Kevser Erol, D Aslantas, F Y Ozatik and U T Babaoglu
Eskisehir Osmangazi University, Turkey
Ahi Evran University, Turkey
Posters & Accepted Abstracts: Clin Exp Pharmacol
Introduction & Aim: At the meeting which is assembled at Nairobi, World Health Organization (WHO) described rational drug use as easy access to adequate drug in the meaning of period and dosage and for lowest cost. According to 2006 WHO data, worldwide reserved fund for drug expenditure is 859 billion US Dollar. As a result of irrational drug use, bacterial resistance occurs against antibiotics and affects treatments. This research was conducted to study knowledge and attitude of college, hospital, physicians and nurses towards rational drug use. Materials & Methods: This is a descriptive study and it was conducted between 1-15 April 2016 in college and hospital, physicians and nurses (n=316) who work at college and hospital form the sample of this study. However, due to unwillingness of participation 212 (67.08%) individual were included in the study. Data were collected by survey form, which was made from literature review. Ethical approval was taken before the application of the study. Results: 32.8% of physicians had 11 to 15 years of professional experience, 87.5% of the participants reported that they are specialist physician, 44.3% of the nurses had 11 to 15 years of professional experience, 79.1% of the nurses reported that they participated in-service training, 68.70% of physicians stated that they participated in rational drug use training, 35.9% of physicians participating in the study reported that they made an adverse report. When prescribing, they stated that they used the Vade mecum (71.9%) as information source. Only a minority of participants (7.8%) reported that they had a poor knowledge about bioequivalence, pharmacological properties (4.7%) and warnings. About 18.8% of physicians reported that they were discussing with their patient if they did not prescribe the medicine desired by the patient. They said that 20.3% of the physicians never interacted with other medicines or foods, 12.5% never gave information about drugs, 53.4% of the participants stated that medication was omitted or not applied, 49.3% said that the medication was applied at the wrong time and 18.9% said the medication was applied to the wrong patient. It was found that 10.8% of the participants were warnings and precautions and 8.1% of them had very poor knowledge of drug interactions. When informational conditions were being evaluated, warnings-precautions and drug interaction were reported by nurses as very bad (respectively 10.8% and 8.1%). Conclusions: Drug use problems continue despite important advancements in Turkey. The physicians’ knowledge and attitude were comparable but need further improvement. The nurses do not have sufficient information about rational drug use and they reported that they do make drug administration errors. They need periodic reinforcement about rational drug use. Drug policies should be shaped accordingly.
Kevser Erol has completed her PhD from Dicle University and Postdoctoral studies from Anadolu University, School of Medicine. She is the Director of Department of Pharmacology and has published more than 125 papers in reputed journals.
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