Özet:

The reasonable use of antibiotics plays an important role in the prevention of bacterial resistance, the highest level of health care and the reduction of health expenditure. But recent studies have shown that in many cases where antibiotic therapy is not necessary or the treatment with narrow spectrum antibiotics is appropriate, the prescription of broad spectrum antibiotics is increasing (1). Antibiotic is prescribed to one in every five children in the United States who apply to clinics that provide foot-treatment services each year, leading to more than 50 million prescriptions of antibiotics each year. In the body that treats the foot, especially viral infections of the upper respiratory tract are cases where inappropriate antibiotic therapy is frequently performed. In our country, with the Intellectual Antibiotic Use Program launched by the Ministry of Health in 2003, antibiotics used in hospitals have begun to be monitored by a specialist in infectious diseases and thus aimed at reducing the use of antibiotics in a wide spectrum. With the World Health Organization’s recommendation to reduce the high antibiotic rates in footpatients in our country between 2014-2017 years, the 2015 prohibition of the use of prescription-free antibiotics and public spots and information campaigns to reduce the use of antibiotics in footpatients have been launched. This indicates that antibiotics, which make up 35% of family doctors’ prescriptions, decreased proportionally to 25%. The daily use of antibiotics was reduced from 42.2 day dose/1000 patients in 2011, 40.4 day dose/1000 patients in 2014, 35.25 day dose/1000 patients in 2017 (2). In our country, these efforts need to continue to increase to ensure reasonable antibiotic use. Therefore, the awareness of families, the continuation of professional training, as well as the development of programs for the control of gram-negative bacteria with multiple drug resistance, the close monitoring of antibiotic use in hospitals and bacterial patients and the resistance rates of pathogenic microorganisms and the monitoring of antibiotics used in agriculture and livestock should be carried out. Published in the magazine A. and A.(3) The study assessed the knowledge and attitudes of the parents of patients who apply to the child clinic regarding the use of antibiotics. In the study, the rate of start of medication before going to the doctor in mothers (42.9%) compared to fathers (31%. 8) the higher established, the study period >8 years was statistically significantly lower than the study period ≤8 years, the rate of starting medication without going to the doctor. 4.5 percent of participants used antibiotics other than the doctor’s recommendation, while 95.5 percent found that they had no replacement antibiotics at home. It is necessary to increase the level of awareness with multi-centric studies and ongoing training programs on this subject.