Factors affecting physicians’ perception of the overuse of antibiotics

IF 5 Q3 Medicine
Y. Camcioglu , D. Sener Okur , N. Aksaray , F. Darendeliler , E. Hasanoglu
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引用次数: 9

Abstract

Objective

We aimed to determine the reasons for irrational antibiotic use, to evaluate knowledge, attitudes, and behaviors of physicians regarding such use, to find factors affecting knowledge of physicians, and to explore precautions that need to be taken to stop irrational antibiotic use.

Material and methods

We performed the study between January 2014 and June 2014. We included 202 physicians who answered a questionnaire with 22 multiple-choice questions about knowledge (eight questions), behavior and attitudes of physicians (nine questions), and recommendations for reducing antibiotic consumption (five questions). Answers to all questions were assessed according to the physician's age, educational status, metropolitan areas, and healthcare facilities.

Results

The effects of parents’ expectations and satisfaction (7.4%–40.0%) (P < 0.0001) and socioeconomical status of families (33%–62%) (P = 0.007) increased as the participants’ age decreased. Participants working at public hospitals (42.6%) considered expectations and satisfaction of parents more important than other participants (10.5%–26.9%; P = 0.002). Rapid recovery of patients was not an essential determinant for administering antibiotics for pediatricians (25.7%) and pediatric assistants (26.9%). However, it was important for emergency physicians (55.6%) and family physicians (60%, P = 0.016). Physicians working at university hospitals did not consider this determinant as important as physicians working in other healthcare facilities (P = 0.001).

Conclusion

To determine the obstacles associated with promoting rational antibiotic usage, every country should assess the attitudes, behavior, and knowledge of physicians related to such use. The present study is one of the few in Turkey to address the problems associated with irrational antibiotic use.

影响医生对抗生素过度使用认知的因素
目的了解不合理使用抗生素的原因,评价医生对不合理使用抗生素的知识、态度和行为,寻找影响医生知识的因素,探讨停止不合理使用抗生素需要采取的预防措施。材料与方法本研究于2014年1月至2014年6月进行。我们纳入了202名医生,他们回答了一份包含22个选择题的问卷,其中包括知识(8个问题)、医生的行为和态度(9个问题)以及减少抗生素使用的建议(5个问题)。根据医生的年龄、教育程度、城市地区和医疗机构对所有问题的答案进行评估。结果家长期望和满意度对小学生学业成绩的影响(7.4% ~ 40.0%)(P <0.0001),家庭社会经济地位(33% ~ 62%)(P = 0.007)随着年龄的下降而增加。在公立医院工作的受访者(42.6%)认为父母的期望和满意度比其他受访者(10.5%-26.9%)更重要;p = 0.002)。对于儿科医生(25.7%)和儿科助理(26.9%)来说,患者的快速恢复并不是使用抗生素的必要决定因素。但急诊医师(55.6%)和家庭医师(60%,P = 0.016)对这一问题的认识较重要。在大学医院工作的医生不认为这一决定因素与在其他医疗机构工作的医生一样重要(P = 0.001)。结论为确定促进合理使用抗生素的障碍,各国应评估医生对抗生素使用的态度、行为和知识。目前的研究是土耳其为数不多的解决与不合理抗生素使用相关问题的研究之一。
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来源期刊
Medecine et maladies infectieuses
Medecine et maladies infectieuses 医学-传染病学
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
10.7 weeks
期刊介绍: L''organe d''expression de la Société de Pathologie Infectieuse de Langue Française (SPILF). Médecine et Maladies Infectieuses is the official publication of the Société de Pathologie Infectieuse de Langue Française (SPILF). Médecine et Maladies Infectieuses is indexed in the major databases: Medline, Web of Science/Clarivate and Scopus. The journal publishes scientific /research articles, general reviews, short communications and letters, in both English and French. The journal welcomes submissions on the various aspects of infectious pathologies and pathogenic agents. Médecine et Maladies Infectieuses focuses on clinical therapeutics, nosocomial infections, biology, prevention, as well as epidemiology and therapeutics.
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