Prevalence of Prescribing Antibiotics for Upper Respiratory Tract Infection among Primary Health Care Patients in Makkah, Al-Mukarramah, 1438 H
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Objectives: To estimate the prevalence of antibiotics prescribing for Upper respiratory tract infection (URTI) among primary health care patients in Makkah and to identify current patterns of antibiotic use and explore the factors for prescribing antibiotic in primary health care centres in Makkah. Subjects and Methods: A Cross-sectional study among primary Health Care physicians in Makkah city. A sample of 134 physicians was included, (59%) females and (41%) males. The tool of the study was a self-administered questionnaire, which consists of two Parts: Demographic data and current pattern and factors of prescribing antibiotics. Results: The study included 134 PHC physicians. Most of them (73.1%) had MBBS degree and only 25.4% had FM Board. More than half of physicians (59%) were prescribed antibiotics for 25% of the patients with URTI. The most common symptoms and signs which affect the physician's decision for prescribing antibiotics for URTI patients persistent fever over 3 days (50.7%), fever >38.5oC (50.7%), deteriorated general condition (54.5%). Over one month, a total of 40.4% of physicians were asked to prescribe antibiotics 1-4 times. Most physicians (86.6%) usually follow guidelines in prescribing antibiotics for patients with URTI. Conclusion: This study showed that half of primary health care physicians prescribed antibiotics only for one-quarter of all URTI patients and the most common prescribed antibiotics were the amoxicillin. Exudates in the throat, inflamed eardrum, crepitation at lung auscultation, persistent fever over 3 days and fever >38.5ºC significantly affected physicians' decisions to prescribe antibiotics for URTI.
Authors and Affiliations
Abduljabbar Muhammad Alfetni, Shatha Sameer Alim, MBBS, Ali Mohammad Alelyani, MBBS, Fahad Mogli Alharbi, MBBS, Jaber Mohammad Alelyani, MD, Raghad Sulaiman Alharazi, MBBS, Rahaf Sulaiman Alharazi
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- EP ID EP543491
- DOI 10.21276/ijmrp.2017.3.2.004
- Views 79
- Downloads 0
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