Investigation of Antibiotic Prescription Related Factors in Sakarya Province

Pehlivan, Hüseyin; KARABAY, OĞUZ; YILMAZ YALÇINER, AYTEN; Öğütlü, Aziz; Gunay, Elcin

doi:10.31832/smj.1185249

Investigation of Antibiotic Prescription Related Factors in Sakarya Province

Hüseyin PEHLİVAN, (Sakarya Üniversitesi, Mühendislik Fakültesi, Makine Mühendisliği Bölümü, Sakarya, Türkiye)

Oğuz KARABAY, (Sakarya Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları Anabilim Dalı, Sakarya, Türkiye)

Ayten YILMAZ YALÇINER, (Sakarya Üniversitesi, Mühendislik Fakültesi, Endüstri Mühendisliği Bölümü, Sakarya, Türkiye)

Aziz ÖĞÜTLÜ, (Sakarya İl Sağlık Müdürlüğü, Sakarya, Türkiye)

Elif Elçin GÜNAY (Sakarya Üniversitesi, Mühendislik Fakültesi, Endüstri Mühendisliği Bölümü, Sakarya, Türkiye)

Sakarya Tıp Dergisi

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Yıl: 2023 Cilt: 13 Sayı: 3 Sayfa Aralığı: 456 - 464 Metin Dili: İngilizce DOI: 10.31832/smj.1185249 İndeks Tarihi: 09-12-2023

Investigation of Antibiotic Prescription Related Factors in Sakarya Province

Öz:

Introduction Because consumption of antibiotics is very critical for public health, it was aimed to analyze and evaluate the data of number of antibiotic packages prescribed by Family Physician (FP) and other doctors than family physicians (ODTFPs) serving in the province of Sakarya and Turkey in terms of cost and prescription related factors for 2019. Materials and Methods Th is study was based on the measurement of antibiotic consumption relied on retrospective data. Th e number of antibiotic packages prescribed for the year 2019 belonging to Turkey and Sakarya province was analyzed and compared based on cost and expertise of physicians. Chi-square test of homogeneity and two-sample Poisson tests were used in the analysis. p value less than 0.05 was accepted as signifi cant. Results Consultation per capita for FPs (z = 307.57, p-value < 0.0001) and ODTFPs (z = 278.27, p-value < 0.0001) in Sakarya were signifi cantly higher than that of those in Turkey. However, both FPs (Chi-Sq =17231.434, df = 1, p-value <0.0001) and ODTFPs (Chi-Sq = 5197.376, df = 1, p-value < 0.0001) in Sakarya prescribed fewer antibiotics than that of in Turkey for 2019. Th e most prescribed antibiotic group was the J01C group penicillins and its derivatives. Conclusion It is thought that the reasons of fewer antibiotics prescribed in Sakarya than in Turkey are related to regular training and feedback to physicians. In this context, feedback policies implemented in hospitals are very valuable for antibiotic consumption management and post-graduate training of physicians is very benefi cial for rational antibiotic usage.

Anahtar Kelime: Antibiotic consumption surveillance

Sakarya İli'nde Antibiyotik Tüketim Sıklığının Araştırılması

Öz:

Amaç Antibiyotik tüketiminin halk sağlığı açısından oldukça kritik olması nedeniyle, 2019 yılı için maliyet ve reçeteyle ilgili faktörler açısından Sakarya ilinde görev yapan Aile Hekim- leri (FP) ve aile hekimleri dışındaki doktorlar (ODTP’ler) tarafından reçete edilen antibiyotik kutu sayılarına ait verilerin analiz edilmesi ve değerlendirilmesi amaçlanmıştır. Yöntem ve Gereçler Bu çalışma, retrospektif verilere dayanarak antibiyotik tüketiminin ölçülmesine dayanmaktadır. Türkiye ve Sakarya iline ait 2019 yılı için reçete edilen antibiyotik kutu sayıları analiz edilerek maliyet ve hekimlerin uzmanlıklarına göre karşılaştırma yapılmıştır. Analizdeki ki-kare homojenlik testi ve iki örnekli Poisson testi kullanılmıştır. p değerinin 0,05’ten küçük olması anlamlı olarak kabul edilmiştir. Bulgular Sakarya’daki FP (z = 307,57, p-değeri < 0,0001) ve ODTFP’ler (z = 278,27, p-değeri < 0,0001) için kişi başına düşen konsültasyon oranı Türkiye’dekilerden anlamlı derecede yüksektir. Ancak Sakarya’daki hem FP (Chi-Sq =17231.434, df = 1, p-değeri <0,0001) hem de ODTFP’lerin (Chi-Sq = 5197.376, df = 1, p-değeri < 0,0001) Türkiye geneline göre daha az sayıda antibiyotik reçete ettiği görülmektedir. 2019 yılında en çok reçete edilen antibiyotik grubu J01C penisilinler ve türevleridir. Sonuç Sakarya’da Türkiye geneline göre daha az antibiyotiğin reçete edilmesinin nedeninin, hekimlere verilen düzenli eğitim ve geri bildirim olduğu düşünülmektedir. Bu bağlamda hastanelerde uygulanan geri bildirim politikaları antibiyotik tüketimi yönetimi açısından oldukça değerlidir ve hekimlerin mezuniyet sonrası eğitimleri de akılcı antibiyotik kullanımı açısından oldukça faydalıdır.

