تاثير كارگاه آموزشي تجويز منطقي آنتي بيوتيك بر الگوي تجويز آن ها در نسخه هاي پزشكان عمومي شهر كرمانشاه

The effect of antibiotics rational use workshop on prescription pattern of general physicians in Kermanshah

Background: High prices and the risk of bacterial resistance are two important reasons for educations of rational use of antibiotics in general physicians (GPs). The aim of this study was to determine the effect of workshop on rational use of antibiotics in GPs prescriptions. Methods: This was a before-after study, which was conducted on 17 attended GPs in the workshop. 2040 prescriptions from GPs were analyzed one month before and six month after the workshop. Different factors such as: number of drugs, percent of antibiotics, percent of more than one antibiotics and percent of both oral and injectable antibiotics per prescription were calculated. Friedman test were used for analysis of data. Results: The mean and standard deviation of number of drugs per prescription was 3.50±0.72 and 3.50±1.08 before and after of workshop, respectively (P=0.906). Antibiotic prescription before and after workshop was 52.21±10.24 and 47.6±16.8 percent (P=0.726). The study showed that combined oral and injectable antibiotics prescriptions were 17.5±11.9 and 13.4±13.1 percent before and after workshop (P=0.571). Conclusion: We concluded that the rational use of an antibiotic workshop was not effective on antibiotic prescription. Limited sample size, lack of internal motivation in GPs, poor workshop structure, educational methods and finally attending for receiving certificate maybe evolving factors for these results.