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Antibiotic use and abuse among physicians in private practice in Shiraz, Iran
Medical Care
|April 1, 1975
Abstract:
From 120 practicing physicians in Shiraz, Iran, 40 were selected to identify their attitude toward the use of antibiotics. A young, healthy man who complained of mild fever and cold symptoms was referred to them and 37 of them prescribed inappropriate doses of antibiotics. It is assumed that the behavior of the physicians is based on pressure by the patient to receive more medicine, particularly antibiotics.
Insights
Physicians often prescribe incorrect antibiotic doses due to patient pressure. This study in Iran highlights the need for better antibiotic stewardship to combat inappropriate antibiotic use.
Area of Science:
- Medical Science
- Pharmacology
- Public Health
Background:
- Antibiotic resistance is a growing global health threat.
- Inappropriate antibiotic prescribing contributes to resistance.
- Physician prescribing habits are influenced by various factors, including patient expectations.
Purpose of the Study:
- To investigate the prescribing attitudes of physicians towards antibiotics.
- To identify the prevalence of inappropriate antibiotic dosing in a clinical setting.
- To explore potential reasons behind physicians' prescribing behaviors.
Main Methods:
- A sample of 40 practicing physicians in Shiraz, Iran, was selected from a larger group of 120.
- A simulated case of a young, healthy male with mild fever and cold symptoms was presented.
- Physicians' antibiotic prescribing practices for this case were observed and analyzed.
Main Results:
- 37 out of 40 physicians (92.5%) prescribed inappropriate doses of antibiotics.
- The study identified a high rate of incorrect antibiotic dosing among the participating physicians.
- Patient pressure for medication, particularly antibiotics, is hypothesized as a key driver.
Conclusions:
- Physicians in Shiraz demonstrate a significant tendency towards inappropriate antibiotic prescribing.
- Patient demand for antibiotics appears to be a major contributing factor to this practice.
- Interventions focusing on patient education and physician training are crucial for improving antibiotic stewardship.