Public knowledge and attitudes regarding antibiotic use in Ankara, Turkey

Azap, Alpay; Akin, Tugrul Orhan; Bascavus, Miray; Ercan, Elvin; Kuscu, Devrim Deniz; Namal, Irem; Yılmaz, Mehmet

doi:10.36519/idcm.2019.19025

Cited by 5 publications

(11 citation statements)

References 13 publications

(21 reference statements)

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“…Studies have shown that viral infections, especially colds and flu, are among the most common reasons for the self-use of antibiotics ( 1 , 4 , 8 , 11 ). In our study, the most common reasons for the self-use of antibiotics were sore throat (29%), influenza infection (28.8%), and the common cold (26.8%).…”

Section: Discussionmentioning

confidence: 99%

“…At 73% of patients stated that their opinion about the use of antibiotics had changed after they heard about the campaign. The studies reported that the internet and television were the most frequently used sources for rational use of antibiotics campaign in Türkiye ( 4 , 8 ).…”

Section: Discussionmentioning

confidence: 99%

“…Few studies have been conducted in Turkey to evaluate antibiotic use, knowledge, and attitudes of the public ( 4 , 8 ). Rational use of antibiotics can be successfully implemented with the participation of the public and health practitioners.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and Attitudes of Patients About the Rational Use of Antibiotics

Korkmaz,

Mistanoglu-Ozatag,

Pasali-Kilit

et al. 2024

Infect Dis Clin Microbiol

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Objective Antimicrobial resistance can lead to morbidity and mortality in serious infections. Therefore, this study aimed to evaluate the knowledge and attitudes of patients admitted to the outpatient clinics of our hospital about the rational use of antibiotics. Materials and Methods Patients who applied to Infectious Diseases and Internal Diseases Polyclinics between August 01, 2021 and February 01, 2022 were included. After obtaining written consent from those who agreed to participate in the study, a face-to-face questionnaire was applied to evaluate their knowledge and attitudes about antibiotic use. Results A total of 735 patients were included in the study; 64.1% were women, and the mean age was 40±15 years. The median of the total correct score on the scale measuring the patients' knowledge level in the study was 5. It was determined that individuals who scored 5 or less did not have sufficient knowledge, and those who scored above 5 had sufficient knowledge. Female gender, being single, being a university graduate, and having a middle income were associated with sufficient knowledge level ( p <0.05). The rates of self-starting or using antibiotics until the complaints subsided were higher in the group with insufficient knowledge ( p <0.05). Conclusion The knowledge level of our patients regarding antibiotic use provided better results in all parameters, such as the number of visits to the doctor, self-starting antibiotics, using the antibiotic in the appropriate indication, and complying with the duration. The knowledge level was found to be associated with the appropriate antibiotic use.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge and Attitudes of Patients About the Rational Use of Antibiotics

Korkmaz,

Mistanoglu-Ozatag,

Pasali-Kilit

et al. 2024

Infect Dis Clin Microbiol

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“…Moreover, Turkish inhabitants nowadays show appropriate attitudes and practices towards antibiotics and only a small portion declared that they put pressure on healthcare professionals to prescribe antibiotics [ 33 ]. Not all recent Turkish studies are predominantly positive about Turkish people’s attitudes and knowledge [ 35 , 36 ] and show that 16.9% of patients still force the physician to prescribe antibiotics [ 37 ], which may underline strong individual differences. Another explanation for the similarities between immigrant and native Dutch participants might be that cultural differences in healthcare mainly play a role when there are psychological issues or traumatic experiences that involve complex treatments [ 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Immigrants and Native Dutch on Antibiotic Use: A Qualitative Study

