Evidence map›Paper›PMID 35168554›Full record

ArticleBMC primary care2022

Perspectives of physicians and pharmacists on rational use of antibiotics in Turkey and among Turkish migrants in Germany, Sweden and the Netherlands: a qualitative study.

Hilal Özcebe, Sarp Üner, Ozge Karadag, Achraf Daryani, Olga Gershuni, Katarzyna Czabanowska, Helmut Brand, Fabian Erdsiek, Tuğba Aksakal, Patrick Brzoska

Abstract read
In one paragraph

Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Analysis of Antibiotic Resistance Patterns and Distribution ofThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hilal ÖzcebeDepartment of Public, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Sarp ÜnerDepartment of Public Health, Faculty of Medicine, Lokman Hekim University, Ankara, Turkey.
Ozge KaradagColumbia University, Earth Institute, Center for Sustainable Development, New York, NY, USA.
Achraf DaryaniDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Olga GershuniDepartment of International Health, Care and Public Health Research Institute - CAPHRI, Maastricht University, Maastricht, The Netherlands.
Katarzyna CzabanowskaDepartment of International Health, Care and Public Health Research Institute - CAPHRI, Maastricht University, Maastricht, The Netherlands.
Helmut BrandDepartment of International Health, Care and Public Health Research Institute - CAPHRI, Maastricht University, Maastricht, The Netherlands.
Fabian ErdsiekWitten/Herdecke University, Faculty of Health, School of Medicine, Health Services Research, Witten, Germany.
Tuğba AksakalWitten/Herdecke University, Faculty of Health, School of Medicine, Health Services Research, Witten, Germany.
Patrick BrzoskaWitten/Herdecke University, Faculty of Health, School of Medicine, Health Services Research, Witten, Germany. Patrick.Brzoska@uni-wh.de.ORCID 0000-0001-6489-5198

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobial resistance may result from inappropriate use of antibiotics in health care. Turkey is one of the countries with the highest antibiotic consumption in the world. Considering the role of transnational ties between Turkish migrants and their social contacts in Turkey, the attitudes and behaviors relating to rational antibiotic use in Turkey can also affect the use of antibiotics by Turkish migrants residing abroad. This study explores physicians' and pharmacists' experiences and perspectives on rational antibiotic use among Turkish adults in Turkey and among Turkish migrants in Germany, Sweden, and the Netherlands, three European countries with large populations of Turkish migrants.

methodsFollowing a qualitative study design using convenience and snowball sampling, in-depth interviews with 21 family physicians and 24 pharmacists were conducted in the aforementioned countries. We transcribed all interviews verbatim and performed content analysis separately in the countries, followed by translation, pooling and joint interpretation of the findings.

resultsPhysicians and pharmacists encountered irrational use of antibiotics among their patients in Turkey. Physicians interviewed in the three European countries explained that Turkish migrants differ from non-migrants with respect to their attitudes towards antibiotics, for example by more often expecting to be prescribed antibiotics. All physicians and pharmacists in the selected countries reported to inform their patients on how to use antibiotics upon prescription; however, Turkish migrants' poor language proficiency was considered as a substantial communication barrier by the physicians and pharmacists interviewed in the European countries.

conclusionsThe study illustrated some aspects of irrational antibiotic use among the population in Turkey and Turkish migrants in selected European countries. It emphasized the need for closer community participation, adequate information campaigns, as well as in-service training of health care providers in Turkey. The strategies and interventions on rational antibiotic use should also be supported and encouraged by health care providers, who need to reach out to people with various cultural backgrounds.

Indexed as

PharmacistsTransients and MigrantsAdultAnti-Bacterial AgentsGermanyHumansLanguageNetherlandsPhysicians, FamilySwedenTurkeyAnti-Bacterial AgentsGermanyMigrantsNetherlandsRational antibiotic useSwedenTurkey

Identifiers

PMID35168554
PMCPMC8848838

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.