Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Prescribing pattern of antibiotics by family physicians in primary health care

Wed Feb 28 23:32:17 2024

(2023) Prescribing pattern of antibiotics by family physicians in primary health care. Journal of Pharmaceutical Policy and Practice. p. 9.

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Official URL: <Go to ISI>://WOS:000914128400003

Abstract

PurposeIrrational prescription of antibiotics is an ongoing global public health concern, leading to antibiotic resistance. Understanding the prescribing pattern of antibiotics is important to tackling mal-prescription and antibiotic resistance. We aimed to investigate the pattern and factors affecting outpatients' antibiotic prescribing by family physicians in Primary Health Care (PHC).MethodsA cross-sectional study was conducted in 19 PHC facilities in Alborz province. Prescribing pattern of antibiotics was evaluated among 1068 prescriptions by family physicians. Prescribing pattern of antibiotics included prescriptions containing antibiotics, the number of antibiotics per prescription, type, name of antibiotic, and mal-prescription. Multiple logistic regression analysis was used to estimate the adjusted odds ratios and 95 confidence intervals.ResultsOverall, 57 of the prescriptions had >= 1 antibiotic and the average number of antibiotics per prescription was 1.27. Amoxicillin was the commonly prescribed antibiotic. There was a significant relationship between age, sex, type of health insurance, work experience of the physician, and seasons with antibiotic prescribing (P < 0.05). In 59.31 of antibiotic prescriptions at least one of the scientific criteria was not fulfilled. In the final analysis, after adjusting for the potential confounders, field experts of physicians (OR = 1.59; 95 CI: 1.08-6.17), female sex (OR = 2.23; 95 CI: 1.18-4.21), and winter season (OR = 3.34; 95 CI: 1.26-8.15) were found associated factors with antibiotic prescribing.ConclusionThe average number of antibiotics per prescription and the percentage of irrational prescriptions were relatively high in this study. There is need to improve antibiotic prescribing patterns among family physicians working in primary health care.

Item Type: Article
Creators:
CreatorsEmail
Karimi, G.UNSPECIFIED
Kabir, K.UNSPECIFIED
Farrokhi, B.UNSPECIFIED
Abbaszadeh, E.UNSPECIFIED
Esmaeili, E. D.UNSPECIFIED
Khodamoradi, F.UNSPECIFIED
Sarbazi, E.UNSPECIFIED
Azizi, H.UNSPECIFIED
Keywords: Antibiotic prescribing Family physicians Primary health care Iran drug-use surveillance consumption Health Care Sciences & Services Pharmacology & Pharmacy
Divisions:
Page Range: p. 9
Journal or Publication Title: Journal of Pharmaceutical Policy and Practice
Journal Index: ISI
Volume: 16
Number: 1
Identification Number: https://doi.org/10.1186/s40545-023-00515-6
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/4244

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