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.

Qurashi, NajwaAL; Wafi, OsamaAl

doi:10.21474/ijar01/5090

Cited by 1 publication

(2 citation statements)

References 18 publications

(44 reference statements)

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“…Although the physicians had adequate knowledge of the modified Centor score, responses to the criterion 'patient's age' were mostly inaccurate. The same misconception was noted in a local earlier study [35]. The modified Centor score was first introduced in 1998, when the criterion 'patient's age' was added [20].…”

Section: Criteriamentioning

confidence: 95%

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Trends in the use of antibiotics for pharyngitis in Saudi Arabia

Olwi

2021

J Infect Dev Ctries

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Introduction: Pharyngitis is one of the most common diagnoses for antibiotic prescriptions worldwide. Antibiotics should be prescribed for bacterial pharyngitis to reduce its complications. The aims of this study were to assess antibiotic prescriptions for pharyngitis cases, and their relationship with physicians’ knowledge regarding its diagnosis and management. Methodology: A cross-sectional study was conducted. First, prescriptions for pharyngitis cases using the modified Centor criteria was evaluated at primary care centers in Saudi Arabia. Second, physicians’ knowledge of the modified Centor score and the diagnosis and management of pharyngitis was assessed using a self-administered questionnaire. Results: Out of 104 pharyngitis cases, 79% (n = 82) were prescribed antibiotics, of which 28% were evidence-based prescriptions. First-line antibiotics were prescribed in 34% of patients, and second-line (broad-spectrum) antibiotics such as amoxicillin/clavulanate were prescribed in half of the patients. The main significant predictors of antibiotic prescriptions were age < 3 years (odds ratio, 0.13; 95% CI, 0.02 to 0.97), tonsillar exudate (odds ratio, 21.14; 95% CI, 2.88 to 155.09), and throat erythema (odds ratio, 9.30; 95% CI, 1.18 to 73.41). Overall, physicians (n = 29) had adequate knowledge about the modified Centor score and the management of pharyngitis. Conclusions: Most prescribed antibiotics for pharyngitis were unnecessarily prescribed; the majority being broad-spectrum antibiotics. Despite physicians’ adequate knowledge of the modified Centor score and the management of pharyngitis, their practice failed to demonstrate that. Induction of the Saudi Antimicrobial Stewardship Program in the primary care centers, accessibility to diagnostic tools, and educational programs may help in reducing unnecessary antibiotic prescriptions.

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Section: Criteriamentioning

confidence: 95%

“…Surprisingly, one-third of the physicians scored the presence of cough as -1. It is not clear why such finding was observed, whereas most studies have indicated accurate knowledge regarding the cough criterion [35,36].…”

Section: Criteriamentioning

confidence: 99%

Trends in the use of antibiotics for pharyngitis in Saudi Arabia

Olwi

2021

J Infect Dev Ctries

View full text Add to dashboard Cite

show abstract

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.

Cited by 1 publication

References 18 publications

Trends in the use of antibiotics for pharyngitis in Saudi Arabia

Trends in the use of antibiotics for pharyngitis in Saudi Arabia

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