Karasneh Reema A, Al-Azzam Sayer I, Ababneh Mera, Al-Azzeh Ola, Al-Batayneh Ola B, Muflih Suhaib M, Khasawneh Mohammad, Khassawneh Abdo-Rahman M, Khader Yousef S, Conway Barbara R, Aldeyab Mamoon A
Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid 21163, Jordan.
Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid 22110, Jordan.
Antibiotics (Basel). 2021 Jul 15;10(7):858. doi: 10.3390/antibiotics10070858.
More research is needed on the drivers of irrational antibiotic prescribing among healthcare professionals and to ensure effective prescribing and an adequate understanding of the issue of antibiotic resistance. This study aimed at evaluating prescribers' knowledge, attitudes and behaviors about antibiotic use and antibiotic resistance. A cross-sectional study was conducted utilizing an online questionnaire and included physicians and dentists from all sectors in Jordan. A total of 613 prescribers were included (physicians = 409, dentists = 204). Respondents' knowledge on effective use, unnecessary use or associated side effects of antibiotics was high (>90%), compared with their knowledge on the spread of antibiotic resistance (62.2%). For ease of access to the required guidelines on managing infections, and to materials that advise on prudent antibiotic use and antibiotic resistance, prescribers agreed in 62% and 46.1% of cases, respectively. 28.4% of respondents had prescribed antibiotics when they would have preferred not to do so more than once a day or more than once a week. Among respondents who prescribed antibiotics, 63.4% would never or rarely give out resources on prudent use of antibiotics for infections. The findings are of importance to inform antibiotic stewardships about relevant interventions aimed at changing prescribers' behaviors and improving antibiotic prescribing practices.
需要对医疗保健专业人员不合理使用抗生素的驱动因素进行更多研究，以确保合理用药并充分了解抗生素耐药性问题。本研究旨在评估开处方者对抗生素使用和抗生素耐药性的知识、态度和行为。采用在线问卷进行了一项横断面研究，纳入了约旦所有部门的医生和牙医。共纳入613名开处方者（医生 = 409名，牙医 = 204名）。与他们对抗生素耐药性传播的了解（62.2%）相比，受访者对有效使用、不必要使用或抗生素相关副作用的了解程度较高（>90%）。为便于获取管理感染所需的指南以及关于谨慎使用抗生素和抗生素耐药性的建议材料，开处方者分别在62%和46.1%的情况下表示同意。28.4%的受访者在本不愿开抗生素的情况下，每天开一次以上或每周开一次以上。在开抗生素的受访者中，63.4%的人从不或很少提供关于谨慎使用抗生素治疗感染的资料。这些研究结果对于为抗生素管理提供有关旨在改变开处方者行为和改善抗生素处方做法的相关干预措施的信息具有重要意义。
