Assessment of injection practice in primary health care facilities of Shiraz, Iran

McLaws, Mary‐Louise; Ghahramani, Sulmaz; Palenik, Charles John; Keshtkar, Vahid; Askarian, Mehrdad

doi:10.1016/j.ajic.2013.09.006

Cited by 7 publications

(7 citation statements)

References 11 publications

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“…4,7 Relevant studies reveal that complications often arise due to IM injection to the DG site and most of these complications are caused by lack of knowledge and the use of inappropriate techniques. 7,19,29 The findings of the current study clearly show that nurses need to know the anatomical structure of the administration site and make appropriate choice of the site to avoid possible complications.…”

Section: Nurses' Recognition Of Possible Complications In Terms Of Immentioning

confidence: 72%

Selection of Site for Administration of Intramuscular Injection to Adult Patients by Nurses: A Cross-Sectional Study

Turan

Aydın

Kaya

2019

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Objective:This study was carried out to determine the sites which are selected by nurses to use in the intramuscular medicine applications and the factors affecting the selection of the injection sites. Methods: The population of this descriptive and cross-sectional type of study was composed of 250 nurses working in two hospitals in Istanbul, the sample was composed of 171 nurses selected by stratified random sampling method. Data were collected with 'Structured Questionnaire Form'. Results: The average age of the nurses was found to be 26.27±7.46 years, it was determined that 40.4% of them applied injection very often and they preferred dorsogluteal site to apply injection with a ratio of 83.6%. When the knowledge level of nurses about the complications that may occur depending injection site, it was seen that some nurses did not consider complications such as pain, nerve, bone and vascular injury, infection, necrosis, tissue irritation, nodules or stiffness, abscess and hematoma in the deltoid site. On the other hand, it was learnt that they had a risk of developing sciatic nerve damage in the ventrogluteal site. The unit, which the nurses work and the experience period in that unit affects the site selection in injection application. As a result, nurses often prefer the dorsogluteal site in injection. Conclusion:The nurses' knowledge about the complications that may ocur in the sites chosen for injection by them is insufficient and there are factors affecting the selection of the site. ÖzAmaç: Bu çalışma hemşirelerin intramusküler ilaç uygulamalarında seçtiği enjeksiyon bölgeleri ile bölge seçimini etkileyen faktörleri belirlemek amacıyla yapıldı. Yöntem: Tanımlayıcı ve kesitsel türdeki bu araştırmanın evreni İstanbul'daki iki hastanede çalışan 250 hemşire; örneklemini ise tabakalı rastgele örnekleme yöntemi ile seçilen 171 hemşire oluşturdu. Veriler, 'Yapılandırılmış Soru Formu' ile toplandı. Bulgular: Hemşirelerin yaş ortalamasının 26,27±7,46 yıl olduğu, %40,4'ünün çok sık intramusküler enjeksiyon uyguladıkları, intramusküler enjeksiyon için %83,6 oranla öncelikli olarak dorsogluteal bölgeyi tercih ettikleri belirlendi. Hemşirelerin intramusküler enjeksiyon bölgesine göre gelişebilecek komplikasyonlar hakkında bilgi düzeyleri incelendiğinde; bazı hemşirelerin ağrı, deltoid bölgede sinir, kemik ve damar yaralanması, enfeksiyon, nekroz, doku tahrişi, nodül veya sertlik, apse ve hematom gibi komplikasyonları bir risk olarak görmedikleri öte yandan ventrogluteal bölgede siyatik sinir hasarı gelişme riskinin bulunduğunu ifade ettikleri görüldü. Hemşirelerin çalıştıkları ünite ve ünitedeki deneyim süresi intramusküler enjeksiyon uygulamasında bölge seçimini etkilemektedir. Sonuç olarak, hemşireler intramusküler enjeksiyon uygulamasında sıklıkla dorsogluteal bölgeyi tercih etmektedir. Sonuç: İntramusküler enjeksiyon için seçtikleri bölgelerde gelişebilecek komplikasyonlar konusundaki bilgileri yetersizdir ve bölge seçimini etkileyen faktörler bulunmaktadır. Anahtar Kelimeler: İntramusküler enjeksiyon, ventroglutea...

