Knowledge and Awareness of Physicians About Rational Antibiotic Use and Antimicrobial Resistance Before and After Graduation: A Cross-Sectional Study Conducted in Malatya Province in Turkey

Kose, Adem; Çolak, Cemil

doi:10.2147/idr.s317665

Cited by 13 publications

(11 citation statements)

References 34 publications

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“…Similarly, in this study, 26.6% of the physicians indicated that they agree to prescribe antibiotics when asked by the patients because, otherwise, they would have an argument with them. 29 Informing patients about the development of resistance by emphasizing effective management of symptoms without the use of antibiotics, and by making use of public campaigns, patient education materials and brochures will reduce patient expectations and prevent irrational antibiotic prescribing. 30,31 The studies conducted in Turkey have emphasized that since it has been discovered that patients use antibiotic drugs without a doctor's advice, there is a need for training in the rational use of antibiotics in the society and that the media should also play an important role in this regard.…”

Section: Discussionmentioning

confidence: 99%

“…34 Some other studies have also reported that providing sustainable education programs for physicians on rational antibiotic use after graduation may contribute positively to reducing antimicrobial resistance rates, increasing awareness, and the RUA. 29 The Turkish Ministry of Health found that antibiotics were included in 34.94% of family physicians' prescriptions in 2011. As a result of the rational antibiotic use programs and trainings provided by the Ministry of Health the rate of antibiotic prescription by family physicians decreased to 24.55 % in 2018, the rate of antibiotic prescription by family physicians found 23.87% in 2019.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Family Physicians’ Knowledge and Attitudes Regarding the Rational Use of Antibiotics: A Survey Based Study

Güngör

Koparan²,

KARAKILINÇ³

et al. 2022

Turkish Journal of Family Medicine and Primary Care

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Background and Objectives: Antibiotics are widely used all over the world, but the use of appropriate antibiotics in the appropriate dose and duration plays a critical role in reducing the development of resistance, and mortality in particular, as well as undesirable effects and treatment costs associated with infections. The purpose of this study was to investigate the knowledge and attitudes of primary care family physicians regarding the rational use of antibiotics (RUA) and to raise awareness about this issue. Methods: Before the "Training for the Rational Use of Antibiotics" for family physicians of primary healthcare in Antalya in 2019, a questionnaire was distributed to the physicians. The questionnaire contained 37 questions, including 27 multiple-choice questions designed to assess physicians' general attitudes toward antibiotic rationalization. The questionnaire, which consists of ten questions, also includes a test at the end, which is calculated over a total of 100 points. The purpose of the test is to assess family physicians' knowledge of rational antibiotic use. Each correct answer was worth 10 points, and the average success and standard deviations of the physicians were computed. Results: This study included 143 family physicians in total. The mean success score standard deviation (SD) was found to be 66.5 18.51 out of 100 in the test, which measures the knowledge level of physicians prior to training. The success scores of physicians aged 55 and older were found to be statistically significantly lower than the scores of those in other age groups (55.6 21.2 points (mean SD). Other variables examined within the scope of the study were found to have no effect on the physicians' success scores. It was also discovered that physicians frequently answered incorrectly questions about the use of the Modified Centor Clinical Scoring system.The relevant records showed that only 7867 (27.4%) of 28 712 Rapid Antigen tests (RATs) distributed to family physicians by the Provincial Health Directorate were used. Conclusions: Although the majority of the participants stated that they used diagnosis and treatment guidelines when prescribing antibiotics, it was discovered that the use of the Modified Centor clinical scoring system and the RADTs was not common among them, and that there were some deficiencies in the RUA.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of Family Physicians’ Knowledge and Attitudes Regarding the Rational Use of Antibiotics: A Survey Based Study

Güngör

Koparan²,

KARAKILINÇ³

et al. 2022

Turkish Journal of Family Medicine and Primary Care

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“…The antibacterial effect of the plant extract was evaluated using the disk inhibition zone method. The Kirby and Bauer method [22] was used where the Muller-Hinton agar medium was inoculated with freshly prepared cells of bacteria to yield a growth. After solidification of the agar, a number of sterile disks were dipped into the extract solution and placed on plates.…”

Section: Antibacterial Activitymentioning

confidence: 99%

Antibacterial activity of ethanolic extracts of Plantago major leaves against Pseudomonas aeruginosa from burn infections

