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. 2015 Mar 3;93(4):219–227. doi: 10.2471/BLT.14.142844

Table 4. Prescribing practices and potential interventions for doctors in Lao People's Democratic Republic, 2012.

Question Answers/total participants (%)
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)