JDSE
Journal of Dental Sciences and Education

The Journal of Dental Sciences and Education deals with General Dentistry, Pediatric Dentistry, Restorative Dentistry, Orthodontics, Oral diagnosis and DentomaxilloFacial Radiology, Endodontics, Prosthetic Dentistry, Periodontology, Oral and Maxillofacial Surgery, Oral Implantology, Dental Education and other dentistry fields and accepts articles on these topics. Journal of Dental Science and Education publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Original Article
Attitudes and behaviors of dentists regarding rational drug use
Abstract
Aims: Medicines, which have an important place in health services, are the greatest weapon of societies in preventing and combating diseases. If medicines are not used properly, they may not provide the expected effect and may lead to recurrence of some diseases, development of resistance or some side effects. In recent years, there has been a rapid increase in the number, variety and utilization rates of medicines. This situation has necessitated more rational behavior in the use of medicines, especially by healthcare professionals. Rational drug use can be briefly defined as the administration of appropriate medication in the light of anamnesis and clinical symptoms. Education on rational drug use remains as current in the dental profession as it is in the medical world. In order to determine the extent to which dentists meet the expectations regarding rational drug use and to eliminate possible problems, it is first necessary to determine their knowledge, attitudes, and behaviors on the subject. In this study, it was aimed at comparing and evaluating the attitudes and behaviors of dentists towards rational drug use.
Methods: Our study, which was approved by the ethics committee, was conducted with the participation of 399 volunteer dentists actively working in public hospitals and the private sector in different provinces of our country. The data for the study were obtained through an online questionnaire consisting of 15 questions. The IBM SPSS 25.0 package program was used for data analysis of the survey results. A frequency distribution table was created for general characteristics. A chi-square test was used to compare the relationship between categorical variables.
Results: It was determined that 50.6% of the participants received rational drug use training, 91.5% utilized different sources of information while prescribing, 73.4% did not prescribe drugs requested by patients, and 43.6% did not find the information given to patients about drugs sufficient. When the reasons for this were questioned, lack of information and lack of time were mostly cited. It was found that the level of knowledge of the participants about drugs was mostly focused on indications, route of administration, special conditions, and contraindications. When prescribing medications, the participants generally questioned whether the patients had chronic diseases, drug allergies, and other medications. It was observed that dentists mostly provided information about the duration of treatment, daily dosage, and method of administration regarding the drugs they prescribed.
Conclusion: The basis of irrational drug use in dentistry lies in a lack of knowledge and education. In order to obtain the expected benefit from drugs, we believe that, in addition to instilling awareness of rational drug use in society, the attitudes and behaviors gained, especially by physicians through undergraduate education and in-service training after graduation, should be supported by health policies.

Keywords : Rational medicine, dentist, specialization in dentistry

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1. G&uuml;ndoğar HS, Kartal SE. &Uuml;niversite &ouml;ğrencilerinin akılcı ila&ccedil; kullanımı hakkındaki g&ouml;r&uuml;şleri. <em>Bartın &Uuml;ni Eğit Araşt Derg.</em> 2017;1(1):25-34.
2. Akici A, Basaran NF. University students&rsquo; attitudes concerning otc drug use; survey from Istanbul. <em>ARPN J Sci Technol.</em> 2013;3(3):309-315.
3. Bahce A, Utku S, Atay CE. Akılcı ila&ccedil; kullanımı ve re&ccedil;etelerde eşdeğer ila&ccedil; fiyat analizi. Tıp Teknolojileri Ulusal Kongresi Kongre Kitabı 2015: 380-384.
4. Saygılı M, &Ouml;zer &Ouml;. Hekimlerin akılcı ila&ccedil; kullanımına y&ouml;nelik bilgi, tutum ve davranışlarının değerlendirilmesi. <em>Hacettepe Sağ İdaresi Derg.</em> 2015;18(1):35-47.
5. Afriyie DK, Tetteh R. A Description of the pattern of rational drug use in Ghana Police Hospital. <em>Int J Pharm Pharmacol.</em> 2014;3(1):143-148.
6. Altındiş S. Akılcı ila&ccedil; kullanımına sistematik bir bakış. <em>J Biotechnol Strat Health Res.</em> 2017;1(2):34-38.
7. Barut&ccedil;u, İA, Tengilimoğlu D, Nald&ouml;ken &Uuml;. Vatandaşların akılcı ila&ccedil; kullanımı, bilgi ve tutum değerlendirmesi: Ankara ili metropol il&ccedil;eler &ouml;rneği, <em>Gazi &Uuml;ni İktisadi İdari Bil Fak Derg.</em> 2017;19(3):1062-1078.
