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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Impact of antimicrobial drug restrictions on doctors' behaviors

Oğuz Karabay1, Salih Hoşoğlu2, Ertuğrul Güçlü1

  • 1Department of Infectious Diseases and Clinical Microbiology, Sakarya University Health Science Institute, Sakarya, Turkey.

Turkish Journal of Medical Sciences
|August 12, 2016
PubMed
Abstract

Insights

Most doctors in Turkey support antibiotic restriction policies. Physicians favored the policy more than surgeons, indicating a general acceptance of infectious disease specialist oversight.

Area of Science:

  • Infectious Diseases
  • Public Health Policy
  • Medical Practice Management

Background:

  • Broad-spectrum antibiotic access in Turkey requires infectious disease specialist (IDS) approval since 2003.
  • Non-IDS physicians' perspectives on antibiotic restriction (AR) policies were previously unanalyzed.

Purpose of the Study:

  • To analyze non-IDS physicians' attitudes towards antibiotic restriction.
  • To understand the perceived impact of AR policies and the role of IDSs.

Main Methods:

  • A 22-question survey was distributed to physicians across 20 Turkish cities.
  • The questionnaire assessed perceptions of AR policy, IDS involvement, and changes in antibiotic consumption.

Main Results:

  • 1906 specialists participated; 67.5% had ≤5 years of experience (junior specialists).
  • Physicians and surgeons largely found the AR policy necessary and useful (88% and 84.6%, respectively).
  • Specialists with >5 years of experience adhered more strictly to antibiotic guidelines than junior specialists.

Conclusions:

  • The AR policy is broadly supported by medical specialists in Turkey.
  • Physicians showed stronger support for the AR policy compared to surgeons.
Keywords:
Antibiotic policyantibiotic restrictionantibiotic usagebudget execution instructionsspecialist

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