10Aug 2017

KNOWLEDGE ABOUT PRESCRIBING ANTIBIOTICS FOR PATIENTS WITH ACUTE PHARYNGITIS AND ITS ASSOCIATE FACTORS AMONG PRIMARY HEALTH CARE PHYSICIANS AT MINISTRY OF HEALTH MAKKAH AL-MUKARRAMAH CITY, 2016.

  • MBBS, Family Medicine residents.
  • Family Medicine / Public Health consultant.
Crossref Cited-by Linking logo

  • Abstract
  • References
  • Cite This Article as
  • Corresponding Author

Aim of Study: To assess the knowledge and associated factors regarding prescribing antibiotics for patients with acute pharyngitis among primary health care (PHC) physicians at Ministry of Health (MOH) in the Holy city of Makkah, 2016. Methodology: A cross-sectional study design was followed to include 140 PHC physicians in the study area. Results: Mean age of participants was 33.3+7.2years, 33.6% were males, 70% had MBBS Degree , 50.7% had <5 years of experience in PHC, 40% had less than 20 patients? daily flow, 28.6% prescribed antibiotics to 1-5 acute pharyngitis patients during the past week, 17.9% denied presence of antibiotic prescription policy. About two- thirds of participants read about prescribing antibiotics for acute pharyngitis and their main source for reading was UPTODATE. The main indications to prescribe antibiotics for acute pharyngitis cases were patient?s condition (59.3%) and bacterial infections (27.9%). PHC physicians? knowledge was suboptimal (Mean+SD =14.4+2.6 out of 18). Participants? knowledge scores did not differ significantly according to their personal characteristics, but differed significantly according to average daily patients? flow (p=0.005), and the used type of medical records system at PHC center (p=0.011). Participants? knowledge scores were significantly higher among those who read about prescribing antibiotics for acute pharyngitis (p=0.003). Conclusions: PHC physicians? knowledge regarding antibiotics was very good Although most of them did not apply any policy for antibiotics prescription. The MOH should provide clear policy and guidelines for a rational antibiotics prescription plan and organize continuing medical education workshops to PHC physicians.

