Oğuz Karabay1, Salih Hoşoğlu2, Ertuğrul Güçlü1, Şerife Akalin3, Fatma Aybala Altay4, Emsal Aydin5, Bahadır Ceylan6, Aygül Çelik7, İlhami Çelik8, Tuna Demirdal9, Keziban Demirli10, Nurettin Erben11, Ünal Erkorkmaz12, Serpil Erol13, Ömer Evirgen14, İbak Gönen15, Ayşe Ebru Güner16, Tümer Güven17, Ayten Kadanali18, Mücahide Esra Koçoğlu19, Ömer Faruk Kökoğlu14, Abdulkadir Küçükbayrak20, Fatma Sargin21, Mahmut Sünnetçioğlu22, Şebnem Şenol23, Meltem İşikgöz Taşbakan24, Recep Tekin2, Vedat Turhan25, Gürdal Yilmaz26, Behiye Dede18. 1. Department of Infectious Diseases and Clinical Microbiology, Sakarya University Health Science Institute, Sakarya, Turkey. 2. Department of Infectious Diseases and Clinical Microbiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey. 3. Department of Infectious Diseases and Clinical Microbiology, Pamukkale University, Faculty of Medicine, Denizli, Turkey. 4. Department of Infectious Diseases and Clinical Microbiology, Ankara Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey. 5. Department of Infectious Diseases and Clinical Microbiology, Kafkas University, Faculty of Medicine, Kars, Turkey. 6. Division of Infectious Diseases and Clinical Microbiology, Health Ministry İstanbul Training and Research Hospital, İstanbul, Turkey. 7. Department of Infectious Diseases and Clinical Microbiology, Trakya University, Faculty of Medicine, Edirne, Turkey. 8. Department of Infectious Diseases and Clinical Microbiology, Health Ministry Kayseri Training and Research Hospital, Kayseri, Turkey. 9. Department of Infectious Diseases and Clinical Microbiology, İzmir Kâtip Çelebi University, İzmir, Turkey. 10. Division of Infectious Diseases and Clinical Microbiology, Health Ministry Gebze Fatih State Hospital, Kocaeli, Turkey. 11. Department of Infectious Diseases and Clinical Microbiology, Eskisehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey. 12. Department of Biostatistics, Sakarya University, Faculty of Medicine, Sakarya, Turkey. 13. Department of Infectious Diseases and Clinical Microbiology, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey. 14. Department of Infectious Diseases and Clinical Microbiology, Mustafa Kemal University Faculty of Medicine, Hatay, Turkey. 15. Department of Infectious Diseases and Clinical Microbiology, Süleyman Demirel University, Faculty of Medicine, Isparta, Turkey. 16. Hospital Pharmacy, Sakarya University, Training and Research Hospital, Sakarya, Turkey. 17. Department of Infectious Diseases and Clinical Microbiology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey. 18. Department of Infectious Diseases and Clinical Microbiology, Ümraniye Training and Research Hospital, İstanbul, Turkey. 19. Department of Clinical Microbiology, Abant İzzet Baysal University, Faculty of Medicine, Bolu, Turkey. 20. Department of Infectious Diseases and Clinical Microbiology, Abant İzzet Baysal University, Faculty of Medicine, Bolu, Turkey. 21. Department of Infectious Diseases and Clinical Microbiology, Göztepe Training and Research Hospital, İstanbul, Turkey. 22. Department of Infectious Diseases and Clinical Microbiology, Yüzüncü Yıl University, Faculty of Medicine, Van, Turkey. 23. Department of Infectious Diseases and Clinical Microbiology, Celal Bayar University, Faculty of Medicine, Manisa, Turkey. 24. Department of Infectious Diseases and Clinical Microbiology, Ege University, Faculty of Medicine, İzmir, Turkey. 25. Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpaşa Training Hospital, İstanbul, Turkey. 26. Department of Infectious Diseases and Clinical Microbiology, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.
Abstract
BACKGROUND/AIM: Broad-spectrum antibiotics have become available for use only with the approval of infectious disease specialists (IDSs) since 2003 in Turkey. This study aimed to analyze the tendencies of doctors who are not disease specialists (non-IDSs) towards the restriction of antibiotics. MATERIALS AND METHODS: A questionnaire form was prepared, which included a total of 22 questions about the impact of antibiotic restriction (AR) policy, the role of IDSs in the restriction, and the perception of this change in antibiotic consumption. The questionnaire was completed by each participating physician. RESULTS: A total of 1906 specialists from 20 cities in Turkey participated in the study. Of those who participated, 1271 (67.5%) had ≤5 years of occupational experience (junior specialists = JSs) and 942 (49.4%) of them were physicians. Specialists having >5 years of occupational experience in their branch expressed that they followed the antibiotic guidelines more strictly than the JSs (P < 0.05) and 755 of physicians (88%) and 720 of surgeons (84.6%) thought that the AR policy was necessary and useful (P < 0.05). CONCLUSION: This study indicated that the AR policy was supported by most of the specialists. Physicians supported this restriction policy more so than surgeons did.
BACKGROUND/AIM: Broad-spectrum antibiotics have become available for use only with the approval of infectious disease specialists (IDSs) since 2003 in Turkey. This study aimed to analyze the tendencies of doctors who are not disease specialists (non-IDSs) towards the restriction of antibiotics. MATERIALS AND METHODS: A questionnaire form was prepared, which included a total of 22 questions about the impact of antibiotic restriction (AR) policy, the role of IDSs in the restriction, and the perception of this change in antibiotic consumption. The questionnaire was completed by each participating physician. RESULTS: A total of 1906 specialists from 20 cities in Turkey participated in the study. Of those who participated, 1271 (67.5%) had ≤5 years of occupational experience (junior specialists = JSs) and 942 (49.4%) of them were physicians. Specialists having >5 years of occupational experience in their branch expressed that they followed the antibiotic guidelines more strictly than the JSs (P < 0.05) and 755 of physicians (88%) and 720 of surgeons (84.6%) thought that the AR policy was necessary and useful (P < 0.05). CONCLUSION: This study indicated that the AR policy was supported by most of the specialists. Physicians supported this restriction policy more so than surgeons did.
Authors: R Westerling; A Daryani; O Gershuni; K Czabanowska; H Brand; F Erdsiek; T Aksakal; S Uner; O Karadag Caman; H Ozcebe; P Brzoska Journal: Global Health Date: 2020-11-11 Impact factor: 4.185