8. Kar S, Pradhan H, Mohanta G. Concept of essential medicines and rational use in public health. <em>Indian J Comm Med.</em> 2010;35(1):10-13.
9. Uğrak U, Teke A, Cihangiroğlu N, Uzuntarla Y. Kardiyoloji kliniğinde yatan hastaların akılcı ila&ccedil; kullanımı konusundaki tutumları. <em>TAF Prevent Med Bullet.</em> 2015;14(2):137-144.
10. Pınar N. &Uuml;lkemizde ila&ccedil; harcamaları. <em>İn&ouml;n&uuml; &Uuml;ni Tıp Fak Derg.</em> 2012; 19(1):59-65.
11. &Ouml;zata M, Aslan Ş, Mete M. Rasyonel ila&ccedil; kullanımının hasta g&uuml;venliğine etkileri: Hekimlerin rasyonel ila&ccedil; kullanımına etki eden fakt&ouml;rlerin belirlenmesi. <em>Sel&ccedil;uk &Uuml;ni Sos Bil Derg.</em> 2008;20:529-543.
12. Akıcı A. Akılcı ila&ccedil; kullanımı, 1. Baskı. T.C. Sağlık Bakanlığı Sağlık Araştırmaları Genel M&uuml;d&uuml;rl&uuml;ğ&uuml; Yayını Ankara 2013;8-141.
13. Ekenler Ş, Ko&ccedil;oğlu D. Bireylerin akılcı ila&ccedil; kullanımıyla ilgili bilgi ve uygulamaları. <em>Hacettepe &Uuml;ni Hemşir Fak Derg. </em>2016;3(3):44-55.
14. Chauhan I, Yasir M, Kumari M, Verma M. The pursuit of rational drug use: understanding factors and interventions. <em>Pharmaspire.</em> 2018;10(2): 48-54.
15. Demirkıran M, Şahin B. Pratisyen hekimlerin ila&ccedil; se&ccedil;imlerini etkileyen fakt&ouml;rlere ilişkin değerlendirmeleri. <em>Hacettepe Sağ İdaresi Derg.</em> 2010; 13(1):1-28.
16. Pirin&ccedil;ci E, Bozan T. Bir &uuml;niversite hastanesinde &ccedil;alışan hemşirelerin akılcı ila&ccedil; kullanım durumları. <em>Fırat Tıp Derg.</em> 2016;21(3):129-136.
17. Baig QA, Muzaffar D, Afaq A, Bilal S, Iqbal N. Prevalence of self medication among dental patients. <em>PODJ.</em> 2012;32(2):292-295.
18. Yapıcı G, Balık&ccedil;ı S, Uğur &Ouml;. Birinci basamak sağlık kuruluşuna başvuranların ila&ccedil; kullanımı konusundaki tutum ve davranışları. <em>Dicle Med J.</em> 2011;38(4):458-465.
19. Stein K, Farmer J, Singhal S, Marra F, Sutherland S, Qui&ntilde;onez C. The use and misuse of antibiotics in dentistry: a scoping review. <em>J Am Dent Assoc.</em> 2018;149(10):869-884.
20. Ambwani S, Mathur AK. Chapter-2: rational drug use. <em>Health Administrator.</em> 2006;19(1):5-7.
21. Koyuncuoğlu CZ, Kırmızı Nİ, Ceylan İ, Akıcı A. Diş hekimliği kliniklerine başvuru &ouml;ncesinde hastaların ila&ccedil; kullanımı ile ilgili tutumlarının araştırılması. <em>Marmara Pharmaceut J.</em> 2017;21(1):165-176.
22. K&ouml;se E, et al. Sakarya&rsquo;nın Taraklı il&ccedil;esindeki erişkinlerde akılcı ila&ccedil; kullanımı ile ilgili bazı bilgi ve tutumlarının incelenmesi. <em>Sakarya Tıp Derg.</em> 2018;8(1):80-89.
23. Şahing&ouml;z M, Balcı E. Hemşirelerin akılcı ila&ccedil; kullanımı. <em>TAF Prevent Med Bullet.</em> 2013;12(1):57-64.
24. Basaran NF, Akici A. Aspects of physicians&rsquo; attitudes towards the rational use of drugs at a training and research hospital: a survey study. <em>Eur J Clin Pharmacol.</em> 2013;69(8):1581-1587.