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Section: Nurses' Recognition Of Possible Complications In Terms Of Immentioning

confidence: 72%

Selection of Site for Administration of Intramuscular Injection to Adult Patients by Nurses: A Cross-Sectional Study

Turan

Aydın

Kaya

2019

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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“…Therefore, a high percentage of injectable antibiotics are prescribed by family physicians shows an irregular form of injecting antibiotics by them. It may have resulted from cultural-social factors and believing the high effect of injecting form of drugs by the patients which, besides being expensive in regard to oral form, sometimes are dangerous for patients [29]. Another reason maybe the existence of injecting section in most of therapeutic and health centers and following the desire of patients to receive whole services from the place of their refer [11,17].…”

Section: Discussionmentioning

confidence: 99%

Pattern and determinants of antibiotic mal-prescription by family physicians in primary health care facilities of Iran

Karimi¹,

Azizi²,

Kabir³

et al. 2020

Preprint

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Background: Mal-prescription of antibiotics is a major and ongoing global public health problem both in developing and developed countries. Family physicians are the most important and dominant health services providers in Iran their prescription pattern is poorly understood. This study aimed to assess the pattern and factors affecting antibiotic prescribing by family physicians in primary health care (PHC). Methods: In this descriptive-analytical study, 1068 prescriptions of family physicians in PHC were assessed in Alborz province health facilities. Prescriptions were selected by simple random sampling. The mal-prescribing was assessed based on four criteria including dose per consumption, dose per day, correct duration of therapy and possible interaction with other drugs. Logistic regression was used to estimate the odds ratio and 95% confidence interval for the association between antibiotic prescription and the affecting factors. Results: The average number of antibiotics was found 1.27 per prescription and 56.8% of the prescriptions had at least one antibiotic. There was a statistically significant relationship between age, gender, type of health insurance, work experience of physician, seasons of the year and receiving antibiotics (P<0.05). In 59.31% of antibiotic prescriptions at least one of the scientific criteria was not satisfied. Conclusion: The number of prescribed antibiotics and the mal-prescription percentage were high among family physicians. Strong political commitment and altering physicians' training curricula especially promoting a preventive approach and developing a registration system for identifying adverse drug reactions, antibiotic use patterns and control of mal-prescription are imperative at the grass-root level.

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“…Therefore, a high percentage of injectable antibiotics are prescribed by family physicians shows an irregular form of injecting antibiotics by them. It may have resulted from cultural-social factors and believing the high effect of injecting form of drugs by patients which besides being expensive in regard to oral form, sometimes is dangerous for patients (29), another reason maybe is the existence of injecting section in most of therapeutic and health centers and following the desire of patients to receive whole services from the place of their refer (11,17). Amoxicillin and Penicillin were the most commonly prescribed drug in our study and a study of Dong and et al in China (30).…”

Section: Discussionmentioning

confidence: 99%

Pattern and determinants of antibiotic mal-prescribing among family physicians in the primary health care facilities in Iran

Karimi¹,

Azizi²,

Kabir³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Mal-prescribing of antibiotics is a major and ongoing global public health problem both in developing and developed countries. Family physicians are the most important and dominant health services providers in Iran that pattern describing by them poorly understood. This study aimed to assess the pattern and factors affecting antibiotic prescribing by family physicians in primary health care (PHC).Methods In this descriptive-analytical study, 1068 prescriptions of family physicians in PHC were assessed among Alborz province health facilities. Prescriptions were selected by random sampling. The mal-prescribing was assessed based on 4 criteria including dose per consumption, dose per day, correct duration of therapy and possible interaction with other antibiotics. Logistic regression was used to estimate the odds ratio and 95% confidence interval for the association between antibiotic prescribing and affecting factors.Results The average number of antibiotics was reported 1.27 per prescription and almost 56.8% of them had at least an antibiotic. There was a statistically significant relationship between age, gender, type of insurance booklet, work experience of physicians, seasons of the year and receiving antibiotics (P<0.05). In 59.31% of antibiotic prescriptions at least one of the scientific criteria was not satisfied.Conclusion The number of prescribed antibiotics and the mal-prescribing percentage were high among family physicians. Strong political commitment and altering physicians' training curricula especially promoting a preventive approach and developing a registration system for identifying adverse drug reactions, antibiotic use patterns and mal-prescribing are imperative at the grass-root level.

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Assessment of injection practice in primary health care facilities of Shiraz, Iran

Cited by 7 publications

References 11 publications

Selection of Site for Administration of Intramuscular Injection to Adult Patients by Nurses: A Cross-Sectional Study

Selection of Site for Administration of Intramuscular Injection to Adult Patients by Nurses: A Cross-Sectional Study

Pattern and determinants of antibiotic mal-prescription by family physicians in primary health care facilities of Iran

Pattern and determinants of antibiotic mal-prescribing among family physicians in the primary health care facilities in Iran

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