ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Antibiotic Use In Acute Respiratory Infections In Health Care Pro-viders And Their Family Members
Dr. Yusuf ÖNLEN,a Dr. Cahit ÖZER,b Dr. Ertap AKOĞLU,c Dr. Özlem SANGÜN,d Dr. Burçin ÖZER,e Dr. Lütfü SAVAŞ,a Dr. Faruk İNCECİKd
aEnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji AD, bAile Hekimliği AD, cKulak Burun Boğaz AD, dÇocuk Sağlığı ve Hastalıkları AD,
eMikrobiyoloji ve Klinik Mikrobiyoloji AD, Mustafa Kemal Üniversitesi Tıp Fakültesi, HATAY
Objective: The aim of this study was to evaluate the diagnoses and treatment of respiratory infections in health care providers and their family members, and also to investigate the antibiotic types and prescription rates according to specialty and institute of the attending physician.
Metarial and Methods: All doctor visits of health care providers and their family members at Antakya City center, in Primary Health Care Centers, State Hospital and Mustafa Kemal University School of Medicine, between November 2004 and May 2005 were retrospectively evaluated. Cases of upper respiratory tract infections, acute tonsillitis, acute pharyngitis, acute sinusitis, acute otitis media, acute bronchitis, tracheobronchitis and bronchiolitis were included in the study while pneumoniae and inpatient treatments were excluded. Specialty and institution of the attending physician, medications used and diagnoses of patients were determined.
Results: Of the 1145 patients, 611 (53.4%) were females and 534 (46.6%) were males, with a mean age of 19.33 ± 15.44 years (range: 1-66 years). Antibiotic use did not differ according to gender (p= 0.208) and age (p= 0.276). The most frequent diagnoses were upper respiratory tract infections (70.3%), acute tonsillopharyngitis (12.5%), acute bronchitis (8.5%), acute sinusitis (5.5%) and acute otitis media (3.0%). Overall antibiotic prescription rate was 88.0% and the most frequently prescribed antibiotics were amoxicilline-clavulonate (36,9%), second generation cephalosporins (10.3%) and macrolides (8.6%). There was no significant statistical difference between the health care steps or the institution (p= 0.283) and specialties of physicians (p= 0.193) according to the antibiotic prescription rate.
Conclusion: We found that antibiotics were frequently prescribed for acute respiratory tract infections among health care providers and their families; and age and gender of the patient or the institution of the physician had no effect on this issue.Keywords: Health personnel, respiratory tract infections, anti-bacterial agentsTurkiye Klinikleri J Med Sci 2006, 26:364-369
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