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Assessment of the perception of physicians concerning antibiotic use and resistance along with the factors influencing the prescription of antibiotics: a situational analysis from Pakistan

100%

Saleem Z., Mohamed A. H., Hashmi F., Azhar F., Hamna H., Zaheer S., Ur Rehman I.

Family Medicine & Primary Care Review

2019

issue 2

149-157

Background. Antimicrobial resistance is an emerging problem worldwide, having a negative influence on patient outcomes. As compared to high and upper middle-income countries, the condition is miserable in low- and middle-income countries, including Pakistan. Objectives. This study aims to assess the perception of physicians concerning antibiotic use and resistance, the factors influencing the prescription of antibiotics and interventions to improve the prescribing behavior in Pakistan. Material and methods. A cross-sectional survey was performed among physicians practicing in different hospitals of Lahore, Pakistan. A 60-item survey instrument was developed in consultation with a group of experts after a literature review of previous comparable studies. The questionnaire was distributed to physicians practicing in different healthcare settings of Lahore, Pakistan. Results. A total population of 200 physicians filled in the questionnaire, with a response rate of 72.7%. The majority of physicians were younger (n = 124, 62%), with an age group of 23–29 years. Most of the physicians reported that antibiotics are overused nationally (n = 190, 95%). However, they did not always agree that antibiotics are overused in their own institutions. A majority of physicians believed that strong knowledge of antibiotics is important in their career (n = 184, 92%). Of the total, 176 (88%) physicians believed that inappropriate use of antibiotics is professionally unethical. Conclusions. Our findings showed that physicians are well aware of the importance of antibiotic resistance and reported that rational use of antibiotics will aid in resolving this issue. Therefore, the introduction of educational sessions regarding antibiotic use and its resistance and innovative approaches to attract healthcare practitioners’ attention towards antibiotic stewardship programs are urgently needed

Unfinished first-line tuberculosis treatment in primary care in Indonesia

88%

Asyary A., Mahendradhata Y.

Family Medicine & Primary Care Review

2019

issue 2

185-188

Background. Unfinished tuberculosis (TB) treatment has slowly but surely become an unexpected event in the disease’s development into drug-resistant TB. Developing countries, mostly comprised of Asian and Eastern European countries, including Indonesia, have been overwhelmed in preventing drug-resistant TB outcomes and have also failed to avoid the development of this disease. Objectives. This review discusses the current issue of an unfinished first-line TB treatment strategy in primary care in Indonesia, presenting some relevant strategies in developing countries. Material and methods. A narrative review approach conducted on all existing evidence in selected scientific bibliographic sources. The researchers defined the keywords based on the research question as a search strategy. Results. Scarce resources and limited access, alongside national policy on TB control and management, contribute in different ways to impede first-line TB treatment in Indonesia. Empowerment of TB patients and their families are considered the best ways to increase awareness on TB medication in a low- to middle-income setting. The role of the hospital and private practitioner networks in the treatment and management of TB patients is essential for developing active-case-finding-approach programs for TB suspects in primary care in an Indonesian setting. Contrarily, the potential misunderstandings in TB treatment have led to peculiar events affected by poor surveillance systems for TB investigation contacts to prevent TB incidences in large populations. Conclusions. This study addressed the barrier of all stakeholders, particularly primary care, to achieve the Indonesian government’s goals of TB elimination by 2030 and zero TB findings by 2050

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2 Family Medicine & Primary Care Review

1 Asyary A.

1 Azhar F.

1 Hamna H.

1 Hashmi F.

1 Mahendradhata Y.

1 Mohamed A. H.

1 Saleem Z.

1 Ur Rehman I.

1 Zaheer S.

2 2019

Search results

Assessment of the perception of physicians concerning antibiotic use and resistance along with the factors influencing the prescription of antibiotics: a situational analysis from Pakistan

Unfinished first-line tuberculosis treatment in primary care in Indonesia