25. Yılmazt&uuml;rk A. T&uuml;rkiye&rsquo;de ve d&uuml;nyada akılcı ila&ccedil; kullanımı. <em>Kastamonu &Uuml;ni İktisadi İdari Bil Fak Derg.</em> 2013;2(2):42-49.
26. Toklu ZH, D&uuml;lger GA. Akılcı ila&ccedil; kullanımı eğitimi. <em>Sentez Derg.</em> 2010; 6(6):16-17.
27. Demircan D, &Ccedil;anga B, G&uuml;n M, &Uuml;nal &Ccedil;, &Ouml;nem İ, Akıcı A. &Uuml;niversite &ouml;ğrencilerinin ila&ccedil;/tıbbi &uuml;r&uuml;n kullanımına y&ouml;nelik tutumlarının değerlendirmesi. <em>Marmara Med J.</em> 2010;23(2):276-284.
28. Aydın B, Gelal A. Akılcı ila&ccedil; kullanımı: yaygınlaştırılması ve tıp eğitiminin rol&uuml;. <em>Dokuz Eyl&uuml;l &Uuml;niversitesi Tıp Fak Derg.</em> 2012;26(1):57-63.
29. Toklu HZ, Akıcı A, Uysal MK, D&uuml;lger GA. Akılcı ila&ccedil; kullanımı s&uuml;recinde hasta uyuncuna hekim ve eczacının katkısı. <em>T&uuml;rk Aile Hek Derg.</em> 2010;14(3):139-145.
30. Lu Y, Hernandez P, Abegunde D, Edejer T. The world medicines situation 2011. Medicine expenditures. Third edition. World Health Organization, Geneva 2011.
31. &Ccedil;ınar, F. Akılcı ila&ccedil; kullanımı: diş hekimleri &ouml;rneği. <em>Int Soc Sci Stud J. </em>2020;64(6):2732-2739.
32. Heaton A, Webb DJ, Maxwell SR. Undergraduate preparation for prescribing: the views of 2413 UK medical students and recent graduates. <em>Br J Clin Pharmacol.</em> 2008;66(1):128-134.
33. Akici A, Kala&ccedil;a S, G&ouml;ren MZ, et al. Comparison of rational pharmacotherapy decision-making competence of general practitioners with intern doctors. <em>Eur J Clin Pharmacol.</em> 2004;60(2):75-82.
34. S&uuml;rmelioğlu N, Kıroğlu O, Erdoğdu T, Karataş Y. Akılcı olmayan ila&ccedil; kullanımını &ouml;nlemeye y&ouml;nelik tedbirler. <em>&Ccedil;ukurova &Uuml;ni Arşiv Kaynak Tarama Derg.</em> 2015;24(4):452-462.
35. Akıcı A, Gelal A, Erenmemişoğlu A, Melli M, Babaoğlu M, Oktay Ş. Akılcı ila&ccedil; kullanımı eğitimi uygulama s&uuml;recinde T&uuml;rkiye&rsquo;deki tıp fak&uuml;ltelerinde farmakoloji anabilim dallarının durumunun incelenmesi. <em>Tıp Eğit D&uuml;nyası.</em> 2011;29(29):11-20.
36. Aksoy M, Alkan A, İsli F. Sağlık Bakanlığı&rsquo;nın akılcı ila&ccedil; kullanımını yaygınlaştırma faaliyetleri. <em>Turk Klin J Pharmacol Spec Topics.</em> 2015; 3(1):19-25.
37. Aydın M, Koyuncuoğlu CZ, Kılboz MM, Akıcı A. Diş hekimliğinde akılcı antibiyotik kullanımı. <em>Turk Klin J Pharmacol.</em> 2017;23(1):33-47.
38. Akıcı A. Akılcı İla&ccedil; kullanımının genel ilkeleri ve T&uuml;rkiye&rsquo;deki g&uuml;ncel durum. <em>Turk Klin Pharmacol Spec Topics.</em> 2015;3(1):1-10.
39. Ulusoy HB, Sumak T, Sahin S, Gultekin H. The impact of a &ldquo;Groningen model&rdquo; of pharmacotherapy training for general practitioners in Kayseri. <em>Erciyes Med J.</em> 2011;33(4):309-316.
