Akademik Veri Yönetim Sistemi
3rd International Congress o Medical and Health Sciences Studies (ICOMESS 2023), Ankara, Türkiye, 14 - 15 Aralık 2024, ss.153, (Özet Bildiri)
Introduction: Acute nasopharyngitis (AN) is among the most common diagnoses in primary care in Turkey. In our study, it was aimed to evaluate the trend analyzes of the most commonly prescribed drugs for AN. Method: Single-diagnosed prescriptions written by primary care physicians in Turkey between 2013 and 2016 and registered in the Prescription Information System managed by the Turkish Medicines and Medical Devices Agency were retrospectively analyzed. The frequency order of the drugs prescribed for AN was determined based on the item number of drugs, and the first 30 drugs were evaluated by years. Results: The number of the first 30 drugs most frequently prescribed for nasopharyngitis in 2013-2016 were 4.748.148, 6.634.153, 6.085.510 and 6.533.448, respectively, and a total of 24,001,259 drugs examined. “Other cold preparations” (38.5-39.4%), paracetamol (6.2-6.6%), oxymetazoline (6.0-6.3%), butamirate (4.7-6.0%) and xylometazoline (4.4-5.3%) were the top five most frequently prescribed drugs in all years. These drugs were followed by ibuprofen, acetylcysteine, “amoxicillin and beta-lacmatase inhibitors”, “various” (ATC-5 code: A01AD11), levodropropizine and oxolamine. It was determined that the drugs up to half of the frequency order maintained their place in the top 14, although their place in the ranking changed slightly in all years. At the ATC-3 level, "decongestants and other nasal preparations for topical use" (11.3-11.8%) are in the second place (3rd in 2016), after "other cold preparations" in all years and “cough suppressants, excl. combinations with expectorants” (10.5-12.1%), ranked third (2nd in 2016). It was determined that the percentage of antibiotics among the drugs examined showed a decreasing trend (5.7 - 3.6%). The percentage of generic drugs showed an increasing trend (62.3-64.9%). Conclusion: In this study, it was seen that the symptomatic treatment approach is mainly adopted in the treatment of AN in primary care in Turkey. The decrease in the percentage of antibiotics prescribed and the increase in the percentage of generic drugs in this frequently encountered diagnosis can be considered as positive in terms of a rational pharmacotherapy approach.
Keywords: Acute Nasopharyngitis, Primary Care, Prescription, Drug Utilization, Generic