A survey of perceptions, attitudes and practices regarding the antibiotic prescription among Iranian physicians

Vakili-Arki, H. and Aalaei, S. and Farrokhi, M. and Nabovati, E. and Saberi, M.R. and Eslami, S. (2019) A survey of perceptions, attitudes and practices regarding the antibiotic prescription among Iranian physicians. Expert Review of Anti-Infective Therapy, 17 (9). pp. 741-748.

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Background: Over-prescription and overuse of antibiotics are a major cause of concern in terms of healthcare and economic implications, as well as the emergence of microbial resistance worldwide. So far, efforts have been administered by many countries to regulate the consumption of antibiotics and overcome the rapid emergence of resistant bacteria. Assessment of the perspectives and behavior of physicians can play a major role in achieving this objective. Objectives: The objective of the present study was to assess the perspectives on the antibiotic prescription practice of physicians and evaluate their tendency to receive feedback on their performance in outpatient settings. Materials and methods: Attitudes and practices of 330 physicians on antibiotics prescription were evaluated using a validated questionnaire in 2014 in Mashhad, Iran. Results: 94 of physicians asserted that the prescription rate of antibiotics in Iran is higher than the global average. Physicians noted that �patients� tendency to prescribe antibiotics� is the primary reason of excessive prescription of antibiotics. Approximately, 84 of physicians were keen on receiving performance feedback. More than 71 of participants specified Short Message Service (SMS) notification as their preferred medium for receiving feedback. Conclusions: The dominant viewpoint of physicians was that the rate of antibiotics prescription in Iran is larger than the global average, which can lead to adverse economic and bacterial resistance consequences. Interventions such as �performance feedback� have the potential to reduce antibiotics over-prescription. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: antibiotic agent, adult; Article; book; clinical decision making; clinical practice; cross-sectional study; evidence based medicine; feedback system; female; human; inappropriate prescribing; Internet; Iran; Iranian people; job performance; male; medical education; outpatient care; patient attitude; physician attitude; practice guideline; prescription; professional knowledge; professional standard; prospective study; text messaging
Subjects: Medicine
Pharmacology, Toxicology and Pharmaceutics
Divisions: Faculty of Medicine > Basic Sciences > Department of Pharmacology
Depositing User: ART . editor
Date Deposited: 01 Jan 2020 11:33
Last Modified: 01 Jan 2020 11:33
URI: http://eprints.kaums.ac.ir/id/eprint/4450

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