Patterns of antibiotic consumption in Iran during 2000–2009

Abdollahiasl, Akbar; Kebriaeezadeh, Abbas; Nikfar, Shekoufeh; Farshchi, Amir; Ghiasi, Golbarg; Abdollahi, Mohammad

doi:10.1016/j.ijantimicag.2011.01.022

Cited by 26 publications

(19 citation statements)

References 6 publications

(9 reference statements)

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“…The DID for Al‐Najaf, Iraq (45.3), was higher than the DID of Turkey (42.3) and slightly lower than the average for Iran (46.8) . Thus, the antibiotic consumption ratio for Al‐Najaf was comparable to the neighbouring countries.…”

Section: Discussionmentioning

confidence: 81%

“…While there has been information available on antibiotic consumption in Europe and the United States for years, obtaining and analysing this data in developing countries is far more challenging . A recent study shows the consumption of antibiotics in Iran, a developing country, has increased 3.3% annually from 2000 to 2009 . In 2015, an Iraqi study in Al‐Najaf province found that antibiotics were the most frequent therapeutic category associated with prescribing errors in public hospitals because physicians prescribe antibiotics without considering interactions with chronic medications …”

Section: Introductionmentioning

confidence: 99%

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Antimicrobial utilization in an Iraqi province: a comprehensive evaluation of antibiotic source and cost

et al. 2017

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The antibiotic consumption ratio in this province was comparable to neighbouring countries, but far higher compared to European countries. Penicillins, cephalosporins and quinolones were the most popular antibiotics. Around half of the antibiotics consumed were made by national pharmaceutical companies that mainly produce oral antibiotics. The public sector consumed a higher portion, but spent a lower amount compared to private sectors. This is the first time report of antibiotic consumption in Iraq. More studies evaluating antibiotic consumption can improve utilization.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Antimicrobial utilization in an Iraqi province: a comprehensive evaluation of antibiotic source and cost

et al. 2017

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“…[7] Numerous studies have been conducted to determine the pattern of drug use and its causes in Iran. [138910] The best examples are studies have been conducted by Farshchi et al . and Nikfar et al ., on drugs like diphenoxylate tablet[11] or nitroglycerin ampoule[12] which have interesting reasons behind their irrational use.…”

Section: Discussionmentioning

confidence: 99%

A survey on the factors influencing the pattern of medicine′s use: Concerns on irrational use of drugs

et al. 2013

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Objective:Pharmacists have a remarkable role in rational use of drugs by dissemination of drug information to guide patients, physicians, and policy makers. The present study was undertaken to evaluate the pharmacists’ view point about the main factors affecting current drug use pattern regarding rational drug use and the most effective strategies for improving and promoting rational drug use among pharmacists.Methods:In a cross-sectional survey, pre-designed questionnaires were filled in convenient sampling by pharmacists who had attended the congress of rational drug use in Tehran, Iran.Findings:A total of 144 pharmacists with the average age of 40.78 years old were enrolled to the study. Data indicated that the most priorities in irrational use of drugs from pharmacists’ view point were lack of appropriate cooperation and communication between physicians and pharmacists (39%), pharmacists’ low tariff and economic issues (34%), lack of public knowledge about drug usage (45%), and lack of supervisory regulations on pharmacy practice (15.8%).Conclusion:In this study, lack of public knowledge and awareness about appropriate use of medicines was the most important element from pharmacists’ viewpoint in occurrence of irrational drug use. Dissemination of information and compiling of diverse strategies in education, management, regulation, and finance can be very efficient due to a strong relationship between drug policies and performance of regulations and supervisions as well as drug services.

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“…In Iran, the Primary Health Care (PHC) is the rst, nearest and comprehensive line of basic and essential health services which is provided by family physicians and some other health workers in all cities and villages across the country. Some evidence indicate that the inappropriate prescription of antibiotics and the prevalence of self-medication are the main causes of antibiotic resistance and side effects in Iran [8,9]. It is reported that the antibiotics are used as common drugs in Iran and almost half of the patients receive at least one antibiotic during doctor-patient encounters.…”

Section: Introductionmentioning

confidence: 99%

Pattern and determinants of antibiotic mal-prescription by family physicians in primary health care facilities of Iran

Karimi¹,

Azizi²,

Kabir³

et al. 2020

Preprint

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Background: Mal-prescription of antibiotics is a major and ongoing global public health problem both in developing and developed countries. Family physicians are the most important and dominant health services providers in Iran their prescription pattern is poorly understood. This study aimed to assess the pattern and factors affecting antibiotic prescribing by family physicians in primary health care (PHC). Methods: In this descriptive-analytical study, 1068 prescriptions of family physicians in PHC were assessed in Alborz province health facilities. Prescriptions were selected by simple random sampling. The mal-prescribing was assessed based on four criteria including dose per consumption, dose per day, correct duration of therapy and possible interaction with other drugs. Logistic regression was used to estimate the odds ratio and 95% confidence interval for the association between antibiotic prescription and the affecting factors. Results: The average number of antibiotics was found 1.27 per prescription and 56.8% of the prescriptions had at least one antibiotic. There was a statistically significant relationship between age, gender, type of health insurance, work experience of physician, seasons of the year and receiving antibiotics (P<0.05). In 59.31% of antibiotic prescriptions at least one of the scientific criteria was not satisfied. Conclusion: The number of prescribed antibiotics and the mal-prescription percentage were high among family physicians. Strong political commitment and altering physicians' training curricula especially promoting a preventive approach and developing a registration system for identifying adverse drug reactions, antibiotic use patterns and control of mal-prescription are imperative at the grass-root level.

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Patterns of antibiotic consumption in Iran during 2000–2009

Cited by 26 publications

References 6 publications

Antimicrobial utilization in an Iraqi province: a comprehensive evaluation of antibiotic source and cost

Antimicrobial utilization in an Iraqi province: a comprehensive evaluation of antibiotic source and cost

A survey on the factors influencing the pattern of medicine′s use: Concerns on irrational use of drugs

Pattern and determinants of antibiotic mal-prescription by family physicians in primary health care facilities of Iran

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