Confidence of prescribing |
|
Very confident while prescribing antibiotics |
190/386 (49.2) |
Difficulties with prescribing the correct antibiotics |
280/386 (72.5) |
Source of information on antibiotic prescribing |
|
Not enough sources of information |
231/386 (59.8) |
Had not attended training on antibiotic prescribing during the previous year |
136/386 (35.2) |
Major sources of information |
|
National Guidelines |
332/384 (86.5) |
Advice from peers |
326/383 (85.1) |
Advice from older colleagues |
317/384 (82.6) |
Pharmaceutical companies |
296/385 (76.9) |
Internet |
281/380 (73.9) |
Medical press |
16/83 (19.3) |
Conferences or seminars |
12/83 (14.5) |
International antibiotic guidelines |
16/83 (19.3) |
Advice from specialists |
10/83 (12.0) |
Information from television |
10/83 (12.0) |
Use of Internet for prescription advice |
|
≤ 1 years professional experience |
40/45 (88.9) |
2 years professional experience |
46/48 (95.8) |
3 years professional experience |
15/21 (71.4) |
4 years professional experience |
13/18 (72.2) |
5 years professional experience |
18/24 (75.0) |
6 years professional experience |
10/14 (71.4) |
≥ 7 years professional experience |
139/210 (66.2) |
In Vientiane capital |
215/258 (83.3) |
In Khammuane |
34/49 (69.4) |
In Luangprabang |
24/57 (42.1) |
In Sekong |
8/16 (50.0) |
In central hospitals |
184/219 (84.0) |
In provincial hospitals |
38/54 (70.4) |
In district hospitals |
59/107 (55.1) |
Influences on decision-making |
|
Patient demands |
195/386 (50.5) |
Availability of antibiotics in hospital rather than focus of infection |
86/386 (22.3) |
Review of prescriptions by a senior colleague |
252/386 (65.3) |
Restricted drug list stimulating the use of alternative antibiotics |
174/385 (45.2) |
No list for restricted antibiotics in the hospital |
11/385 (2.9) |
Inadequate information about antibiotic availability in the hospital |
145/385 (37.7) |
Unnecessary prescriptions of antibiotics do no harm |
115/386 (29.8) |
Potential interventions |
|
Prefer local antibiotic guidelines to international guidelines |
249/383 (65.0) |
Local guidelines are an obstacle |
85/386 (22.0) |
Restricted use of antibiotics may help to contain antibiotic resistance |
174/385 (45.2) |
Welcome educational sessions on rational antibiotic use and antibiotic resistance |
373/386 (96.6) |