Cargando…

The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China

It has been previously reported that the improper prescribing of antibiotic eye drops is common among orthokeratology (ortho-k) practitioners. Guidelines have since been developed and disseminated to improve their understanding and implementation of antibiotic prescriptions. This study aimed to inve...

Descripción completa

Detalles Bibliográficos
Autores principales: Chen, Zhi, Wang, Jifang, Jiang, Jun, Yang, Bi, Cho, Pauline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8868172/
https://www.ncbi.nlm.nih.gov/pubmed/35203782
http://dx.doi.org/10.3390/antibiotics11020179
_version_ 1784656202163027968
author Chen, Zhi
Wang, Jifang
Jiang, Jun
Yang, Bi
Cho, Pauline
author_facet Chen, Zhi
Wang, Jifang
Jiang, Jun
Yang, Bi
Cho, Pauline
author_sort Chen, Zhi
collection PubMed
description It has been previously reported that the improper prescribing of antibiotic eye drops is common among orthokeratology (ortho-k) practitioners. Guidelines have since been developed and disseminated to improve their understanding and implementation of antibiotic prescriptions. This study aimed to investigate the influence of these guidelines on the knowledge, attitude, and prescribing habits of ortho-k practitioners by means of a questionnaire, which was administered nationwide via an official online account to eye care practitioners (ECPs) involved in ortho-k lens fitting, 548 of whom completed the survey. Differences in characteristics before and after the dissemination of the guidelines and between the groups were explored using χ(2) tests. The relationship between prescribing habits and demographics was analyzed using stepwise logistic regression models. The implementation of the guidelines significantly improved the overall prescribing habits of ECPs (p < 0.001), especially for prophylactic antibiotic use before and after ortho-k lens wear (p < 0.001). Most ECPs who prescribed antibiotics properly displayed significantly better knowledge of correct antibiotic use, which in turn affected the compliance in their ortho-k patients (p < 0.001). The ECPs’ occupations (professionals other than ophthalmologists and optometrists, including nurses and opticians), clinical setting (distributor fitting centers), and age (younger than 25 years) were risk factors for the misuse of antibiotics. Although the implementation of the antibiotic guidelines significantly improved overall prescribing habits, some practitioners’ prescribing behavior still needs improvement. A limitation of this study was that all questions were mandatory, requiring ECPs to recall information, and therefore was subjected to selection and recall bias.
format Online
Article
Text
id pubmed-8868172
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-88681722022-02-25 The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China Chen, Zhi Wang, Jifang Jiang, Jun Yang, Bi Cho, Pauline Antibiotics (Basel) Article It has been previously reported that the improper prescribing of antibiotic eye drops is common among orthokeratology (ortho-k) practitioners. Guidelines have since been developed and disseminated to improve their understanding and implementation of antibiotic prescriptions. This study aimed to investigate the influence of these guidelines on the knowledge, attitude, and prescribing habits of ortho-k practitioners by means of a questionnaire, which was administered nationwide via an official online account to eye care practitioners (ECPs) involved in ortho-k lens fitting, 548 of whom completed the survey. Differences in characteristics before and after the dissemination of the guidelines and between the groups were explored using χ(2) tests. The relationship between prescribing habits and demographics was analyzed using stepwise logistic regression models. The implementation of the guidelines significantly improved the overall prescribing habits of ECPs (p < 0.001), especially for prophylactic antibiotic use before and after ortho-k lens wear (p < 0.001). Most ECPs who prescribed antibiotics properly displayed significantly better knowledge of correct antibiotic use, which in turn affected the compliance in their ortho-k patients (p < 0.001). The ECPs’ occupations (professionals other than ophthalmologists and optometrists, including nurses and opticians), clinical setting (distributor fitting centers), and age (younger than 25 years) were risk factors for the misuse of antibiotics. Although the implementation of the antibiotic guidelines significantly improved overall prescribing habits, some practitioners’ prescribing behavior still needs improvement. A limitation of this study was that all questions were mandatory, requiring ECPs to recall information, and therefore was subjected to selection and recall bias. MDPI 2022-01-29 /pmc/articles/PMC8868172/ /pubmed/35203782 http://dx.doi.org/10.3390/antibiotics11020179 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Zhi
Wang, Jifang
Jiang, Jun
Yang, Bi
Cho, Pauline
The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China
title The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China
title_full The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China
title_fullStr The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China
title_full_unstemmed The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China
title_short The Impact of Antibiotic Usage Guidelines, Developed and Disseminated through Internet, on the Knowledge, Attitude and Prescribing Habits of Orthokeratology Contact Lens Practitioners in China
title_sort impact of antibiotic usage guidelines, developed and disseminated through internet, on the knowledge, attitude and prescribing habits of orthokeratology contact lens practitioners in china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8868172/
https://www.ncbi.nlm.nih.gov/pubmed/35203782
http://dx.doi.org/10.3390/antibiotics11020179
work_keys_str_mv AT chenzhi theimpactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT wangjifang theimpactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT jiangjun theimpactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT yangbi theimpactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT chopauline theimpactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT chenzhi impactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT wangjifang impactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT jiangjun impactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT yangbi impactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina
AT chopauline impactofantibioticusageguidelinesdevelopedanddisseminatedthroughinternetontheknowledgeattitudeandprescribinghabitsoforthokeratologycontactlenspractitionersinchina