Article ; Online: Physicians' irrational attitudes on the antibiotic prescribing for the treatment of COVID-19 in Turkey: A multicenter survey.
2024 Volume 24, Issue 1, Page(s) 650
Abstract: Background: The inappropriate and excessive use of antibiotics during the coronavirus pandemic has become an important issue.: Objective: Our primary aim is to ascertain the attitudes of physicians toward the antibiotics prescribing for the treatment ...
| Abstract | Background: The inappropriate and excessive use of antibiotics during the coronavirus pandemic has become an important issue. Objective: Our primary aim is to ascertain the attitudes of physicians toward the antibiotics prescribing for the treatment of COVID-19 in Turkey. Our secondary aim was to identify factors affecting to physicians' decisions regarding antibiotic therapy for the treatment of COVID-19 and risk factors associated with antibiotic overprescribing. Methods: It was a multicenter cross-sectional survey. Physicians from 63 different cities were invited to survey through social media (Facebook, Instagram, WhatsApp). Data were collected from respondents through an online questionnaires during November-December 2021. Results: The survey was completed by 571 participants from 63 cities. Pulmonologists comprised the majority (35.20%), followed by internal medical specialists (27.85%) and general practitioners (23.29%). The rates of participants who started empirical antibiotics in the outpatient, ward, and ICU (intensive care unit) were 70.2%, 85.5%, and 74.6%, respectively. When the practice of prescribing antibiotics by physicians for the treatment of COVID-19 in outpatients was compared according to the healthcare setting (primary, secondary, tertiary care hospitals) no significant difference was found. Sputum purulence (68.2%) was recognized as the most important factor for the decision of antibiotic therapy, followed by procalcitonin levels (64.9%) and abnormal radiological findings (50.3%). The most prescribed antibiotics were respiratory quinolones. (48%, 65.9%, 62.7% outpatient, ward, ICU respectively) CONCLUSIONS: In this study, we found that physicians frequently had irrational attitudes toward antibiotic prescription to COVID-19 patients, including those with minor diseases. Our findings underline that the necessity of particular, workable interventions to guarantee the prudent use of antibiotics in COVID-19. |
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| MeSH term(s) | Humans ; Turkey ; Cross-Sectional Studies ; Anti-Bacterial Agents/therapeutic use ; Male ; Female ; Practice Patterns, Physicians'/statistics & numerical data ; Adult ; Attitude of Health Personnel ; Middle Aged ; COVID-19/epidemiology ; Surveys and Questionnaires ; Inappropriate Prescribing/statistics & numerical data ; COVID-19 Drug Treatment ; SARS-CoV-2 ; Physicians/psychology ; Physicians/statistics & numerical data ; Pandemics |
| Language | English |
| Publishing date | 2024-05-21 |
| Publishing country | England |
| Document type | Journal Article ; Multicenter Study |
| ZDB-ID | 2050434-2 |
| ISSN | 1472-6963 ; 1472-6963 |
| ISSN (online) | 1472-6963 |
| ISSN | 1472-6963 |
| DOI | 10.1186/s12913-024-11110-z |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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