Abstract
Purpose: Irrational drug use cause important problems in dentistry such as treatment failure, drug resistance, and an increase in adverse effects. Rational use of medicine (RUM) training in dentistry should be given effectively. Firstly, the knowledge of dentistry students related to RUM should be known. We aimed to determine the knowledge the students of a dental faculty on RUM.
Method: In this cross-sectional/descriptive study, a 32-question online questionnaire was applied to students in 4th-grade at a University Faculty of Dentistry.
Results: Almost all the students think that patients should be informed about their diseases/their treatments, while 28.6% are undecided regarding prescribing the drugs requested by patients, and 5.7% of them were indecisive about the prescribing to the patient without being examined. Almost all have sufficient knowledge regarding informing the patient about the use of the treatment. Nonetheless, 20% of students are undecided informing the patient about side-effects and possible food/drug interactions with the prescribed medications. Students have sufficient knowledge about the rational drug selection criteria of effectiveness, safety, and suitability. However, their knowledge about the importance of treatment costs is lower because 28.6% are undecided about taking the drug cost into consideration, and 5.7% stated that it should not be considered. 28.6% of the students are undecided about prescribing drugs, considering the purchasing power of the patients. Our findings show that dentistry students have sufficient knowledge about RUM. However, the importance of informing patients about the drugs and considering the cost of treatment should be emphasized more in the RUM training.
Ethical Statement
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The authors declare that there is no conflict of interest.
References
- Akıcı, A. Akılcı İlaç Kullanımı. Topluma Yönelik Akılcı İlaç Kullanımı [Rational Use of medicine. Rational Use of Drugs for Society]. Akıcı A ed. 2013. Social Security Institution of Turkey, Publication number: 93, Ankara.
- Akıcı, A., Aksoy, M., Koyuncuoğlu, C., Aydın, M., Kırmızı, N.İ., İşli, F., et al. Türkiye’de Diş Hekimlerinin Yazdığı Reçetelerde Antibakteriyel Kullanımının Araştırılması [Investigation of the antibacterial use in the prescriptions prescribed by dentists in Turkey]. Eds: Akıcı, A., Gürsöz, H. 2017. Ankara, Ministry of health of Turkey, Publication number: 1073.
- Akici, A., Aydin, V., Mollahaliloglu, S., Ozgulcu, S., Alkan, A. Evaluation of the attitudes of specialist and family physicians regarding rational drug selection. North Clin Istanb, 2018;5(3):199-206. doi: 10.14744/nci.2017.82788
- Alomar, M.J. Factors affecting the development of adverse drug reactions (Review article). Saudi Pharm J, 2014;22, 83-94.
- Altındiş, M., Gümüşsoy, İ., İnci, M.B., Furuncuoğlu, F., Altındiş, S. Diş Hekimliğinde Antibiyotik Kullanımı. 1. International Congress of Dental and Oral Infections 07-09 September 2018 Sakarya – TURKEY
- Cameron, A., Ewen, M., Ross-Degnan, D., Ball, D., Laing, R. Medicine prices, availability, and affordability in 36 developing and middle-income countries: a secondary analysis Lancet, 2009:373:240-49.
- Dadgostar, P. Antimicrobial Resistance: Implications and Costs. Infect Drug Resist, 2019;12:3903-10
- Gowri, S., Mehta, D., Kannan, S. Antibiotic use in dentistry: A cross-sectional survey from a developing country. J Orofac Sci, 2015;7(2):90-4.
- Gümüştakım, R.Ş., Başer, D.A. Birinci basamakta yaşlılarda çoklu ilaç kullanımı: Bir kırsal alan örneği [Multiple drug use in the elderly in primary care: an example in a rural area]. Türk Turkish Journal of Family Practice, 2019;23 (1): 2-8
- Holloway, K., Dijk, V.L. Rational Use of Medicines. World Medicines Situation Report. World Health Organization; 2011. Report No. WHO/EMP/MIE/2011.2.2. At: http://www.who.int/medicines/areas/policy/world_medicines_situation/WMS_ch14_wRational.pdf. Accessed: March 18, 2021.
- İlhan, S. Ö., Yıldız, M., Tüzün, H.,Dikmen, A. U. Evaluation of irrational drug use of individuals over the age of 18 who applied to a university hospital Turk J Med Sci, 2022;52(2):484-493.
- Institute of Medicine. Microbial threats to health: emergence, detection, and response. Washington, D.C., National Academies Press, 1998 (Institute of Medicine (US) Committee on Emerging Microbial Threats to Health in the 21st Century; Smolinski MS, Hamburg MA, Lederberg J, editors. 2003. Microbial Threats to Health: Emergence, Detection, and Response. Washington (DC): National Academies Press (US).
- Lazarou, J., Pomeranz, B.H., Corey, P.N. Incidence of Adverse Drug Reactions in Hospitalized Patients. JAMA, 1998; 279(15), 1200.