Monawer

Mammani

2023

J Infect Dev Ctries

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Introduction: The use of herbal extracts is increasing because of the increase in bacterial resistance to conventional antibiotics. Plantago major is frequently used in traditional medicine because of its medicinal properties. The aim of the current study was to assess the antibacterial efficacy of an ethanolic extract of P. major leaves against Pseudomonas aeruginosa isolated from burn infections. Methodology: One hundred and twenty burn samples were collected from hospitalized patients at the Burn Hospital in Duhok city. The bacterium was identified using Gram stain, colony morphology, biochemical tests and selective differential media. Antibacterial activity of P. major leaves was assessed by using an ethanolic extract in serial dilutions of 100, 75, 50, 25, and 10 % and disc diffusion assay. Antibiotic susceptibility testing was also performed by disk diffusion using Muller-Hinton agar medium. Results: Different concentrations of the ethanolic extract of P. major leaves exhibited different zones of inhibition against P. aeruginosa from 9.93 mm to 22.18 mm in diameter. The inhibition zone increased as the concentration of the extract increased. The 100% ethanolic extract had the greatest inhibitory effect, inhibiting bacteria in the zone of 22.18 mm diameter. This bacterium showed a high level of resistance to the antibiotics used. Conclusions: This study demonstrated that herbal extracts could be used as a combination therapy with antibiotics and chemical drugs in the elimination of bacterial growth. Further investigations and future experiments, need to be carried out before recommending use of herbal extracts.

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“…There is still a need for ongoing education for physicians on current developments in antibiotic use. 13 …”

Section: Antibiotic Use and Amrmentioning

confidence: 99%

Country data on AMR in Türkiye in the context of community-acquired respiratory tract infections: links between antibiotic susceptibility, local and international antibiotic prescribing guidelines, access to medicine and clinical outcome

Torumkuney

Aktaş

Ünal

et al. 2022

Journal of Antimicrobial Chemotherapy

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Background Antimicrobial resistance (AMR) is one of the biggest threats to global public health. Selection of resistant bacteria is driven by inappropriate use of antibiotics, amongst other factors. COVID-19 may have exacerbated AMR due to unnecessary antibiotic prescribing. Country-level knowledge is needed to understand options for action. Objectives To review AMR in Türkiye and initiatives addressing it. Identifying any areas where more information is required will provide a call to action to minimize any further rise in AMR within Türkiye and to improve patient outcomes. Methods National AMR initiatives, antibiotic use and prescribing, and availability of susceptibility data, particularly for the key community-acquired respiratory tract infection (CA-RTI) pathogens Streptococcus pneumoniae and Haemophilus influenzae, were identified. National and international antibiotic prescribing guidelines commonly used locally for specific CA-RTIs (community-acquired pneumonia, acute otitis media, acute bacterial rhinosinusitis) were also reviewed, plus local antibiotic availability. Insights from both a local clinician and local clinical microbiologist were sought to contextualize this information. Conclusions Türkiye developed an antibiotic stewardship programme, The Rational Drug Use National Action Plan 2014–2017, prioritizing appropriate antibiotic prescription in the community. Public campaigns discouraging inappropriate antibiotic use were also initiated. Türkiye has a high level of antibiotic resistance and a high level of consumption, however, in 2015 over-the-counter antibiotic sales were prohibited, resulting in a declining trend in overall consumption. There is still a need for physician education on current developments in antibiotic use. Several ongoing global surveillance studies provide antibiotic susceptibility data in Türkiye. Clinicians in Türkiye use several country-specific guidelines for common CA-RTIs plus a range of international guidelines. A more standardized inclusive approach in developing local guidelines, using up-to-date surveillance data on isolates from community-acquired infections in Türkiye, could make guideline use more relevant for clinicians. This would pave the way for a higher level of appropriate antibiotic prescribing and improved adherence. This would, in turn, potentially limit AMR development and improve patient outcome.

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Knowledge and Awareness of Physicians About Rational Antibiotic Use and Antimicrobial Resistance Before and After Graduation: A Cross-Sectional Study Conducted in Malatya Province in Turkey

Cited by 13 publications

References 34 publications

Evaluation of Family Physicians’ Knowledge and Attitudes Regarding the Rational Use of Antibiotics: A Survey Based Study

Evaluation of Family Physicians’ Knowledge and Attitudes Regarding the Rational Use of Antibiotics: A Survey Based Study

Antibacterial activity of ethanolic extracts of Plantago major leaves against Pseudomonas aeruginosa from burn infections

Country data on AMR in Türkiye in the context of community-acquired respiratory tract infections: links between antibiotic susceptibility, local and international antibiotic prescribing guidelines, access to medicine and clinical outcome

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