40. Akici A, Oktay Ş. Rational pharmacotherapy and pharmacovigilance. <em>Curr Drug Safety.</em> 2007;2(1):65-69.
41. Ekici &Ouml;. Afyonkarahisar ili bir &uuml;niversite hastanesinde &ccedil;alışan diş hekimlerinin akılcı ila&ccedil; kullanımına ilişkin bilgi ve tutumlarının değerlendirilmesi. <em>Sel&ccedil;uk Dent Derg.</em> 2024;11(1):37-42.
42. Ocek Z, Sahin H, Baksi G, Apaydin S. Development of a rational antibiotic usage course for dentists. <em>Eur J Dent Educ.</em> 2008;12(1):41-47.
43. Ser&ccedil;e &Ouml;, Bakır M. Poliklinik başvurularında fizik muayene s&uuml;resini uzun tutmak antibiyotik re&ccedil;ete edilmesini azaltıyor. <em>Bursa Uludağ J Curr Pediatr.</em> 2013;11(2):45-50.
44. Cope A, Chestnutt I. Inappropriate prescribing of antibiotics in primary dental care: reasons and resolutions. <em>Prim Dent J.</em> 2014;3(4):33-37.
45. Ertuğrul MB, &Ouml;zg&uuml;n H, Saylak M&Ouml;, Sayım N. Bir &uuml;niversite hastanesi cerrahi servislerinde antibiyotik kullanımı ve maliyeti: bir g&uuml;nl&uuml;k nokta prevalansı &ccedil;alışması. <em>Klimik.</em> 2009;22(2):44-47.
46. Jensen JN, Bjerrum L, Boel J, Jarl&oslash;v JO, Arpi M. Parents&rsquo; socioeconomic factors related to high antibiotic prescribing in primary health care among children aged 0-6 years in the Capital Region of Denmark. <em>Scand J Prim Health Care.</em> 2016;34(3):274-281.
47. Dixon J, Manyau S, Kandiye F, Kranzer K, Chandler CIR. Antibiotics, rational drug use and the architecture of global health in Zimbabwe. <em>Soc Sci Med.</em> 2021;272:113594.
48. Tanwir F, Marrone G, Tariq A, Lundborg CS. Diagnosis and prescribing pattern of antibiotics and painkillers among dentists. <em>Oral Health Prev Dent.</em> 2015;13(1):75-83.
49. Jayadev M, Karunakar P, Vishwanath B, Chinmayi SS, Siddhartha P, Chaitanya B. Knowledge and pattern of antibiotic and non-narcotic analgesic prescription for pulpal and periapical pathologies-a survey among dentists. <em>J Clin Diagn Res.</em> 2014;8(7):ZC10-14.
50. Kaptan RF, Haznedaroglu F, Basturk FB, Kayahan MB. Treatment approaches and antibiotic use for emergency dental treatment in Turkiye. <em>Ther Clin Risk Manag.</em> 2013;9:443-449.
51. Araghi S, Sharifi R, Ahmadi G, Esfehani M, Rezaei F. The study of prescribing errors among general dentists. <em>Glob J Health Sci.</em> 2016;30(8): 32-43.
52. Sabuncu E, David J, Bern&egrave;de-Bauduin C, et al. Significant reduction of antibiotic use in the community after a nationwide campaign in France, 2002-2007. <em>PLoS One.</em> 2009;6(6):981-989.
53. Yılmaz M, Kırbıyıkoğlu Fİ, Ari&ccedil; Z, Kurşun B. Bir diş hekimliği fak&uuml;ltesi hastanesi&rsquo;ne başvuran bireylerin akılcı ila&ccedil; kullanımlarının belirlenmesi. <em>ER&Uuml; Sağ Bil Fak Derg.</em> 2014;2(1):39-47.
54. Ko&ccedil;kaya SH, Erdem M, Tiryaki &Uuml;M. Akılcı ila&ccedil; kullanımı: Hatay&rsquo;da aile hekimlerinin bilgi ve davranışları. <em>T&uuml;rk Aile Hek Derg.</em> 2020;24(4):184-195.
Article available in :
Volume 2, Issue 3, 2024
Page : 70-80
https://doi.org/10.51271/JDSE-0038
Article Information
Received : 01 Eyl 2024
Accepted : 21 Eyl 2024
Published : 21 Eyl 2024
Corresponding Author :

Gamze Polat: Department of Restorative Dentistry, Faculty of Dentistry, Dicle University, Diyarbakır, Turkey

[email protected]
Citation : Bakır Ş, Bakır EP, Polat G, Temizyürek S. Attitudes and behaviors of dentists regarding rational drug use. J Dent Sci Educ. 2024;2(3):70-80.

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