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Information Journal Paper

Title

GENERAL PRACTITIONERS PATTERN OF ANTIBIOTIC PRESCRIPTION IN AMBULATORY PATIENTS IN URMIA (1998)

Pages

  257-265

Abstract

 Introduction: Application of antibiotics in prevention and treatment of infectious dieseases is a double-bladed razor, on one side spoils pathogen germs and on the other side has numerous complications and consequences. The most serious and dangerous among them are selection of resistant germs and formation of drug resistances. Selection and prescription of antibiotics is a complicated scientific process and requires accurate clinical judgment, awareness and acting according to the pharmacologic and microbiologic principles in diagnosis, treatment and consideration of each patients particular condition and his illness. Unfortunately in most cases, deciding to prescribe antibiotics lacks consideration of above factors. Methods & materials: In this descriptive study, 1090 prescriptions of 141general practitioners were evaluated in Urmia in 1988 and following criteria had been chosen: number of drug items in each prescription, frequency of prescriptions with antibiotics, methods of prescribing (dosage, doses per day, duration of treatment and drug interactions),... Results: Average number of drugs in each prescription was 4.12 and 53% of prescriptions included antibiotics. From prescribing method point of view, 47% were non-scientific (false dosage per instance in 3% of whole prescriptions, false doses interval in 27%, duration of treatment in 38%, interactions with other antibiotics and drugs 9%). Prescriptions consisted of 65.5% penicillin group, 11% sulfonamids, 6% cephalosporins, and 5.4% aminoglycosides (Total=87.9%). Discussion: Average drug items are proportionated with national statistics but it is much higher than world average. Antibiotics presence in 53% of prescriptions is a little higher than in the most countries and cities (United States, France, Tehran, Mashhad and Esfahan). Occurrence of 47% non-scientific prescribing with only 4 criteria in comparison with other sources, which have included relation of prescription and diagnosis (true and scientific selection of antibiotics) is high. The great portion of non-scientific prescribing was short duration of treatment course.

Cites

References

Cite

APA: Copy

AGHAYAR MAKOUEI, A., GHAREHAGHAJI, R., & SABERI, A.. (2003). GENERAL PRACTITIONERS PATTERN OF ANTIBIOTIC PRESCRIPTION IN AMBULATORY PATIENTS IN URMIA (1998). STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), 13(4), 257-265. SID. https://sid.ir/paper/63646/en

Vancouver: Copy

AGHAYAR MAKOUEI A., GHAREHAGHAJI R., SABERI A.. GENERAL PRACTITIONERS PATTERN OF ANTIBIOTIC PRESCRIPTION IN AMBULATORY PATIENTS IN URMIA (1998). STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES)[Internet]. 2003;13(4):257-265. Available from: https://sid.ir/paper/63646/en

IEEE: Copy

A. AGHAYAR MAKOUEI, R. GHAREHAGHAJI, and A. SABERI, “GENERAL PRACTITIONERS PATTERN OF ANTIBIOTIC PRESCRIPTION IN AMBULATORY PATIENTS IN URMIA (1998),” STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), vol. 13, no. 4, pp. 257–265, 2003, [Online]. Available: https://sid.ir/paper/63646/en

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