Antibiotic therapy and awareness of antibiotic resistance problem in medical practice

Fedorova O.S.; Fedosenko S.V.; Fedotova M.M.; Chigrina V.P.

doi:https://doi.org/10.17116/profmed202124101106

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OBJECTIVE

To analyze current foreign and local studies on antibiotic prescribing practices and physicians’ awareness of antibiotic resistance.

MATERIALS AND METHODS

The electronic search engine PubMed and the scientific electronic library eLibrary.ru were used to find original quantitative studies. The review includes studies published between January 1, 2015, and August 31, 2020, in English and Russian. Of the 829 works selected, 26 met the inclusion criteria.

RESULTS

The literature review results demonstrated that physicians consider the problem of antibiotic resistance to be of vital importance but leave it unaddressed in routine practice. Practitioners, especially in developing countries, have little knowledge of antibiotics and often have difficulty prescribing them. The choice of a drug is influenced by its cost and availability, the patient’s socioeconomic status, and patients’ demand for antibiotics. Developing countries lack microbiological diagnostic technology, so empirical antibiotic therapy predominates.

CONCLUSION

The development of educational programs for physicians and the public, infection surveillance systems, and guidelines tailored to regional antimicrobial resistance patterns can be effective means to prevent and reduce antimicrobial resistance.

Keywords:

antibiotics

antimicrobial

antibiotic resistance

usage

awareness

attitude

knowledge

physician

health care provider

Authors:

Fedorova O.S.

Siberian State Medical University

ORCID: 0000-0002-7130-9609

Fedosenko S.V.

Siberian State Medical University

ORCID: 0000-0001-6655-3300

Fedotova M.M.

Siberian State Medical University

ORCID: 0000-0001-7655-7911

Chigrina V.P.

Russian Research Institute of Health

ORCID: 0000-0002-5044-4836

Received:

26.02.2021

Accepted:

23.07.2021

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References:

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