Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

Antibiotic misuse in Iran

(2010) Antibiotic misuse in Iran. Australasian Medical Journal.


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Dear Editor, In last issue of Australasian Medical Journal (AMJ), Fahad B.M et al published a paper titled “Antibiotic usage at a primary health care unit in Bangladesh”. (1) The authors reported the possibility of antibiotic misuse in the area where the study was performed. The three most common antibiotics prescribed in this study were ceftriaxone, cefixime, and amoxicillin. As they mentioned antibiotic misuse isn’t specific for this area and is going to be a global health issue. Studies in Iran suggest the possibility of irrational prescribing of antibiotics. For example Faranak Ansari reported on a number of systemic antibiotics prescribed for inpatients during a period of 6 months; ampicillin, cefazolin, ceftizoxime, gentamicin, and cefalexin where the five most commonly used drugs. 62% of antibiotics used were in parenteral forms, 58% were broad-spectrum agents, and 40.2% were broad spectrum parenteral agents. (2) This pattern of antibiotic use isn’t entirely consistent with the study by Fahad B.M (1), but both studies mentioned the possibility of antibiotic misuse in their health centre. The difference in the pattern of antibiotic use could result from the different knowledge of physicians in these areas and their different attitudes toward antibiotic use or different types of antibiotics. Another problem with antibiotics is self-medication. In a study in 2008 in Iran 42.2% of medical and 48% of non-medical students reported self-medication with antibiotics in the last 3 months. (3)They usually use antibiotics for treatment of sore throat and common cold. Amoxicillin and penicillin were the most common self-medications among these students. Antibiotic misuse can increase the prescription cost and also can increase antibiotic resistance. Also inappropriate prescription of antibiotics may be harmful for patients. Educational programs for both physician and patients to prevent irrational antibiotic prescription and self-medication with antibiotics are needed and can be helpful. Also some studies on the patients and physicians knowledge and attitudes towards antibiotic prescription and use can be helpful to find out the role of these items in antibiotic misuse. Antibiotic prescription should be carefully monitored and their sale without prescription should be limited to reduce the rate of self-medication. Collaboration between physician, patients, pharmacies, hospitals is needed to solve this problem. Also some national drug policies may help to resolve the problem. Sincerely, Hamidreza Mahboobi1, Tahereh Khorgoei1, Fatemeh Eftekhar1 1- Infectious & Tropical Disease Research Center, Hormozgan University of Medical Sciences (HUMS)

Item Type: Article
Keywords: Antibiotic misuse
Subjects: health Information management
infectious diseases
Divisions: Research Vice-Chancellor Department > Infectious and Tropical Diseases Research Center
Depositing User: مركز تحقيقات بيماريهاي عفوني

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