Assessment of injection practice in primary health care facilities of Shiraz, Iran.

Abstract:

BACKGROUND:Occupational risk for several bloodborne viruses is attributable to unsafe injection practices. To understand injection frequency and safety, we surveyed injection rates and factors influencing injection prescription in primary health care facilities and associated health clinics in Shiraz, Iran. METHODS:We used both quantitative and qualitative approaches to study the frequency and safety of injections delivered in 27 primary health care facilities. We used observations and 3 data collecting tools. Patterns of 600 general practice physicians' (GPs) prescriptions were also reviewed. In-depth interviews to elicit the factors contributing to injection prescriptions were conducted. RESULTS:The annual per capita injection rate was 3.12. Corticosteroids were prescribed more frequently than antibiotics (P < .001). Knowledge of participants concerning transmission risks for 3 of the most common bloodborne infections (BBIs) was less than 75%. Factors affecting use of injections by GPs included strong patient preference for injections over oral medications and financial benefit for GPs, especially those in private practice settings. CONCLUSION:Frequency of therapeutic injections in the participating facilities in Shiraz was high. Sociocultural factors in the patient community and their beliefs in the effectiveness of injections exerted influence on GP prescribing practices. Programs for appropriate and safe injection practices should target GP and injection providers, as well as patients, informing them about alternative treatments and possible complications of unnecessary and unsafe injections.

journal_name

Am J Infect Control

authors

Mclaws ML,Ghahramani S,Palenik CJ,Keshtkar V,Askarian M

doi

10.1016/j.ajic.2013.09.006

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

300-4

issue

3

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(13)01219-4

journal_volume

42

pub_type

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