  1. Llor C, Madurell J, Balagu?-Corbella M, G?mez M, Cots JM. Impact on antibiotic prescription of rapid antigen detection testing in acute pharyngitis in adults: a randomised clinical trial. Br J Gen Pract [Internet]. 2011 May;61(586):e244?51.
  2. Bisno A. Acute pharyngitis‏. New Engl J Med 2001‏ [Internet].; Available from: http://www.nejm.org/doi/full/10.1056/nejm200101183440308
  3. Little P, Hobbs FDR, Moore M, Mant D, Williamson I, mcnulty C, et al. Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management). BMJ [Internet]. 2013 Jan;347:f5806. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?Artid=3805475&tool=pmcentrez&rendertype=abstract
  4. Huttner B, Goossens H, Verheij T, Harbarth S. Characteristics and outcomes of public campaigns aimed at improving the use of antibiotics in outpatients in high-income countries‏. Lancet Infect ?, 2010‏ [Internet].; Available from: http://www.sciencedirect.com/science/article/pii/S1473309909703056
  5. Gjelstad S, H?ye S, Straand J, Brekke M, Dalen I, Lindb?k M. Improving antibiotic prescribing in acute respiratory tract infections: cluster randomised trial from Norwegian general practice (prescription peer academic detailing (Rx-PAD) study). BMJ [Internet]. 2013 Jan;347:f4403. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?Artid=3724398&tool=pmcentrez&rendertype=abstract
  6. Al-Hazmi AH. Knowledge, attitudes and practice of primary health care physicians towards hepatitis B virus in Al-Jouf province, Saudi Arabia BMC Res Notes. 2014 May 9;7:288. Doi: 10.1186/1756-0500-7-288.
  7. Al-Khaldi YM, Diab MM, Al-Gelban KS, Al-Asmari AS, Al-Amin S, Al-Shahrani MS. Prescribing patterns for acute respiratory infections in primary health care, Aseer Region, Saudi Arabia. J Family Community Med. 2005; 12(3): 121?126.
  8. Mollahaliloglua S, Alkana A, Donertasb B, Ozgulcua S, Akici A. Assessment of antibiotic prescribing at different hospitals and primary health care facilities. Saudi Pharmaceutical Journal 2013; 21(3):281-291.
  9. Alfetni AM, Alim SS, Alelyani AM, Alharbi FM, Alelyani JM, Alharazi RS, Alharazi RS. Prevalence of Prescribing Antibiotics for Upper Respiratory Tract Infection among Primary Health Care Patients in Makkah Al-Mukarramah, 1438 H. Int J Med Res Prof 2017; 3(2); 18-24.
  10. Wang J, Wang P, Wang X, et al. Use and Prescription of Antibiotics in Primary Health Care Settings in China. JAMA Intern Med. 2014;174(12):1914-1920.
  11. Andrajati R, Tilaqza A, Supardi S. Factors related to rational antibiotic prescriptions in community health centers in Depok City, Indonesia. Journal of Infection and Public Health 2017; 10, 41?48.
  12. Linder JA, Chan JC, Bates DW. Evaluation and treatment of pharyngitis in primary care practice: the difference between guidelines is largely academic. Arch Intern Med 2006; 166(13):1374-9.
  13. Palla AH, Khan RA, Gilani AH, Marra F. Over prescription of antibiotics for adult pharyngitis is prevalent in developing countries but can be reduced using mcisaac modification of Centor scores: a cross-sectional study. BMC Pulmonary Medicine 2012; 12:70.
  14. Yuniar CT, Anggadiredja K, Islamiyah AN. Evaluation of Rational Drug Use for Acute Pharyngitis Associated with the Incidence and Prevalence of the Disease at Two Community Health Centers in Indonesia. Sci. Pharm 2017; 85: 22.
  15. Bin Nafisaha S, Bin Nafesa S, Alamery AH, et al. Over-the-counter antibiotics in Saudi Arabia, an urgent call for policy makers. Journal of Infection and Public Health, 2017 (In Press). Available at: http://ac.els-cdn.com/S1876034116301551/1-s2.0-S1876034116301551-main. Pdf?Tid=55b467c4-2d8b-11e7-8570-00000aacb35f&acdnat=14935463927cebf2201e79a372cf3933659d851907
  16. Katić M, Soldo D, Ozvacić Z, Blazeković-Milaković S, et al. Information systems and the electronic health record in primary health care. Inform Prim Care. 2007;15(3):187-92.
  17. Hedin K, Strandberg EL, Gr?ndal H, Brorsson A, Thulesius H, Andr? M. Management of patients with sore throats in relation to guidelines: An interview study in Sweden. Scand J Prim Health Care 2014; 32(4): 193?199.
  18. Thriemer K, Katuala Y, Batoko B, et al. Antibiotic Prescribing in DR Congo: A Knowledge, Attitude and Practice Survey among Medical Doctors and Students. PLOS 2013.
  19. Alakhali KM, Ansari A, Mohammad S. Prescribing Pattern of Antibiotics in Pediatric Patients in the Jazan Region, Kingdom of Saudi Arabia. RGUHS J Pharm Sci 2014; 4 (3): 120-124.
  20. Schaad UB, Kellerhals P, Altwegg M; Swiss Pharyngitis Study Group.https://www.ncbi.nlm.nih.gov/pubmed/12075761 Azithromycin versus penicillin V for treatment of acute group A streptococcal pharyngitis. Pediatr Infect Dis J. 2002;21(4):304-8.
  21. Brook I. Antibacterial therapy for acute group a streptococcal pharyngotonsillitis: short-course versus traditional 10-day oral regimens. Paediatr Drugs 2002; 4(11):747-54.
  22. Lam TP, Ho PL, Lam KF, Choi K, Yung R. Use of antibiotics by primary care doctors in Hong Kong. Asia Pac Fam Med 2009;8(1):5.
  23. World Health Organization. Medicines use in primary care in developing and transitional countries: factbook summarizing results from studies between 1990 and 2006.World Health Organization; 2009. P. 2011.
  24. Rezal RSM, Hassali MA, Alrasheedy AA, Saleem F, aryanif, Yusof MD, et al. Physicians? knowledge, perceptions and behaviour towards antibiotic prescribing: a systematic review of the literature. Expert Rev Anti Infect Ther 2015:1-16.
  25. Gonzalez-Gonzalez C, L?pez-V?zquez P, V?zquez-Lago JM, Pi?eiro-Lamas M, Herdeiro MT, Arzamendi PC, et al. (2015) Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study. Plos ONE 10(10):? Doi:10.1371/journal.pone.0141820
  26. Bai Y, Wang S, Yin X, et al. Factors associated with doctors? knowledge on antibiotic use in China. Scientific Reports 2016; 6:23429.
  27. Sanchez GV, Roberts RM, Albert AP, Johnson DD, Hicks LA. Effects of Knowledge, Attitudes, and Practices of Primary Care Providers on Antibiotic Selection, United States. Emerging Infectious Diseases 2014; 20(12): 2041-2047.
  28. Tennant I, Nicholson A, Gordon-Strachan GM, Thoms C, Chin V, Didier MA. A survey of physicians' knowledge and attitudes regarding antimicrobial resistance and antibiotic prescribing practices at the University Hospital of the West Indies. West Indian Med J. 2010;59(2):165-70.
   

[Najwa AL-Qurashi and Osama Al-Wafi. (2017); KNOWLEDGE ABOUT PRESCRIBING ANTIBIOTICS FOR PATIENTS WITH ACUTE PHARYNGITIS AND ITS ASSOCIATE FACTORS AMONG PRIMARY HEALTH CARE PHYSICIANS AT MINISTRY OF HEALTH MAKKAH AL-MUKARRAMAH CITY, 2016. Int. J. of Adv. Res. 5 (Aug). 561-572] (ISSN 2320-5407). www.journalijar.com

Najwa AL-Qurashi
MBBS, Family and Community Medicine residents

DOI:

Article DOI: 10.21474/IJAR01/5090      
DOI URL: https://dx.doi.org/10.21474/IJAR01/5090

Download Full Paper

Download PDF No. of Downloads: 15 | No. of Views: 86