Anahtar Kelime: antibiyotik tüketim sürveyans

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Pehlivan H, KARABAY O, YILMAZ YALÇINER A, Öğütlü A, Gunay E (2023). Investigation of Antibiotic Prescription Related Factors in Sakarya Province. , 456 - 464. 10.31832/smj.1185249
Chicago	Pehlivan Hüseyin,KARABAY OĞUZ,YILMAZ YALÇINER AYTEN,Öğütlü Aziz,Gunay Elcin Investigation of Antibiotic Prescription Related Factors in Sakarya Province. (2023): 456 - 464. 10.31832/smj.1185249
MLA	Pehlivan Hüseyin,KARABAY OĞUZ,YILMAZ YALÇINER AYTEN,Öğütlü Aziz,Gunay Elcin Investigation of Antibiotic Prescription Related Factors in Sakarya Province. , 2023, ss.456 - 464. 10.31832/smj.1185249
AMA	Pehlivan H,KARABAY O,YILMAZ YALÇINER A,Öğütlü A,Gunay E Investigation of Antibiotic Prescription Related Factors in Sakarya Province. . 2023; 456 - 464. 10.31832/smj.1185249
Vancouver	Pehlivan H,KARABAY O,YILMAZ YALÇINER A,Öğütlü A,Gunay E Investigation of Antibiotic Prescription Related Factors in Sakarya Province. . 2023; 456 - 464. 10.31832/smj.1185249
IEEE	Pehlivan H,KARABAY O,YILMAZ YALÇINER A,Öğütlü A,Gunay E "Investigation of Antibiotic Prescription Related Factors in Sakarya Province." , ss.456 - 464, 2023. 10.31832/smj.1185249
ISNAD	Pehlivan, Hüseyin vd. "Investigation of Antibiotic Prescription Related Factors in Sakarya Province". (2023), 456-464. https://doi.org/10.31832/smj.1185249

APA	Pehlivan H, KARABAY O, YILMAZ YALÇINER A, Öğütlü A, Gunay E (2023). Investigation of Antibiotic Prescription Related Factors in Sakarya Province. Sakarya Tıp Dergisi, 13(3), 456 - 464. 10.31832/smj.1185249
Chicago	Pehlivan Hüseyin,KARABAY OĞUZ,YILMAZ YALÇINER AYTEN,Öğütlü Aziz,Gunay Elcin Investigation of Antibiotic Prescription Related Factors in Sakarya Province. Sakarya Tıp Dergisi 13, no.3 (2023): 456 - 464. 10.31832/smj.1185249
MLA	Pehlivan Hüseyin,KARABAY OĞUZ,YILMAZ YALÇINER AYTEN,Öğütlü Aziz,Gunay Elcin Investigation of Antibiotic Prescription Related Factors in Sakarya Province. Sakarya Tıp Dergisi, vol.13, no.3, 2023, ss.456 - 464. 10.31832/smj.1185249
AMA	Pehlivan H,KARABAY O,YILMAZ YALÇINER A,Öğütlü A,Gunay E Investigation of Antibiotic Prescription Related Factors in Sakarya Province. Sakarya Tıp Dergisi. 2023; 13(3): 456 - 464. 10.31832/smj.1185249
Vancouver	Pehlivan H,KARABAY O,YILMAZ YALÇINER A,Öğütlü A,Gunay E Investigation of Antibiotic Prescription Related Factors in Sakarya Province. Sakarya Tıp Dergisi. 2023; 13(3): 456 - 464. 10.31832/smj.1185249
IEEE	Pehlivan H,KARABAY O,YILMAZ YALÇINER A,Öğütlü A,Gunay E "Investigation of Antibiotic Prescription Related Factors in Sakarya Province." Sakarya Tıp Dergisi, 13, ss.456 - 464, 2023. 10.31832/smj.1185249
ISNAD	Pehlivan, Hüseyin vd. "Investigation of Antibiotic Prescription Related Factors in Sakarya Province". Sakarya Tıp Dergisi 13/3 (2023), 456-464. https://doi.org/10.31832/smj.1185249