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    Approach to drug allergy in family physicians
    (Bilimsel Tip Yayinevi, 2014) Celiksoy, Mehmet Halil; Sogut, Ayhan; Topal, Erdem; Catal, Ferhat; Sahin, Mustafa Kursat; Sahin, Gulay; Sancak, Recep
    Objective: Allergic reactions that occurring as a result of drug allergy can result in anaphylaxis, even death. These reactions often evaluated by the primary care physicians. Primary care physicians who often encounter with drug allergy reactions should be able to evaluate the patients with drug allergy, if necessary, make first emergency intervention, and refer patients to an allergy specialist for further evaluation and treatment. In this study, we aimed to measure general approach and the level of knowledge family physicians about allergic reactions occurred after the drug allergy. Materials and Methods: Two hundred and five family physicians who work in the region of Malatya and Samsun participated in this study. We interviewed face-to-face with family physicians about drug allergy. After that, family physicians completed a questionnaire previously prepared by allergy specialists about drug allergy. Results: The median age was 38 years old (min: 24, max: 61), median length of professional experience was 13 (min: 1, max: 35) years old and 124 (60.5%) of participants were male gender. 90.2% of family physicians in this study expressed to encounter with drug allergy before. 52.2% of them explained to cut medication in case of allergic reaction that developed after drug intake and to refer patients to allergy specialist for further investigation. 39.5% of the participants didn't know that a systemic reaction will be able to occur after local drug using. 56.6% of family physicians stated that they needn't to cut responsible medication in mild drug reactions and only 35.1% of them knew that severe drug reactions can be fatal. Only 31.7% of participants explained that adrenaline is the first option when anaphylactic reaction occurs after drug allergy. Conclusion: The knowledge of primary care physicians about treatment and management of patients with drug allergy is insufficient. Therefore, it will be useful to be educated the primary care physicians about drug allergies.
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    Insulin initiation status of primary care physicians in Turkey, barriers to insulin initiation and knowledge levels about insulin therapy: A multicenter cross-sectional study
    (Elsevier Sci Ltd, 2017) Ates, Elif; Set, Turan; Saglam, Zuhal; Tekin, Nil; Eray, Irep Karatas; Yavuz, Erdinc; Sahin, Mustafa Kursat
    Aims: Our aim was to evaluate the insulin initiation status, barriers to insulin initiation and knowledge levels about treatment administered by primary care physicians (PCP). Methods: We conducted our study in accordance with a multicenter, cross-sectional design in Turkey, between July 2015 and July 2016. A questionnaire inquiring demographic features, status of insulin initiation, obstacles to insulin initiation and knowledge about therapy of the PCPs was administered during face-to-face interviews. Results: 84 PCPs (19%) (n =446, mean age =41.5 +/- 8.4years, 62.9% male and 90.0% ministry certified family physicians) initiated insulin therapy in the past. Most of the stated primary barriers (51.9%, n=230) were due to the physicians. The most relevant barrier was lack of clinical experience with a rate of 19% (n = 84 of the total). The average total knowledge score was 5.7 +/- 2.0 for the family medicine specialist, and 3.81 +/- 2.1 for the ministry certified family physicians (p= 0.000, maximum knowledge score could be 10). Conclusions: The status of insulin initiation in Turkey by the primary care physicians is inadequate. Medical education programs and health care systems may require restructuring to facilitate insulin initiation in primary care. (C) 2017 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.