Introduction: Infections caused by bacteria can be treated with antibiotics. One type of antibiotic used to fight bacteria is ciprofloxacin, a group of fluoroquinolones. To prevent this, bacteria have developed resistance by mutating in various ways. Negative bacterial cultures, short- and long-term treatments, all favor the progression of bacterial resistance to antibiotics, as a consequence of mutation. Compared to other antibiotics, the resistance development has increased more extensively for ciprofloxacin. Also, ciprofloxacin is incorrectly prescribed in primary care, which contributes to the increase in resistance development. Because of this, doctors wish to be more restrictive with the prescription of ciprofloxacin. Aim: This study aimed to determine if ciprofloxacin in primary care in Sörmland is prescribed correctly by examining whether the prescriptions are in compliance with the treatment recommendations in Sweden. Methods: The study was conducted as a survey research and executed under two months; from start of February to middle of April. The inclusion criteria were the primary care in Sörmland and the prescribers who prescribed ciprofloxacin with ATC code J01MA02 from January 2020. Firstly, the head of the care unit was contacted. Prescribers were then contacted individually to take part in a phone interview. The collection of data was compiled and compared to the treatment recommendations in Sweden to determine if the prescriptions were correct, regarding indication, dosage, and treatment time. Results: A total of 236 prescriptions were obtained, of which 89 were included in this study. Out of these, 32 prescriptions (36%) were in accordance with the correct choice of preparation regarding indication, dosage and treatment time and were, therefore, considered to be correct. Prescriptions that were not in accordance with the Swedish treatment recommendations, regarding the use of correct preparation for a single indication, dosage or treatment time, amounted to 57 prescriptions (64%). These prescriptions were, thereby, considered incorrect. Conclusion: This study concludes that it appears that less than half of the prescriptions of ciprofloxacin in the primary care in Sörmland were correct during this time period.
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:uu-415749 |
| Date | January 2020 |
| Creators | Radivojevic, Aleksandra |
| Publisher | Uppsala universitet, Institutionen för farmaceutisk biovetenskap |
| Source Sets | DiVA Archive at Upsalla University |
| Language | Swedish |
| Detected Language | English |
| Type | Student thesis, info:eu-repo/semantics/bachelorThesis, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
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