The Antibiotic prescribing and dispensing behavior among doctors and pharmacists working in UAE. Antibiotic Prescribing

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Ghada Ali Abuhamda
Semira Abdi Beshir
Kishore Kishore Gnana Sam
Syed Wasif Gillani


antimicrobial resistance, doctors, pharmacists, antibiotic prescribing, dispensing


Objectives: This study aims to determine the level of knowledge, attitude, and practice of doctors and pharmacists on antibiotic use in a group of Thumbay healthcare facilities in the UAE. Methods: This cross-sectional questionnaire-based survey included a convenience sample of doctors and pharmacists at Thumbay-related hospitals and clinics. The survey was sent online and it has a section on knowledge, attitude, and practice-related to antibiotics and barriers and facilitators of good antibiotic use. Results: This survey included 61 participants (doctors (n=27) and pharmacists (n=34)) with the age ranging between 26 to 60 years (mean age=37). More than half of the respondents were female (55.4%). Most of the participants (89%) agree that of antimicrobial resistance is a global problem. The majority of the participants agreed that antimicrobial stewardship programs can reduce antimicrobial resistance. Similarly, most of the participants feel confident about their knowledge and practice in the area of antimicrobial prescribing (81%), and they always or often (86.8%) use guidelines in their daily practice when prescribing or dispensing antibiotics. Similarly, 82% claimed that a policy that limits the prescribing of selected antibiotics to certain clinical indications via an approval process is introduced in their setting 82%. The top five cited barriers that hinder appropriate prescribing and dispensing of antibiotics include limited knowledge or confidence to discuss rational antibiotics use (72.1%), lack of incentives for appropriate prescribing or dispensing (68.9%), lack of interest by patients to receive counseling (68.9%), time limitations (62.3%) and presence of diagnostic uncertainties (62.3%). Conclusion: The participants have good level of knowledge regarding appropriate antibiotic prescribing and dispensing. However, there is a need for training opportunities to improve antimicrobial stewardship strategies and identified barriers needs to be addressed to improve optimal use of antibiotics

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1. Hulscher MEJL, van der Meer JWM, Grol RPTM. Antibiotic use: How to improve it? Int J Med Microbiol. 2010;300(6):351-356.
2. Llor C, Bjerrum L. Antimicrobial resistance: Risk associated with antibiotic overuse and initiatives to reduce the problem. Ther Adv Drug Saf. 2014;5(6):229-241.
3. Haque M, Rahman NIA, Zulkifli Z, et al. Antibiotic prescribing and resistance: Knowledge level of medical students of clinical years of university Sultan Zainal Abidin, Malaysia. Ther Clin Risk Manag. 2016;12(1):413-426.
4. Sahoo KC, Tamhankar AJ, Johansson E, et al. Antibiotic use, resistance development and environmental factors: A qualitative study among healthcare professionals in Orissa, India. BMC Public Health. 2010;10(1):629.
5. Belongia EA, Schwartz B. Strategies for promoting judicious use of antibiotics by doctors and patients. Br Med J. 1998;317(7159):668-671.
6. Rodrigues T, Roque F, Piñeiro-Lamas M, et al. Effectiveness of an intervention to improve antibiotic-prescribing behaviour in primary care: A controlled, interrupted time-series study. J Antimicrob Chemother. 2019;74(9):2788-2796. https://doi.
7. Al-Homaidan HT, Barrimah IE. Physicians’ knowledge, expectations, and practice regarding antibiotic use in primary health care. Int J Health Sci. 2018;12(3):18-24.
8. Adorka M, Dikokole M, Mitonga KH, et al. Healthcare providers’ attitudes and perceptions in infection diagnosis and antibiotic prescribing in public health institutions in Lesotho: A cross sectional survey. Afr Health Sci. 2013;13(2):344-350. https://doi.
9. Lum EPM, Page K, Nissen L, et al. Australian consumer perspectives, attitudes and behaviours on antibiotic use and antibiotic resistance: A qualitative study with implications for public health policy and practice. BMC Public Health. 2017;17(1):1-12.
10. Vazquez-Lago JM, Lopez-Vazquez P, López-Durán A, et al. Attitudes of primary care physicians to the prescribing of antibiotics and antimicrobial resistance: A qualitative study from Spain. Fam Pract. 2012;29(3):352-360.
11. Asghar S, Atif M, Mushtaq I, et al. Factors associated with inappropriate dispensing of antibiotics among non-pharmacist pharmacy workers. Res Soc Adm Pharm. 2020;16(6):805-811.
12. Md Rezal RS, Hassali MA, Alrasheedy AA, et al. Physicians’ knowledge, perceptions and behaviour towards antibiotic
prescribing: A systematic review of the literature. Expert Rev Anti Infect Ther. 2015;13(5):665-680. 4787210.2015.1025057
13. Rodrigues T, Roque F, Falcão A, et al. Understanding physician antibiotic prescribing behaviour: A systematic review of qualitative studies. Int J Antimicrob Agents. 2013;41(3):203-212.
14. Shaikhan F, Rawaf S, Majeed A, et al. Knowledge , attitude , perception and practice regarding antimicrobial use in upper respiratory tract infections in Qatar : a systematic review. 2018;9(9):1-12.
15. Sharaf N. Barriers of appropriate antibiotic prescription at phcc in qatar: Perspective of physicians and pharmacists. Antibiotics. 2021;10(3):1-13.
16. Roque F, Herdeiro MT, Soares S, et al. Educational interventions to improve prescription and dispensing of antibiotics: A systematic review. BMC Public Health. 2014;14(1):1
17. Baadani M, Baig K, Alfahad WA, et al. Physicians’ knowledge, perceptions, and attitudes toward antimicrobial prescribing in Riyadh, Saudi Arabia. 2015;36(5):613-619.

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