Antibiotics Use in Adult Population, as Perceived by Family Doctors in Romania

Open access


Introduction: In recent years, the problem of overprescribed antibiotics has become one of the most serious public health issues at global level. Clear evidence shows direct relation between antibiotics consumption and the resistance developed by the microbial agents

Objectives: The aim of this study is to evaluate the frequency of antibiotics recommendations from other medical practitioners or pharmacists and reported self-medication, in the family doctor’s office

Methods: We conducted a survey questionnaire on 184 family doctors from Romania that volunteered to gather information for one week on a daily basis. he questionnaire for adults had four questions, related to the frequency of antibiotics consumption based on the recommendation from emergency rooms or other doctors, self-medication, antibiotics recommended and delivered by pharmacies and personal recommendation of antibiotics

Conclusion: We conclude that the level of antibiotics recommendations for diseases, which usually do not benefit from this type of treatment, is high, with a large proportion of adult patients coming to the family doctor for reimbursement. The level of auto-medication with antibiotics, in adults, is also elevated, in most of the cases based on leftover medication.

1. van de Sande-Bruinsma N, Grundmann H, Verloo D, Tiemersma E, Monen J, Goossens H, et al. Antimicrobial drug use and resistance in Europe. Emerg Infect Dis. 2008;14(11):1722-30.

2. Conly J. Controlling antibiotic resistance by quelling the epidemic of overuse and misuse of antibiotics. Can Fam Physician. 1998;44:1769-73, 80-4.

3. Kwak YG, Moon C, Kim ES, Kim BN. Frequent Prescription of Antibiotics and High Burden of Antibiotic Resistance among Deceased Patients in General Medical Wards of Acute Care Hospitals in Korea. PLoS One. 2016;11(1):e0146852.

4. World Health Organization. At UN, global leaders commit to act on antimicrobial resistance WHO2016 (updated 2016. Available from:

5. European Centre for Disease Prevention and Control (ECDC). Summary of the latest data on antibiotic consumption in the European Union ESAC-Net surveillance data November 2017 2017 (updated November 2017. Available from:

6. Eurobarometer S. 445. Antimicrobial resistance. Brussels: European Commission. 2016.

7. Eurobarometer S. 407. Antimicrobial resistance. Brussels: European Commission;. 2013.

8. Centers for Disease Control and Prevention. CDC: 1 in 3 antibiotic prescriptions unnecessary 2016 (updated 2016; cited 2018. Available from:

9. Llor C, Bjerrum L. Antimicrobial resistance: risk associated with antibiotic overuse and initiatives to reduce the problem. Therapeutic Advances in Drug Safety. 2014;5(6):229-41.

10. Grigoryan L, Burgerhof JGM, Haaijer-Ruskamp FM, Degener JE, Deschepper R, Monnet DL, et al. Is self-medication with antibiotics in Europe driven by prescribed use? Journal of Antimicrobial Chemotherapy. 2007;59(1):152-6.

11. Zoorob R, Grigoryan L, Nash S, Trautner BW. Nonprescription Antimicrobial Use in a Primary Care Population in the United States. Antimicrobial agents and chemotherapy. 2016;60(9):5527-32.

ARS Medica Tomitana

The Journal of "Ovidius" University of Constanta

Journal Information


All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 108 108 13
PDF Downloads 61 61 7