Seasonality and Physician-related Factors Associated with Antibiotic Prescribing: A Cross-sectional Study in Isfahan, Iran

International Journal of Preventive Medicine
Leila SafaeianMarjan Mansourian

Abstract

Irrational antibiotic prescribing as a global health problem has a major influence on medical care quality and healthcare expenditure. This study was aimed to determine the pattern of antibiotic use and to assess the seasonality and physician-related factors associated with variability in antibiotic prescribing in Isfahan province of Iran. This cross-sectional survey was conducted on all prescriptions issued by general physicians from rural and urban areas in 2011. Associations between season of prescribing and physician-related variables including gender, practice location and time since graduation with antibiotic prescriptions and also the pattern of antibiotic prescribing were assessed using Chi-square tests and multiple logistic regression models. Of the 7439709 prescriptions issued by 3772 general practitioners, 51% contained at least one antibiotic. Penicillins were the most frequently prescribed antibiotics, followed by cephalosporins and macrolides. Over-prescription of penicillins was associated with female gender (odds ratio [OR], 2.61; 95% confidence interval [CI] 2.13-3.19) and with moderate duration of time in practice (10-20 years) (OR, 1.42; 95% CI 1.14-1.76). Higher rates of cephalosporins prescription were obse...Continue Reading

Citations

Sep 15, 2016·The Journal of Antimicrobial Chemotherapy·Gloria CordobaLars Bjerrum
Mar 3, 2017·The Journal of Ambulatory Care Management·Thiago Augusto Hernandes RochaLuiz Augusto Facchini
Sep 4, 2018·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Sibongiseni Daphney Gumede, Maureen Nokuthula Sibiya
Dec 21, 2018·São Paulo Medical Journal = Revista Paulista De Medicina·Jéssica Quintão PereiraTaís Freire Galvão
Jan 16, 2021·Antimicrobial Resistance and Infection Control·Ehsan NabovatiReza Abbasi

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