Table 4. Knowledge about antibiotic use in clinical scenarios.
| General | MKU | MUK | CUHAS | P-value | |
|---|---|---|---|---|---|
| N (%) | N (%) | N (%) | N (%) | ||
| 1. a 10-year-old girl reports with a history of sore throat for two days. She has an exudate on her tonsils, with associated cervical lymphadenopathy. She has a temperature of 37.5°C, a slightly increased heart rate, normal respiratory rate, and a normal BP. Do you think she has | |||||
| a. Bacterial pharyngitis? (Agree) | 294 (90.7) | 66 (91.7) | 70 (94.6) | 158 (88.8) | 0.331 |
| b. Viral upper respiratory infection? (Disagree) | 109 (34.2) | 21 (30.4) | 28 (37.8) | 60 (34.1) | 0.647 |
| c. Pneumonia? (Disagree) | 199 (64.2) | 55 (88.7) | 66 (91.7) | 78 (44.3) | ≤0.001 |
| d. Allergy? (Disagree) | 181 (57.8) | 50 (78.1) | 61 (84.7) | 70 (39.6) | ≤0.001 |
| 2. The doctor prescribes antibiotics for 10 days. However, on day three, the girl feels much better. What should she do? (Complete the dose of antibiotics as prescribed by the doctor) | 322 (98.2) | 75 (100) | 75 (100) | 172 (96.6) | 0.076 |
| 3. A 3-year-old with runny nose, mild fever, but no chills and no cough. You would start antibiotics immediately to prevent pneumonia (Disagree) | 277 (84.5) | 66 (89.2) | 73 (97.3) | 138 (77.5) | ≤0.001 |
| 4. A patient with a single positive blood culture with S. epidermidis isolated should be started on vancomycin immediately (No) | 248 (75.6) | 44 (58.7) | 65 (86.7) | 139 (78.1) | ≤0.001 |
| 5. A 30-year-old female is diagnosed with a urinary tract infection. Culture and sensitivity results show E. coli that is susceptible to almost all the antibiotics. She can eat food and is ambulatory. Based on the results, she should start on intravenous therapy immediately (No) | 221 (67.6) | 56 (75.7) | 67 (89.3) | 98 (55.1) | ≤0.001 |
| 6. A patient in the surgical ward develops a fever post-operatively. ESBL producing E. coli is isolated from a blood culture and a pus swab. The patient is currently on ceftriaxone. What tis the best way to manage the best way to manage this patient? (Switch to meropenem) | 72 (22.2) | 3 (4.0) | 8 (11.0) | 61 (34.7) | ≤0.001 |
1a-1d (Diagnosis), 2 (Antibiotic Dose), 3,4,5 (Prescribing antibiotics), 6 (Switching antibiotics).