Prevalence of Antibiotic Prescription in Primary Healthcare Settings in the Municipality of Prishtina, Kosovo

Background: Antibiotics remain among the most prescribed drugs in primary healthcare, contributing to increased antibiotic resistance in the community and prevailing as an emerging global health concern. We aimed to quantify the prevalence and quality of antibiotic prescription in primary healthcare settings in the Municipality of Prishtina to identify targets for quality improvement. Methods and Results: This study represents a population-based, retrospective cohort, including data from eight randomly selected family medical centers in the Municipality of Prishtina. Each 150th patient on medical records was assessed for demographic data, diagnosis (ICD-10), antibiotic prescription, antibiotic class, and antibiotic form. In total, the study included 1614 cases reviewed. The antibiotic prescription rate was 16%. The health condition for which most of the cases received antibiotics was J18 - Pneumonia, unspecified organism (67%), followed by J03 - Acute tonsillitis (54%), J42 - Unspecified chronic bronchitis (46%), and N39 - Other disorders of the urinary system (43%) Broad-spectrum antibiotics, such as co-amoxiclav (17.7%), amoxicillin (16.5%), and ceftriaxone (12.6%), featured among the most routinely prescribed antibiotics. The antibiotic prescription rate was the highest for cases in the 3-5 age group, of whom 27% received an antibiotic prescription. In 73% of cases, oral antibiotics were prescribed, 69% of which belong to the WHO AWaRe (Access, Watch, Reserve) essential medicines list. Only 18% of antibiotics were prescribed with their generic names. Conclusion: The prevalence of antibiotic prescription in primary healthcare settings in Prishtina is moderately low. These data cannot be extrapolated to other municipalities in Kosovo or other countries due to different organizational levels. High antibiotic prescription rates for young age groups, prescription of broad-spectrum antibiotics, and high rates of parenteral antibiotics were identified as targets for quality improvement

Using Factor Analysis Tool to Analyze the Important Packaging Elements that Impact Consumer Buying Behavior

Abstract The objective of this study is to determine the elements that play an important role on consumer's buying behavior. The purpose of this research is to find out the main important factors related with the packaging effect. Companies in order to create the right packaging for their products, they must understand the consumer buying process and understand the role and the impact of packaging elements as variables that can influence the purchase decision. So, by understanding what factors influence the buying behavior and what packaging elements are most important it help companies making the right decisions about product and their package. This research through empirical data tries to find the relationship between consumer buying process as the main variable of the study and some independent variables like, packaging color, printed information, packaging material, design of wrapper, printed information, brand image, and innovation and practicality that help consumers in their decision buying process. The primary research data are collected through a structured questionnaire and SPSS software is used for analysis purposes. Finally, factor analysis is also employed to find out the most important factors of packaging elements that are more important for consumers during the process of decision while buying. The data obtained rated the package design, printed information, and innovation and practicality as more important factors during the buying process