ArticleEXCLI journal2013
Irrational antibiotic prescribing: a local issue or global concern?
Article in EXCLI journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Antibiotic prescribing in inpatient and outpatient settings in Iran: a systematic review and meta-analysis study.Antimicrobial resistance and infection control · 2021Pooled it
- Article
- Patterns of drug prescription among hospitalized patients in a tertiary women's hospital: A retrospective drug utilization study.The Journal of international medical research · 2026Observational
- Sociocultural determinants of antimicrobial resistance in Iran: a qualitative study.BMC public health · 2025Article
- Antibiotic Use Patterns at Jimma Medical Center in Southwest Ethiopia: A Call for Local Antibiogram-Guided Prescription.Journal of clinical medicine · 2025Article
- Article
- Stop antibiotic resistance - A roller coaster ride through "antibiotic stewardship," "prescription auditing" and "AWaRe" assessment tool.Journal of family medicine and primary care · 2023Review
- Protocol for a randomized controlled trial on community education and surveillance on antibiotics use among young children in Nepal.Contemporary clinical trials communications · 2023Article
- Resistance pattern of isolated microorganisms from 783 clinical specimen cultures in patients admitted to Yasuj Educational Hospitals, Iran.BMC microbiology · 2023Article
- Prescribing pattern of antibiotics by family physicians in primary health care.Journal of pharmaceutical policy and practice · 2023Article
- Adherence to WHO guidelines on severe pneumonia management in children and its impact on outcome: an observational study at Jinka General Hospital in Ethiopia.Frontiers in public health · 2023Observational
- Barriers to rational antibiotic prescription in Iran: a descriptive qualitative study.Antimicrobial resistance and infection control · 2022Article
- Management of acute diarrhea in the emergency department of a tertiary care university medical center.The Journal of international medical research · 2022Article
- Disparity in socio-economic status explains the pattern of self-medication of antibiotics in India: understanding from game-theoretic perspective.Royal Society open science · 2022Article
- Evaluating antimicrobial prescribing in a Tertiary Healthcare Institution in Nigeria.Journal of pharmaceutical policy and practice · 2021Article
- Irrational use of antibiotics in Iran from the perspective of complex adaptive systems: redefining the challenge.BMC public health · 2021Article
- Antibiotic stewardship program in Pakistan: a multicenter qualitative study exploring medical doctors' knowledge, perception and practices.BMC infectious diseases · 2021Article
- Irrational drug use and its associated factors at Debre Markos Referral Hospital's outpatient pharmacy in East Gojjam, Northwest Ethiopia.SAGE open medicine · 2021Article
- Exploring Nurses' Perception of Antibiotic Use and Resistance: A Qualitative Inquiry.Journal of multidisciplinary healthcare · 2021Article
- How Much Iranian Parents Know of and How Well They Practice Regarding Antibiotics?Iranian journal of pharmaceutical research : IJPR · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Resistance to antibiotics is a major public-health concern and antibiotic use is being ever more recognized as the main discriminatory pressure driving this resistance. The aim was to assess the outpatient usage of antibiotics in teaching hospitals in various parts of capital city of Iran, Tehran and its association with resistance. 600 outpatient antibiotic prescriptions between December 2011 and May 2012 were reviewed in our teaching hospitals. All prescriptions were scrutinized in order to evaluate the antibiotic prescribing. The medical doctors from all grades were asked to note the chief complaints and the most possible diagnosis on each prescription. Clinical data, patient demographic and ultimately the total quantities of antibiotics were recorded. Our data was then compared against the major antibiotic guidelines and similar studies in other countries. The most common prescribed antibiotics are Penicillins (Penicillin, Co-Amoxiclav and Amoxicillin) (40 %), Cephalosporins (Cefixime, Cephalexin and Ceftriaxone) (24.5 %) and Macrolides (particularly Azithromycin) (15.3 %). In total, 18.2 % of cases were combinational antibacterial therapies (≥ 2). The most common diagnosis was upper respiratory tract infections as common cold (29.2 %) and sore throat (11.8 %). Directions (instructions for use) of 58 % of selected antibiotics were acceptable. Parenteral administration remains the common route of administration with 22 % of all reviewed prescriptions. Based on Cochrane reviews the antibiotic prescribing was unjustified in 42.7 % of the cases. The prescribing habit, correct diagnosis and the use of antibiotics need instant consideration. These data can provide useful information for assessing public-health policy that aims to reduce the antibiotic use and resistance levels.
Indexed as
Identifiers
26622211PMC4659337What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.