A survey of perceptions, attitudes and practices regarding the antibiotic prescription among Iranian physicians

Vakili-Arki, Hassan; Aalaei, Shokoufeh; Farrokhi, Maryam; Nabovati, Ehsan; Saberi, Mohammad Reza; Eslami, Saeid

doi:10.1080/14787210.2019.1657405

Cited by 4 publications

(4 citation statements)

References 29 publications

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“…A study conducted by Wushouer and colleagues in China reported that the higher the knowledge of the practitioners, the lower the rate of antibiotic prescribing [26]. This was also reported in a German study that assessed the effect of knowledge about antibiotic resistance on the prescribing pattern among practitioners; awareness about antimicrobial resistance highly influenced the practitioners' pattern in prescribing antibiotics to their patients, and this was confirmed in additional studies in Iran and Croatia [27][28][29]. Conversely, two studies in Cambodia and Nigeria found that physicians were alert about the challenge related to the misuse of antibiotics, but this did not influence their practice in managing antibiotic prescribing [30,31].…”

Section: Discussionmentioning

confidence: 72%

“…Machowska and colleagues reported that practitioners' knowledge and attitudes toward antibiotics use, lack of training on antibiotic prescribing during education and pharmaceutical promotional activities were among the most important factors, as well as the physician-patient relationship [44]. Patient satisfaction is another factor that may contribute to antibiotic prescribing decisions, as shown in an Iranian study in which 69% of the patients would be concerned about their medical condition if an antibiotic was not prescribed [28].…”

Section: Discussionmentioning

confidence: 99%

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Prescribers’ Knowledge, Attitudes and Behaviors on Antibiotics, Antibiotic Use and Antibiotic Resistance in Jordan

et al. 2021

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More research is needed on the drivers of irrational antibiotic prescribing among healthcare professionals and to ensure effective prescribing and an adequate understanding of the issue of antibiotic resistance. This study aimed at evaluating prescribers’ knowledge, attitudes and behaviors about antibiotic use and antibiotic resistance. A cross-sectional study was conducted utilizing an online questionnaire and included physicians and dentists from all sectors in Jordan. A total of 613 prescribers were included (physicians n = 409, dentists n = 204). Respondents’ knowledge on effective use, unnecessary use or associated side effects of antibiotics was high (>90%), compared with their knowledge on the spread of antibiotic resistance (62.2%). For ease of access to the required guidelines on managing infections, and to materials that advise on prudent antibiotic use and antibiotic resistance, prescribers agreed in 62% and 46.1% of cases, respectively. 28.4% of respondents had prescribed antibiotics when they would have preferred not to do so more than once a day or more than once a week. Among respondents who prescribed antibiotics, 63.4% would never or rarely give out resources on prudent use of antibiotics for infections. The findings are of importance to inform antibiotic stewardships about relevant interventions aimed at changing prescribers’ behaviors and improving antibiotic prescribing practices.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Prescribers’ Knowledge, Attitudes and Behaviors on Antibiotics, Antibiotic Use and Antibiotic Resistance in Jordan

et al. 2021

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“…Another study showed the over-prescription of antibiotics in Iran and the incongruence of antibiotic prescription with population conditions and infection prevalence. That study also reported that the rate of antibiotic use in Iran was almost equal to the total antibiotic use in Europe and sixteen times more than the global standards [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…A prerequisite to the promotion of RAP is to explore its barriers in the immediate sociocultural context and healthcare conditions [ 19 ]. However, most studies in this area in Iran used quantitative designs to simply assess physicians’ knowledge and performance and hence, provided limited data, if any, about the barriers to RAP [ 11 , 20 ]. The present study sought to narrow this gap.…”

Section: Introductionmentioning

confidence: 99%

Barriers to rational antibiotic prescription in Iran: a descriptive qualitative study

Sami

Salehi

Sadegh

et al. 2022

Antimicrob Resist Infect Control

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Introduction Rational antibiotic prescription (RAP) refers to the purposeful and appropriate antibiotic prescription with correct dose and course to produce the most possible benefits and less possible side effects. Identification and management of the barriers to RAP can help promote RAP. The aim of the study was to explore the barriers to RAP in Iran. Methods This descriptive qualitative study was conducted in 2021 on 46 physicians (including general physicians, specialists, and subspecialists), pharmacologists, microbiologists, and nurses. Participants were purposefully selected from five specialty and subspecialty hospitals in Isfahan, Iran, and the Treatment Administration of Isfahan University of Medical Sciences, Isfahan, Iran. Data were collected via semi-structured interviews and were analyzed via conventional content analysis. Results The barriers to RAP in Iran came into sixteen subcategories and four main categories, namely physicians’ limited professional competence (with six subcategories), poor informational and functional resources (with four subcategories), ineffective supervision of RAP (with three subcategories), and inappropriate context for RAP (with three subcategories). The subcategories of these categories were physicians’ limited professional knowledge, physicians’ poor attitude towards RAP, physicians’ routine-based practice instead of evidence-based practice, physicians’ limited accountability, physicians’ fear over the legal consequences of not prescribing antibiotics, physicians’ financial motives, limited access to quality educational materials, poor in-service training for physicians, lack of culturally appropriate guidelines, inefficiency of the stewardship committee, limited supervision of physicians’ performance, ineffective managerial supervision, limited supervision of sampling for antimicrobial susceptibility testing, sociocultural factors contributing to irrational antibiotic prescription, poor adherence of insurance companies to their financial commitments, and financial incentives of pharmaceutical companies for physicians. Conclusion The barriers to RAP are different and complex and include physician-related, resource-related, supervision-related, and contextual factors. Physicians with limited professional competence, limited access to resources, and limited supervision will have problems in RAP. Effective management of the barriers to RAP can promote RAP and minimize irrational antibiotic prescription and its consequences, chiefly antimicrobial resistance.

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Why prescribe antibiotics? A systematic review of knowledge, tension, and motivation among clinicians in low-, middle- and high-income countries

Chan,

Lam,

Zhao

et al. 2024

Social Science & Medicine

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A survey of perceptions, attitudes and practices regarding the antibiotic prescription among Iranian physicians

Cited by 4 publications

References 29 publications

Prescribers’ Knowledge, Attitudes and Behaviors on Antibiotics, Antibiotic Use and Antibiotic Resistance in Jordan

Prescribers’ Knowledge, Attitudes and Behaviors on Antibiotics, Antibiotic Use and Antibiotic Resistance in Jordan

Barriers to rational antibiotic prescription in Iran: a descriptive qualitative study

Why prescribe antibiotics? A systematic review of knowledge, tension, and motivation among clinicians in low-, middle- and high-income countries

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