- Mollahaliloğlu, S., Alkan A., Özgülcü Ş., Öncül, H.G., Akıcı, A. Hekimlerin akılcı ilaç reçeteleme yaklaşımları [Rational drug prescribing approaches of physicians]. Ed:.Akdağ, R. 2011. Ankara, School of Public Health, Refik Saydam Hygiene Center Presidency, Ministry of Health of Turkey
- Morin, L., Vetrano, D.L., Rizzuto, D., Larranaga, A.C., Fastbom, C., Johnell, K. Choosing Wisely? Measuring the Burden of Medications in Older Adults near the End of Life: Nationwide, Longitudinal Cohort Study. Amn J Med, 2017;130(8):927-36.
- OECD. (2020).OECD Health Statistics. http://www.oecd.org/health/health-systems/Table-of-Content-Metadata-OECD-Health-Statistics-2020.pdf.
- Öztürk, Z., Uğraş, K.G. Yaşlı hastalarda ilaç kullanımı ve polifarmasi [Medication use and polypharmacy in elderly patients]. The Journal of Tepecik Education and Research Hospital, 2017;27(2):103-8.
- Pharmaceutical Manufacturers Association of Turkey. (2021). Key Indicators/Turkey Pharmaceutical Market. http://www.ieis.org.tr/ieis/tr/indicators/33/ turkish-pharmaceutical-market.
- Şermet, S., Akgün, M.A., Atamer-Şimşek, Ş. Antibiotic Prescribing Profile in The Management of Oral Diseases Among Dentists in Istanbul. MÜSBED, 2011;1(1):35-41
- Steinman, M.A., Landefeld, C.S., Rosenthal, G.E., Berthenthal, D., Sen, S., Kaboli,P.J. Polypharmacy and Prescribing Quality in Older People. J Am Geriatr Soc, 2006;54(10), 1516-23.
- World Health Organization. (1986). World Health Assembly, 39. (1986). Conference of experts on the rational use of drugs (Nairobi, Kenya, 25-29 November 1985): report by the Director-General. https://apps.who.int/iris/handle/10665/162006.
- World Health Organization. (2002). Promoting rational use of medicines: core components. https://apps.who.int/iris/handle/10665/67438.
- World Health Organization. (2019). Global spending on health: a world in transition. Geneva: (WHO/HIS/HGF/HFWorkingPaper/19.4). Licence: CC BY-NC-SA 3.0 IGO.
Abstract
Purpose: Irrational drug use cause important problems in dentistry such as treatment failure, drug resistance, and an increase in adverse effects. Rational use of medicine (RUM) training in dentistry should be given effectively. Firstly, the knowledge of dentistry students related to RUM should be known. We aimed to determine the knowledge the students of a dental faculty on RUM.
Method: In this cross-sectional/descriptive study, a 32-question online questionnaire was applied to students in 4th-grade at a University Faculty of Dentistry.
Results: Almost all the students think that patients should be informed about their diseases/their treatments, while 28.6% are undecided regarding prescribing the drugs requested by patients, and 5.7% of them were indecisive about the prescribing to the patient without being examined. Almost all have sufficient knowledge regarding informing the patient about the use of the treatment. Nonetheless, 20% of students are undecided informing the patient about side-effects and possible food/drug interactions with the prescribed medications. Students have sufficient knowledge about the rational drug selection criteria of effectiveness, safety, and suitability. However, their knowledge about the importance of treatment costs is lower because 28.6% are undecided about taking the drug cost into consideration, and 5.7% stated that it should not be considered. 28.6% of the students are undecided about prescribing drugs, considering the purchasing power of the patients. Our findings show that dentistry students have sufficient knowledge about RUM. However, the importance of informing patients about the drugs and considering the cost of treatment should be emphasized more in the RUM training.
References
- Akıcı, A. Akılcı İlaç Kullanımı. Topluma Yönelik Akılcı İlaç Kullanımı [Rational Use of medicine. Rational Use of Drugs for Society]. Akıcı A ed. 2013. Social Security Institution of Turkey, Publication number: 93, Ankara.
- Akıcı, A., Aksoy, M., Koyuncuoğlu, C., Aydın, M., Kırmızı, N.İ., İşli, F., et al. Türkiye’de Diş Hekimlerinin Yazdığı Reçetelerde Antibakteriyel Kullanımının Araştırılması [Investigation of the antibacterial use in the prescriptions prescribed by dentists in Turkey]. Eds: Akıcı, A., Gürsöz, H. 2017. Ankara, Ministry of health of Turkey, Publication number: 1073.
- Akici, A., Aydin, V., Mollahaliloglu, S., Ozgulcu, S., Alkan, A. Evaluation of the attitudes of specialist and family physicians regarding rational drug selection. North Clin Istanb, 2018;5(3):199-206. doi: 10.14744/nci.2017.82788
- Alomar, M.J. Factors affecting the development of adverse drug reactions (Review article). Saudi Pharm J, 2014;22, 83-94.
