الفهرس 
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Abstract
Antibiotics are the most commonly used drugs in healthcare centers worldwide. They play a vital role in combating disease and maintaining health mostly in developing countries where infectious diseases are still a big problem. According to the general district of pharmacy in Dakahlia Health Directorate in 2018, one of the main drugs supplied to PHC facilities is antibiotics and the cost of antibiotics delivered to PHC facilities represent 30% of the total cost of drugs delivered to these facilities during the same period. Antibiotic misuse, refers to overuse of antibiotic, with potentially serious effects on health It is a contributing factor to the development of antibiotic resistance which is a global public health concern. The burden of both antibiotic resistance and healthcare associated infections (HCAI) is high in all low and middle income countries Aim of the study: is to assess the pattern of use of antibiotics among healthcare workers in primary healthcare facilities in Mehalet-Damana health district, Dakahlia governorate Study population : All healthcare workers in the family health center at Mahallat Damanah were included in the study (218 participants). Study design : A descriptive cross-sectional study with analytical component 2018-2019 Resultes : The most frequent antibiotics prescribed were : amoxicillin (55.0%), ceftriaxone (27.1%), erythromycin(23.9%), ciprofloxacin(23.4%), metronidazole (19.7%), ampicillin(19.3%) ,cotrimoxazole (8.3%) ,gentamicin (6.9%) ,chloramphenicol (6.4%) ,doxycycline (3.2%), cloxacillin (2.8%) and benzyl. penicillin (2.3%). the reasons for antibiotic use without prescription which were: previous knowledge (37.6%), mild condition (20.2%), previous experience (17.4%), counseling without prescription (8.7%), costly counseling (6.9%), easy to buy (5.5%) and others with similar condition (3.7%).while the reasons for not completing course of antibiotic: 38.1% of participants were improved, 25.2% had fear of side effects, 21.6% forgot the antibiotic and 15.1% kept the antibiotic for future.88.5% of participants were considered to be with good knowledge There is a significant correlation between age, experience and knowledge score, There is a significant relation between age, experience andpractice score, There is a significant relation between age, and attitude score. Conclusion : The level of knowledge was sufficient and resulted in appropriate practice however the attitude was unfavorable pattern. Recommndation: Increase healthcare’s awareness in primary healthcare facilities regarding the attitude and the risk of inappropriate use of antibiotics.