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2771. Antibiotic Prescription Practices and Perceptions Among Physicians in Bangladesh

BACKGROUND: Antimicrobial resistance (AMR) is a global public health threat, especially in low-resource settings. Irrational and inappropriate use of antibiotics in healthcare settings has led to widespread drug resistance. Antibiotics are widely and inappropriately used without adherence to interna...

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Autores principales: Harun, Md Golam Dostogir, Sumon, Shariful Amin, Islam, Md Saiful
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10678213/
http://dx.doi.org/10.1093/ofid/ofad500.2382
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author Harun, Md Golam Dostogir
Sumon, Shariful Amin
Islam, Md Saiful
author_facet Harun, Md Golam Dostogir
Sumon, Shariful Amin
Islam, Md Saiful
author_sort Harun, Md Golam Dostogir
collection PubMed
description BACKGROUND: Antimicrobial resistance (AMR) is a global public health threat, especially in low-resource settings. Irrational and inappropriate use of antibiotics in healthcare settings has led to widespread drug resistance. Antibiotics are widely and inappropriately used without adherence to international guidelines in Bangladesh, which may contribute significantly to the development of antimicrobial resistance (AMR). With the rapid raising of AMR, it is important to assess antibiotic prescribing perceptions and practices among physicians in Bangladesh. METHODS: From September to December 2020, a hospital-based cross-sectional survey was conducted among 517 physicians in 11 tertiary care hospitals across Bangladesh. Face-to-face interviews were done to collect information. Descriptive statistics were performed to analyze the data and for interpretation RESULTS: Nearly two-thirds (66 %) of the physicians considered AMR a significant concern. Over three-fourths (77%) opined that easy access to antibiotics without a prescription was the most important contributor to AMR, followed by overuse/inappropriate use (68%); whereas 42% of physicians reported inadequate diagnostic tests and one-fifth blamed poor infection control measures as the cause of rising AMR. The majority (77 %) of the participants reported following senior physicians’ guidance to prescribe antibiotics while 41.6% prescribe considering the affordability of patients (and) antibiotic cost. All (100%) physicians stated that updated antibiotic use guidelines are necessary for the appropriate and rational use of antibiotics CONCLUSION: The assessment's findings can aid policymakers in the development and implementation of a national guideline for ensuring the rational use of antibiotics and enforcement of drug regulations at all stages, including the dispense of antibiotics in Bangladesh. DISCLOSURES: All Authors: No reported disclosures
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spelling pubmed-106782132023-11-27 2771. Antibiotic Prescription Practices and Perceptions Among Physicians in Bangladesh Harun, Md Golam Dostogir Sumon, Shariful Amin Islam, Md Saiful Open Forum Infect Dis Abstract BACKGROUND: Antimicrobial resistance (AMR) is a global public health threat, especially in low-resource settings. Irrational and inappropriate use of antibiotics in healthcare settings has led to widespread drug resistance. Antibiotics are widely and inappropriately used without adherence to international guidelines in Bangladesh, which may contribute significantly to the development of antimicrobial resistance (AMR). With the rapid raising of AMR, it is important to assess antibiotic prescribing perceptions and practices among physicians in Bangladesh. METHODS: From September to December 2020, a hospital-based cross-sectional survey was conducted among 517 physicians in 11 tertiary care hospitals across Bangladesh. Face-to-face interviews were done to collect information. Descriptive statistics were performed to analyze the data and for interpretation RESULTS: Nearly two-thirds (66 %) of the physicians considered AMR a significant concern. Over three-fourths (77%) opined that easy access to antibiotics without a prescription was the most important contributor to AMR, followed by overuse/inappropriate use (68%); whereas 42% of physicians reported inadequate diagnostic tests and one-fifth blamed poor infection control measures as the cause of rising AMR. The majority (77 %) of the participants reported following senior physicians’ guidance to prescribe antibiotics while 41.6% prescribe considering the affordability of patients (and) antibiotic cost. All (100%) physicians stated that updated antibiotic use guidelines are necessary for the appropriate and rational use of antibiotics CONCLUSION: The assessment's findings can aid policymakers in the development and implementation of a national guideline for ensuring the rational use of antibiotics and enforcement of drug regulations at all stages, including the dispense of antibiotics in Bangladesh. DISCLOSURES: All Authors: No reported disclosures Oxford University Press 2023-11-27 /pmc/articles/PMC10678213/ http://dx.doi.org/10.1093/ofid/ofad500.2382 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Harun, Md Golam Dostogir
Sumon, Shariful Amin
Islam, Md Saiful
2771. Antibiotic Prescription Practices and Perceptions Among Physicians in Bangladesh
title 2771. Antibiotic Prescription Practices and Perceptions Among Physicians in Bangladesh
title_full 2771. Antibiotic Prescription Practices and Perceptions Among Physicians in Bangladesh
title_fullStr 2771. Antibiotic Prescription Practices and Perceptions Among Physicians in Bangladesh
title_full_unstemmed 2771. Antibiotic Prescription Practices and Perceptions Among Physicians in Bangladesh
title_short 2771. Antibiotic Prescription Practices and Perceptions Among Physicians in Bangladesh
title_sort 2771. antibiotic prescription practices and perceptions among physicians in bangladesh
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10678213/
http://dx.doi.org/10.1093/ofid/ofad500.2382
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