The effect of a restriction policy on the antimicrobial consumption in Turkey: a country-wide study

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dc.contributor.authorHosoğlu, Salih
dc.contributor.authorEsen, Şaban
dc.contributor.authorÖztürk, Recep
dc.contributor.authorAltindiş, Mustafa
dc.contributor.authorErtek, Mustafa
dc.contributor.authorKaygusuz, Sedat
dc.contributor.authorCelen, Mustafa Kemal
dc.date.accessioned2020-06-25T17:40:20Z
dc.date.available2020-06-25T17:40:20Z
dc.date.issued2005
dc.departmentKırıkkale Üniversitesi
dc.descriptionAltindis, Mustafa/0000-0003-0411-9669; Hosoglu, Salih/0000-0002-4034-9202
dc.description.abstractBackground: The total annual expenditure of antimicrobials in Turkey in 2002 was 24% of all drug spending. In order to reduce the cost of drug expenditure, the Turkish government introduced a new restriction policy on the prescription of antimicrobials in June 2003. This new policy is based on the justification that the physicians specializing in infectious diseases should be primarily responsible for the prescription of antimicrobials. Objectives: Compare and contrast the usage of antimicrobials at hospitals before and after the implementation of the new restriction policy. Methods: The data was collected from the same departments in two different periods in 2003 at 15 hospitals throughout Turkey. The first set of data was collected a few days before the new policy was implemented in May 2003 and the second data set 6 months after that. Antimicrobial usage was calculated as defined daily doses (DDDs) per 100 patient days according to ATC-DDD index. The change in antimicrobial consumption was determined by comparing the mean DDD values before and after the implementation of the new policy. Results: Before the intervention, the mean antimicrobial use density was 71.56 DDD/100 patients-day at the hospitals in the study. Six months after the implementation, the mean antimicrobial use density was 52.64 DDD/100 patients-day. There was a 26.4% decrease in the antimicrobial usage between that prior to and that after the intervention (P < 0.025). Conclusions: The study shows that the implementation of the new policy resulted in a significant reduction in the prescription of antimicrobials.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1007/s00228-005-0968-8
dc.identifier.endpage731en_US
dc.identifier.issn0031-6970
dc.identifier.issue10en_US
dc.identifier.pmid16175397
dc.identifier.scopus2-s2.0-27944452731
dc.identifier.scopusqualityQ2
dc.identifier.startpage727en_US
dc.identifier.urihttps://doi.org/10.1007/s00228-005-0968-8
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3396
dc.identifier.volume61en_US
dc.identifier.wosWOS:000233369700001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Journal Of Clinical Pharmacology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectantimicrobial utilizationen_US
dc.subjectprescription restriction policyen_US
dc.subjectIDP consultationen_US
dc.titleThe effect of a restriction policy on the antimicrobial consumption in Turkey: a country-wide studyen_US
dc.typeArticle

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