Remesh Ambili, Gayathri A M, Singh Rohit, Retnavally K G
Associate Professor, Department of Pharmacology & Therapeutics, Dr. Somervell Memorial CSI Medical College , Karakonam,Trivandrum, Kerala, India .
J Clin Diagn Res. 2013 Apr;7(4):675-9. doi: 10.7860/JCDR/2013/5413.2879. Epub 2013 Feb 15.
Antibiotics are prescribed frequently and there is always an overuse with a risk of resistance and increasing costs. Rational drug prescribing is essential for minimizing the health care costs and for reducing the resistance. The implementation of a strict antibiotic policy by all the health care institutes is being made mandatory nowadays. An improving awareness among the prescribers which can be created through educational interventions, can promote the rational use of antibiotics. Hence, we considered it worthwhile to study the knowledge, attitude and the perception of the practitioners towards a rational antibiotic use.
All the registered practitioners who were working in the hospital setting and were willing to give written informed consents, were enrolled in the study. All the participants who were enrolled in the study during a one month period, had to fill up a predesigned, structured and validated questionnaire which was used to assess the knowledge, attitude and the perception among physicians towards the rational use of antibiotics.
About 65% of the participants who provided complete information in the questionnaire, were included in analysis. Among them, more than 50 % agreed on the existence of an essential drug list, on the knowledge about new antibiotics and on prescribing antibiotics rationally and on the interpretation of the culture and the sensitivity results. A majority strongly agreed that they ensured that their patients completed the course, that they provided counselling and that they took special interest in the proper use of antibiotics. There was a consensus on the overuse, issues of resistance, and on the input from fellow colleagues.
The participants in our study had knowledge about the rational use of antibiotics, an attitude to prescribe drugs as per the essential drug list and a perception that antibiotics were being overused and that rational drug prescribing had an important role in the antibiotic resistance.
抗生素的处方开具十分频繁，且一直存在过度使用的情况，存在耐药风险并导致成本增加。合理用药对于降低医疗成本和减少耐药性至关重要。如今，所有医疗机构强制实施严格的抗生素政策。通过教育干预提高开处方者的意识，可促进抗生素的合理使用。因此，我们认为研究从业者对合理使用抗生素的知识、态度和认知是值得的。
所有在医院工作且愿意提供书面知情同意书的注册从业者均纳入本研究。在一个月内纳入研究的所有参与者都必须填写一份预先设计、结构化且经过验证的问卷，该问卷用于评估医生对合理使用抗生素的知识、态度和认知。
约65%在问卷中提供完整信息的参与者被纳入分析。其中，超过50%的人认同基本药物清单的存在、对新抗生素的了解、合理开具抗生素以及对培养和药敏结果的解读。大多数人强烈认同他们确保患者完成疗程、提供咨询服务并特别关注抗生素的正确使用。在过度使用、耐药问题以及同事的意见方面存在共识。
我们研究中的参与者具备合理使用抗生素的知识，有按照基本药物清单开药的态度，并且认识到抗生素存在过度使用的情况，合理用药在抗生素耐药性方面具有重要作用。