Lescure

Velden

Reenen³

et al. 2022

Antibiotics

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Immigrants constitute large proportions of the population in many high-income countries. Knowledge about their perceptions of antibiotics, in comparison to native populations, is limited. We explored these perceptions by organizing nine homogeneous focus group discussions (FGDs) with first-generation immigrant and native Dutch participants (N = 64) from Rotterdam and Utrecht, who were recruited with the assistance of immigrant (community support) organizations. The FGDs were audio-recorded and transcribed verbatim. Inductive thematic analyses were performed with the qualitative analysis software Atlas.ti, using open and axial coding. We did not find noteworthy differences between immigrants and native Dutch participants; all participants had an overall reluctant attitude towards antibiotics. Within-group differences were larger than between-group differences. In each FGD there were, for instance, participants who adopted an assertive stance in order to receive antibiotics, who had low antibiotic-related knowledge, or who used antibiotics incorrectly. Native Dutch participants expressed similar difficulties as immigrant participants in the communication with their GP, which mainly related to time constraints. Immigrants who encountered language barriers experienced even greater communicational difficulties and reported that they often feel embarrassed and refrain from asking questions. To stimulate more prudent use of antibiotics, more attention is needed for supportive multilingual patient materials. In addition, GPs need to adjust their information, guidance, and communication for the individual’s needs, regardless of the patient’s migration background.

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“…9 In another study surveying public knowledge about antibiotic use, in 1044 participants in Ankara, about 24% of participants had demanded antibiotics when visiting a physician and 83.5% were successful in their request, indicating that more physician education is needed. 10 …”

Section: Antibiotic Use and Amrmentioning

confidence: 99%

Country data on AMR in Türkiye in the context of community-acquired respiratory tract infections: links between antibiotic susceptibility, local and international antibiotic prescribing guidelines, access to medicine and clinical outcome

Torumkuney

Aktaş

Ünal

et al. 2022

Journal of Antimicrobial Chemotherapy

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Background Antimicrobial resistance (AMR) is one of the biggest threats to global public health. Selection of resistant bacteria is driven by inappropriate use of antibiotics, amongst other factors. COVID-19 may have exacerbated AMR due to unnecessary antibiotic prescribing. Country-level knowledge is needed to understand options for action. Objectives To review AMR in Türkiye and initiatives addressing it. Identifying any areas where more information is required will provide a call to action to minimize any further rise in AMR within Türkiye and to improve patient outcomes. Methods National AMR initiatives, antibiotic use and prescribing, and availability of susceptibility data, particularly for the key community-acquired respiratory tract infection (CA-RTI) pathogens Streptococcus pneumoniae and Haemophilus influenzae, were identified. National and international antibiotic prescribing guidelines commonly used locally for specific CA-RTIs (community-acquired pneumonia, acute otitis media, acute bacterial rhinosinusitis) were also reviewed, plus local antibiotic availability. Insights from both a local clinician and local clinical microbiologist were sought to contextualize this information. Conclusions Türkiye developed an antibiotic stewardship programme, The Rational Drug Use National Action Plan 2014–2017, prioritizing appropriate antibiotic prescription in the community. Public campaigns discouraging inappropriate antibiotic use were also initiated. Türkiye has a high level of antibiotic resistance and a high level of consumption, however, in 2015 over-the-counter antibiotic sales were prohibited, resulting in a declining trend in overall consumption. There is still a need for physician education on current developments in antibiotic use. Several ongoing global surveillance studies provide antibiotic susceptibility data in Türkiye. Clinicians in Türkiye use several country-specific guidelines for common CA-RTIs plus a range of international guidelines. A more standardized inclusive approach in developing local guidelines, using up-to-date surveillance data on isolates from community-acquired infections in Türkiye, could make guideline use more relevant for clinicians. This would pave the way for a higher level of appropriate antibiotic prescribing and improved adherence. This would, in turn, potentially limit AMR development and improve patient outcome.

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Public knowledge and attitudes regarding antibiotic use in Ankara, Turkey

Cited by 5 publications

References 13 publications

Knowledge and Attitudes of Patients About the Rational Use of Antibiotics

Knowledge and Attitudes of Patients About the Rational Use of Antibiotics

Perspectives of Immigrants and Native Dutch on Antibiotic Use: A Qualitative Study

Country data on AMR in Türkiye in the context of community-acquired respiratory tract infections: links between antibiotic susceptibility, local and international antibiotic prescribing guidelines, access to medicine and clinical outcome

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