The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China
It has been previously reported that the improper prescribing of antibiotic eye drops is common among orthokeratology (ortho-k) practitioners. Guidelines have since been developed and disseminated to improve their understanding and implementation of antibiotic prescriptions. This study aimed to inve...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/11/2/179 |
| _version_ | 1797483420754903040 |
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| author | Zhi Chen Jifang Wang Jun Jiang Bi Yang Pauline Cho |
| author_facet | Zhi Chen Jifang Wang Jun Jiang Bi Yang Pauline Cho |
| author_sort | Zhi Chen |
| collection | DOAJ |
| description | It has been previously reported that the improper prescribing of antibiotic eye drops is common among orthokeratology (ortho-k) practitioners. Guidelines have since been developed and disseminated to improve their understanding and implementation of antibiotic prescriptions. This study aimed to investigate the influence of these guidelines on the knowledge, attitude, and prescribing habits of ortho-k practitioners by means of a questionnaire, which was administered nationwide via an official online account to eye care practitioners (ECPs) involved in ortho-k lens fitting, 548 of whom completed the survey. Differences in characteristics before and after the dissemination of the guidelines and between the groups were explored using χ<sup>2</sup> tests. The relationship between prescribing habits and demographics was analyzed using stepwise logistic regression models. The implementation of the guidelines significantly improved the overall prescribing habits of ECPs (<i>p</i> < 0.001), especially for prophylactic antibiotic use before and after ortho-k lens wear (<i>p</i> < 0.001). Most ECPs who prescribed antibiotics properly displayed significantly better knowledge of correct antibiotic use, which in turn affected the compliance in their ortho-k patients (<i>p</i> < 0.001). The ECPs’ occupations (professionals other than ophthalmologists and optometrists, including nurses and opticians), clinical setting (distributor fitting centers), and age (younger than 25 years) were risk factors for the misuse of antibiotics. Although the implementation of the antibiotic guidelines significantly improved overall prescribing habits, some practitioners’ prescribing behavior still needs improvement. A limitation of this study was that all questions were mandatory, requiring ECPs to recall information, and therefore was subjected to selection and recall bias. |
| first_indexed | 2024-03-09T22:46:44Z |
| format | Article |
| id | doaj.art-b27cbb127556419b8a3d38e78ffeb061 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-09T22:46:44Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-b27cbb127556419b8a3d38e78ffeb0612023-11-23T18:27:46ZengMDPI AGAntibiotics2079-63822022-01-0111217910.3390/antibiotics11020179The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in ChinaZhi Chen0Jifang Wang1Jun Jiang2Bi Yang3Pauline Cho4Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200031, ChinaEye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200031, ChinaDepartment of Contact Lens Clinic, The Eye Hospital of Wenzhou Medical University, Wenzhou 325027, ChinaDepartment of Optometry and Vision Sciences, West China School of Medicine, Sichuan University, Chengdu 610017, ChinaSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, ChinaIt has been previously reported that the improper prescribing of antibiotic eye drops is common among orthokeratology (ortho-k) practitioners. Guidelines have since been developed and disseminated to improve their understanding and implementation of antibiotic prescriptions. This study aimed to investigate the influence of these guidelines on the knowledge, attitude, and prescribing habits of ortho-k practitioners by means of a questionnaire, which was administered nationwide via an official online account to eye care practitioners (ECPs) involved in ortho-k lens fitting, 548 of whom completed the survey. Differences in characteristics before and after the dissemination of the guidelines and between the groups were explored using χ<sup>2</sup> tests. The relationship between prescribing habits and demographics was analyzed using stepwise logistic regression models. The implementation of the guidelines significantly improved the overall prescribing habits of ECPs (<i>p</i> < 0.001), especially for prophylactic antibiotic use before and after ortho-k lens wear (<i>p</i> < 0.001). Most ECPs who prescribed antibiotics properly displayed significantly better knowledge of correct antibiotic use, which in turn affected the compliance in their ortho-k patients (<i>p</i> < 0.001). The ECPs’ occupations (professionals other than ophthalmologists and optometrists, including nurses and opticians), clinical setting (distributor fitting centers), and age (younger than 25 years) were risk factors for the misuse of antibiotics. Although the implementation of the antibiotic guidelines significantly improved overall prescribing habits, some practitioners’ prescribing behavior still needs improvement. A limitation of this study was that all questions were mandatory, requiring ECPs to recall information, and therefore was subjected to selection and recall bias.https://www.mdpi.com/2079-6382/11/2/179misuse of antibioticsorthokeratologycontact lensmicrobial keratitisquestionnaire |
| spellingShingle | Zhi Chen Jifang Wang Jun Jiang Bi Yang Pauline Cho The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China Antibiotics misuse of antibiotics orthokeratology contact lens microbial keratitis questionnaire |
| title | The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China |
| title_full | The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China |
| title_fullStr | The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China |
| title_full_unstemmed | The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China |
| title_short | The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China |
| title_sort | impact of antibiotic usage guidelines developed and disseminated through internet on the knowledge attitude and prescribing habits of orthokeratology contact lens practitioners in china |
| topic | misuse of antibiotics orthokeratology contact lens microbial keratitis questionnaire |
| url | https://www.mdpi.com/2079-6382/11/2/179 |
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