外,81.8%(n = 205)的医生表示接受过有关抗生素去处方化的正规培训,85.3%(n = 215)的医生了解去处方化工具的可用性。医生们强调的挑战包括时间不足(44.4%,n = 112)以及来自患者(41.3%,n = 104)和同事(42.1%,n = 106)的抵制。尽管面临挑战,但仍有相当一部分人定期评估抗生素的必要性(46.9%,n = 117),并向患者宣传抗生素相关的危害(40.5%,n = 102)。逻辑回归分析显示,没有明显的人口统计学因素影响医生停用抗生素的意愿(P > 0.05):结论:约旦的医生对抗生素停药的意识很高,并认识到其益处。需要应对时间限制和沟通障碍等挑战,以促进有效的停药实践。全面的指南和跨学科合作对于促进合理使用抗生素和抗菌药耐药性至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pharmaceutical Policy and Practice
Journal of Pharmaceutical Policy and Practice Health Professions-Pharmacy
CiteScore
4.70
自引率
9.50%
发文量
81
审稿时长
14 weeks
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