Evaluation of the Patients’ Conditions with Respiratory Tract Infections and Interventions to Prevent Taking Antibiotics in these Patients
Introduction: Overuse and inappropriate antibiotic prescription for acute respiratory infections (ARIs) are among the major contributors to the current antibiotic resistance problem. ARIs are among the most common infections, and due to their high prevalence, they are of great importance and can pla...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | fas |
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Ilam University of Medical Sciences
2023-04-01
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| Series: | Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām |
| Subjects: | |
| Online Access: | http://sjimu.medilam.ac.ir/article-1-7645-en.pdf |
| _version_ | 1797680713029386240 |
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| author | Nourkhoda Sadeghifard Sobhan Ghafourian Jasem Mohamadi Ali Nazari Mahtab Shahmari Reza Pakzad Hassan Valadbeigi |
| author_facet | Nourkhoda Sadeghifard Sobhan Ghafourian Jasem Mohamadi Ali Nazari Mahtab Shahmari Reza Pakzad Hassan Valadbeigi |
| author_sort | Nourkhoda Sadeghifard |
| collection | DOAJ |
| description | Introduction: Overuse and inappropriate antibiotic prescription for acute respiratory infections (ARIs) are among the major contributors to the current antibiotic resistance problem. ARIs are among the most common infections, and due to their high prevalence, they are of great importance and can play a vital role in mortality among children and adults. Therefore, this study aimed to train physicians in terms of communication skills with patients to reduce the use of antibiotic, which results in minimizing antibiotic resistance, proper use of antibiotics when it is necessary to use, and minimize self-medication, which ultimately leads to reducing costs.
Material & Methods: This cross-sectional study was conducted to control antibiotic consumption in patients with respiratory infections referring to physicians.
(Ethic Code: IR.Medilam.Rec.1395.112)
Findings: The results of this study showed that cefixime and co-amoxiclav antibiotics were the least and the most prescribed by gastroenterologists and hepatologists, as well as pediatricians, respectively. In addition, according to the results, cefixime antibiotic showed statistically significant results (P<0.05).
Discussion & Conclusion: The results revealed a reduction in the prescriptions of cefixime and amoxicillin by general physicians, amoxicillin, cefixime, and azithromycin by pediatricians, and co-amoxiclav by infectious disease specialists. However, there was an increase in antibiotic prescriptions by gastroenterologists and hepatologists which could lead to resistance increase, and consequently, the treatment failure. Accordingly, it is of necessary importance to take measures and implement instructions for logical prescription of antibiotics leading to infection control, reducing antibiotic resistance, reducing the length of patients’ hospital stay, as well as mortality due to infection, and reducing treatment costs for patients and hospitals. |
| first_indexed | 2024-03-11T23:34:05Z |
| format | Article |
| id | doaj.art-b7ecf7a471534fd2b5cf1f3f2e99455d |
| institution | Directory Open Access Journal |
| issn | 1563-4728 2588-3135 |
| language | fas |
| last_indexed | 2024-03-11T23:34:05Z |
| publishDate | 2023-04-01 |
| publisher | Ilam University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām |
| spelling | doaj.art-b7ecf7a471534fd2b5cf1f3f2e99455d2023-09-20T05:52:54ZfasIlam University of Medical SciencesMajallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām1563-47282588-31352023-04-013114251Evaluation of the Patients’ Conditions with Respiratory Tract Infections and Interventions to Prevent Taking Antibiotics in these PatientsNourkhoda Sadeghifard0Sobhan Ghafourian1Jasem Mohamadi2Ali Nazari3Mahtab Shahmari4Reza Pakzad5Hassan Valadbeigi6 Clinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran Dept of Microbiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran Dept of Pediatrics, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran Dept of Infectious Disease, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran Food and Drugs Administration, Ilam University of Medical Sciences, Ilam, Iran Dept of Epidemiology, Faculty of Health, Ilam University of Medical sciences, Ilam, Iran Clinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran Introduction: Overuse and inappropriate antibiotic prescription for acute respiratory infections (ARIs) are among the major contributors to the current antibiotic resistance problem. ARIs are among the most common infections, and due to their high prevalence, they are of great importance and can play a vital role in mortality among children and adults. Therefore, this study aimed to train physicians in terms of communication skills with patients to reduce the use of antibiotic, which results in minimizing antibiotic resistance, proper use of antibiotics when it is necessary to use, and minimize self-medication, which ultimately leads to reducing costs. Material & Methods: This cross-sectional study was conducted to control antibiotic consumption in patients with respiratory infections referring to physicians. (Ethic Code: IR.Medilam.Rec.1395.112) Findings: The results of this study showed that cefixime and co-amoxiclav antibiotics were the least and the most prescribed by gastroenterologists and hepatologists, as well as pediatricians, respectively. In addition, according to the results, cefixime antibiotic showed statistically significant results (P<0.05). Discussion & Conclusion: The results revealed a reduction in the prescriptions of cefixime and amoxicillin by general physicians, amoxicillin, cefixime, and azithromycin by pediatricians, and co-amoxiclav by infectious disease specialists. However, there was an increase in antibiotic prescriptions by gastroenterologists and hepatologists which could lead to resistance increase, and consequently, the treatment failure. Accordingly, it is of necessary importance to take measures and implement instructions for logical prescription of antibiotics leading to infection control, reducing antibiotic resistance, reducing the length of patients’ hospital stay, as well as mortality due to infection, and reducing treatment costs for patients and hospitals.http://sjimu.medilam.ac.ir/article-1-7645-en.pdfantibiotics prescriptioninterventionrespiratory infectionphysician prescriptions |
| spellingShingle | Nourkhoda Sadeghifard Sobhan Ghafourian Jasem Mohamadi Ali Nazari Mahtab Shahmari Reza Pakzad Hassan Valadbeigi Evaluation of the Patients’ Conditions with Respiratory Tract Infections and Interventions to Prevent Taking Antibiotics in these Patients Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām antibiotics prescription intervention respiratory infection physician prescriptions |
| title | Evaluation of the Patients’ Conditions with Respiratory Tract Infections and Interventions to Prevent Taking Antibiotics in these Patients |
| title_full | Evaluation of the Patients’ Conditions with Respiratory Tract Infections and Interventions to Prevent Taking Antibiotics in these Patients |
| title_fullStr | Evaluation of the Patients’ Conditions with Respiratory Tract Infections and Interventions to Prevent Taking Antibiotics in these Patients |
| title_full_unstemmed | Evaluation of the Patients’ Conditions with Respiratory Tract Infections and Interventions to Prevent Taking Antibiotics in these Patients |
| title_short | Evaluation of the Patients’ Conditions with Respiratory Tract Infections and Interventions to Prevent Taking Antibiotics in these Patients |
| title_sort | evaluation of the patients conditions with respiratory tract infections and interventions to prevent taking antibiotics in these patients |
| topic | antibiotics prescription intervention respiratory infection physician prescriptions |
| url | http://sjimu.medilam.ac.ir/article-1-7645-en.pdf |
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