- Altındiş, M., Gümüşsoy, İ., İnci, M.B., Furuncuoğlu, F., Altındiş, S. Diş Hekimliğinde Antibiyotik Kullanımı. 1. International Congress of Dental and Oral Infections 07-09 September 2018 Sakarya – TURKEY
- Cameron, A., Ewen, M., Ross-Degnan, D., Ball, D., Laing, R. Medicine prices, availability, and affordability in 36 developing and middle-income countries: a secondary analysis Lancet, 2009:373:240-49.
- Dadgostar, P. Antimicrobial Resistance: Implications and Costs. Infect Drug Resist, 2019;12:3903-10
- Gowri, S., Mehta, D., Kannan, S. Antibiotic use in dentistry: A cross-sectional survey from a developing country. J Orofac Sci, 2015;7(2):90-4.
- Gümüştakım, R.Ş., Başer, D.A. Birinci basamakta yaşlılarda çoklu ilaç kullanımı: Bir kırsal alan örneği [Multiple drug use in the elderly in primary care: an example in a rural area]. Türk Turkish Journal of Family Practice, 2019;23 (1): 2-8
- Holloway, K., Dijk, V.L. Rational Use of Medicines. World Medicines Situation Report. World Health Organization; 2011. Report No. WHO/EMP/MIE/2011.2.2. At: http://www.who.int/medicines/areas/policy/world_medicines_situation/WMS_ch14_wRational.pdf. Accessed: March 18, 2021.
- İlhan, S. Ö., Yıldız, M., Tüzün, H.,Dikmen, A. U. Evaluation of irrational drug use of individuals over the age of 18 who applied to a university hospital Turk J Med Sci, 2022;52(2):484-493.
- Institute of Medicine. Microbial threats to health: emergence, detection, and response. Washington, D.C., National Academies Press, 1998 (Institute of Medicine (US) Committee on Emerging Microbial Threats to Health in the 21st Century; Smolinski MS, Hamburg MA, Lederberg J, editors. 2003. Microbial Threats to Health: Emergence, Detection, and Response. Washington (DC): National Academies Press (US).
- Lazarou, J., Pomeranz, B.H., Corey, P.N. Incidence of Adverse Drug Reactions in Hospitalized Patients. JAMA, 1998; 279(15), 1200.
- Mollahaliloğlu, S., Alkan A., Özgülcü Ş., Öncül, H.G., Akıcı, A. Hekimlerin akılcı ilaç reçeteleme yaklaşımları [Rational drug prescribing approaches of physicians]. Ed:.Akdağ, R. 2011. Ankara, School of Public Health, Refik Saydam Hygiene Center Presidency, Ministry of Health of Turkey
- Morin, L., Vetrano, D.L., Rizzuto, D., Larranaga, A.C., Fastbom, C., Johnell, K. Choosing Wisely? Measuring the Burden of Medications in Older Adults near the End of Life: Nationwide, Longitudinal Cohort Study. Amn J Med, 2017;130(8):927-36.
- OECD. (2020).OECD Health Statistics. http://www.oecd.org/health/health-systems/Table-of-Content-Metadata-OECD-Health-Statistics-2020.pdf.
- Öztürk, Z., Uğraş, K.G. Yaşlı hastalarda ilaç kullanımı ve polifarmasi [Medication use and polypharmacy in elderly patients]. The Journal of Tepecik Education and Research Hospital, 2017;27(2):103-8.
- Pharmaceutical Manufacturers Association of Turkey. (2021). Key Indicators/Turkey Pharmaceutical Market. http://www.ieis.org.tr/ieis/tr/indicators/33/ turkish-pharmaceutical-market.
- Şermet, S., Akgün, M.A., Atamer-Şimşek, Ş. Antibiotic Prescribing Profile in The Management of Oral Diseases Among Dentists in Istanbul. MÜSBED, 2011;1(1):35-41
- Steinman, M.A., Landefeld, C.S., Rosenthal, G.E., Berthenthal, D., Sen, S., Kaboli,P.J. Polypharmacy and Prescribing Quality in Older People. J Am Geriatr Soc, 2006;54(10), 1516-23.
- World Health Organization. (1986). World Health Assembly, 39. (1986). Conference of experts on the rational use of drugs (Nairobi, Kenya, 25-29 November 1985): report by the Director-General. https://apps.who.int/iris/handle/10665/162006.
- World Health Organization. (2002). Promoting rational use of medicines: core components. https://apps.who.int/iris/handle/10665/67438.
- World Health Organization. (2019). Global spending on health: a world in transition. Geneva: (WHO/HIS/HGF/HFWorkingPaper/19.4). Licence: CC BY-NC-SA 3.0 IGO.
Details
| Primary Language | English |
|---|---|
| Subjects | Medical Education |
| Journal Section | Articles |
| Authors | |
| Early Pub Date | December 24, 2024 |
| Publication Date | December 23, 2024 |
| Submission Date | November 11, 2024 |
| Acceptance Date | November 28, 2024 |
| Published in Issue | Year 2024 Volume: 7 Issue: 1 |
