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 Controljournal_title
American journal of infection controlauthors
Mclaws ML,Ghahramani S,Palenik CJ,Keshtkar V,Askarian Mdoi
10.1016/j.ajic.2013.09.006subject
Has Abstractpub_date
2014-03-01 00:00:00pages
300-4issue
3eissn
0196-6553issn
1527-3296pii
S0196-6553(13)01219-4journal_volume
42pub_type
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更新日期:2012-11-01 00:00:00
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更新日期:2011-10-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.06.022
更新日期:2010-12-01 00:00:00
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更新日期:2015-05-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
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