Dergiler / Eurasian Journal of Family Medicine / 2021 / Cilt: 10 - Sayı: 4

Knowledge, Attitude, And Practice Towards Antibiotic Resistance Among General Practitioners in Polyclinics in Yerevan, Armenia

Sayfa
171–180
Yayın Tarihi
2022-10-12
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Availability of rapid and inexpensive diagnostic tests, enforcement of prescriptions could potentially prevent the development of antibiotic resistance.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Aim: The objectives of the study were measuring knowledge, attitude, and practice scores among general practitioners on antibiotic resistance; exploring associations between antibiotics prescribing practice score among general practitioners and their knowledge and attitude scores after adjusting for other factors; and identifying barriers for rational antibiotics prescription by general practitioners.
📊
Temel Bulgular & Veri:All polyclinics (n=18) serving 30,000 or more populations were included in the study.
💡
Sonuç & Katkı:Availability of rapid and inexpensive diagnostic tests, enforcement of prescriptions could potentially prevent the development of antibiotic resistance.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Aim: The objectives of the study were measuring knowledge, attitude, and practice scores among general practitioners on antibiotic resistance; exploring associations between antibiotics prescribing practice score among general practitioners and their knowledge and attitude scores after adjusting for other factors; and identifying barriers for rational antibiotics prescription by general practitioners. Methods: A cross-sectional study design was used. A self-administered survey was conducted among general practitioners employed in private and public polyclinics in Yerevan, Armenia. All general practitioners, working in Yerevan polyclinics and fluent in the Armenian language, were eligible for the study. The study was conducted in primary healthcare facilities of Yerevan, Armenia. All polyclinics (n=18) serving 30,000 or more populations were included in the study. All general practitioners available in selected polyclinics at the time of the survey were invited to take part in the survey, to target 20 general practitioners from each polyclinic. Results: Overall, 291 general practitioners participated in the study. Knowledge, attitude, and practice mean percent scores were 58.3%, 67.5%, and 63.0%, respectively. In the adjusted analysis, the practice percent score was significantly associated with the attitude percent score, though the relationship between the practice and knowledge scores was insignificant. The main barriers reported by general practitioners: lack of rapid diagnostic tests, high costs of laboratory tests, high costs of some antibiotics, and lack of guidelines. Conclusion: Identified low knowledge, attitude, and practice mean percent scores suggest a need for improvements in these areas. Availability of rapid and inexpensive diagnostic tests, enforcement of prescriptions could potentially prevent the development of antibiotic resistance.

🔖

Bu Makaleye Atıf Yap

MURADYAN, D., DEMIRCHYAN, A., PETROSYAN, V. (2022). Knowledge, Attitude, And Practice Towards Antibiotic Resistance Among General Practitioners in Polyclinics in Yerevan, Armenia. Eurasian Journal of Family Medicine, Cilt: 10 - Sayı: 4, 171–180. https://ajindex.com/articles/508302

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

  1. Zaman SB, Hussain MA, Nye R, Mehta V, Mamun KT, Hossain N. A review on antibiotic resistance: Alarm bells are ringing. Cureus 2017;9(6):e1403. doi: 10.7759/cureus.1403
  2. World Health Organization [Internet]. Antibiotic resistance [cited 2019 Feb 9]. Available from:
  3. Van Boeckel TP, Gandra S, Ashok A, Caudron Q, Grenfell BT, Levin SA, et al. Global antibiotic consumption 2000 to 2010: an analysis of national pharmaceutical sales data. Lancet Infect Dis 2014;14(8):742􀂱50. doi: 10.1016/S1473-3099(14)70780-7
  4. European Commission Special Eurobarometer 445 [Internet]. Antimicrobial resistance [cited 2020 Aug 16]. Available from:
  5. Basu S, Garg S. Antibiotic prescribing behavior among physicians: Ethical challenges in resource-poor settings. J Med Ethics Hist Med 2018;11:5. PMID: 30258555. PMCID: PMC6150921
  6. Stubbe M, Dowell AC, Plumridge E, Macdonald L, Dew K. Prescribing dilemma: Do our GPs say one thing while doing another? New Zeland Pharm J 2008;28(3):28-30
  7. Kotwani A, Wattal C, Katewa S, Joshi PC, Holloway K. Factors influencing primary care physicians to prescribe antibiotics in Delhi India. Fam Pract 2010;27(6):684􀂱90. doi: 10.1093/fampra/cmq059
  8. Llor C, Bjerrum L. Antimicrobial resistance: risk associated with antibiotic overuse and initiatives to reduce the problem. Ther Adv Drug Saf 2014;5(6):229􀂱41. doi: 10.1177/2042098614554919
  9. Chem ED, Anong DN, Akoachere JFKT. Prescribing patterns and associated factors of antibiotic prescription in primary health care facilities of Kumbo East and Kumbo West Health Districts, North West Cameroon. PLoS One 2018;13(3):e0193353. doi: 10.1371/journal.pone.0193353
  10. Grigoryan L, Burgerhof JGM, Haaijer-Ruskamp FM, Degener JE, Deschepper R, Monnet DL, et al. Is selfmedication with antibiotics in Europe driven by prescribed use? J Antimicrob Chemother 2006;59(1):152􀂱6. doi: 10.1093/jac/dkn054
  11. Martirosyan L. Survey On Self-Medication With Antibiotics in Yerevan. [master thesis]. Yerevan: American University of Armenia, 2014
  12. Dryden M, Johnson AP, Ashiru-Oredope D, Sharland M. Using antibiotics responsibly: right drug, right time, right dose, right duration. J Antimicrob Chemother 2011;66(11):2441􀂱3. doi: 10.1093/jac/dkr370
  13. Hadi U, Offra Duerink D, Lestari ES, Nagelkerke NJ, Werter S, Keuter M, et al. Surv