Thakolkaran Nimmy, Shetty A Veena, D'Souza Neevan D R, Shetty Avinash K
Department of Microbiology, K.S. Hegde Medical Academy, NITTE University, Mangalore, Karnataka, India.
Department of Community Medicine, Yenepoya Medical College, Mangalore, Karnataka, India.
J Family Med Prim Care. 2017 Jul-Sep;6(3):526-532. doi: 10.4103/2249-4863.222057.
Antibiotic overuse is a major public health challenge worldwide. Data from India related to physician antibiotic prescribing patterns are limited.
We assessed antibiotic prescribing knowledge, attitudes, and practices among physicians in Mangalore, South India.
Using a cross-sectional descriptive study design, physicians at academic tertiary hospitals completed an anonymous on-site survey. The survey items incorporated Likert scales, and data were analyzed using SPSS version 15.0.
Of the 350 physicians approached using a convenient sampling method, 230 (66%) consented and interviewed. The physician's knowledge of resistance patterns of common bacteria was related to receiving periodic updates on resistance patterns of bacteria ( = 0.019) and participation in courses on antibiotics ( = 0.026). Individuals with more number of years of experience (mean of 11 years) were less likely to justify antibiotic use for uncomplicated bronchitis ( = 0.015) and acute gastroenteritis ( = 0.001). Most respondents ( = 204, 89%) believed that physicians overprescribed antibiotics in routine clinical practice. Forty-five percent ( = 104) stated that their hospitals did not have an infection control policy in place.
This study provides some understanding of physician's antibiotic prescribing patterns from teaching hospitals in India. Judicious antimicrobial use through educational and antimicrobial stewardship programs remains critical to control the spread of antibiotic resistance.
抗生素的过度使用是全球主要的公共卫生挑战。印度有关医生抗生素处方模式的数据有限。
我们评估了印度南部芒格洛尔医生的抗生素处方知识、态度和行为。
采用横断面描述性研究设计，学术型三级医院的医生完成了一项匿名现场调查。调查项目采用李克特量表，数据使用SPSS 15.0版进行分析。
采用便利抽样法接触的350名医生中，230名（66%）同意接受访谈。医生对常见细菌耐药模式的了解与接受细菌耐药模式的定期更新（P = 0.019）以及参加抗生素课程（P = 0.026）有关。经验年限较多（平均11年）的个体不太可能为单纯性支气管炎（P = 0.015）和急性肠胃炎（P = 0.001）使用抗生素进行辩解。大多数受访者（204名，89%）认为医生在常规临床实践中过度开具抗生素。45%（104名）表示他们的医院没有感染控制政策。
本研究对印度教学医院医生的抗生素处方模式有了一定了解。通过教育和抗菌药物管理计划明智地使用抗菌药物对于控制抗生素耐药性的传播仍然至关重要。
