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    Evaluation of Family Physicians’ Knowledge and Attitudes Regarding the Rational Use of Antibiotics: A Survey Based Study
    (2022) Güngör, Buket; Koparan, Sezen; Karakılınç, Hülya; Büyükkaraman, Ebru
    Background and Objectives: Antibiotics are widely used all over the world, but the use of appropriate antibiotics in the appropriate dose and duration plays a critical role in reducing the development of resistance, and mortality in particular, as well as undesirable effects and treatment costs associated with infections. The purpose of this study was to investigate the knowledge and attitudes of primary care family physicians regarding the rational use of antibiotics (RUA) and to raise awareness about this issue. Methods: Before the \"Training for the Rational Use of Antibiotics\" for family physicians of primary healthcare in Antalya in 2019, a questionnaire was distributed to the physicians. The questionnaire contained 37 questions, including 27 multiple-choice questions designed to assess physicians' general attitudes toward antibiotic rationalization. The questionnaire, which consists of ten questions, also includes a test at the end, which is calculated over a total of 100 points. The purpose of the test is to assess family physicians' knowledge of rational antibiotic use. Each correct answer was worth 10 points, and the average success and standard deviations of the physicians were computed. Results: This study included 143 family physicians in total. The mean success score standard deviation (SD) was found to be 66.5 18.51 out of 100 in the test, which measures the knowledge level of physicians prior to training. The success scores of physicians aged 55 and older were found to be statistically significantly lower than the scores of those in other age groups (55.6 21.2 points (mean SD). Other variables examined within the scope of the study were found to have no effect on the physicians' success scores. It was also discovered that physicians frequently answered incorrectly questions about the use of the Modified Centor Clinical Scoring system.The relevant records showed that only 7867 (27.4%) of 28 712 Rapid Antigen tests (RATs) distributed to family physicians by the Provincial Health Directorate were used. Conclusions: Although the majority of the participants stated that they used diagnosis and treatment guidelines when prescribing antibiotics, it was discovered that the use of the Modified Centor clinical scoring system and the RADTs was not common among them, and that there were some deficiencies in the RUA.
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    Parental Vaccine Hesitancy;Which Childhood Vaccines Were Refused and Why?
    (2024) Gungor, Buket; Koparan, Sezen
    Objective: One of the main purposes of immunization services is to protect vaccinated children from vaccine-preventable disease, and the other is to ensure that disease factors can be brought under control in the society by reaching a certain immunization rate. This study aims to investigate which childhood vaccines were refused in the calendar and the reason for these refusals. Material and Methods: The files comprising the refusal to consent to child vaccination forms submitted to Antalya Provincial Directorate of Health in 2019 were reviewed to reveal which vaccines had been refused by parents besides the reasons for vaccination refusals. Results: In total, 286 parents made 977 vaccination refusals, with 80 of the parents refusing only one vaccine, and notably 77.5% of them (n=62) refused only the Hepatitis A vaccine. Moreover, 40.2% of the parents who refused to consent to their child’s vaccination stated that they refused the vaccination since they did not consider the vaccine necessary, along with 37.1% who did not trust the vaccines, 13.2% who were afraid of the adverse effects of vaccination, and 9.5% who had religious reasons. Conclusion: The increasing safety concerns of parents about vaccines should be addressed in order to inform parents about the contents, effects, adverse effects and requirements of vaccines so as to eliminate the false beliefs for the sake of protecting public health in general. This study is believed to act as a roadmap to prevent vaccination refusals, which are a major public health problem and are expected to increase.