Antibiotic Prescription Behaviours in Lao People's Democratic Republic: a Knowledge, Attitude and Practice Survey

Overview

Journal Bull World Health Organ

Specialty Public Health

Date 2015 Aug 1

PMID 26229186

Citations 32

Authors

Fabrice Quet

Erika Vlieghe

Caroline Leyer

Yves Buisson

Paul N Newton

Philaysak Naphayvong

Valy Keoluangkhot

Monique Chomarat

Christophe Longuet

Nicolas Steenkeste

Jan Jacobs

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the antibiotic prescribing practices of doctors working in the Lao People's Democratic Republic and their knowledge of local antibiotic resistance patterns.

Methods: Doctors attending morning meetings in 25 public hospitals in four provinces were asked to complete a knowledge, attitude and practice survey. The questionnaire contained 43 multiple choice questions that the doctor answered at the time of the meeting.

Findings: The response rate was 83.4% (386/463). Two hundred and seventy doctors (59.8%) declared that they had insufficient information about antibiotics. Only 14.0% (54/386) recognized the possibility of cephalosporin cross-resistance in methicillin-resistant Staphylococcus aureus. Most participants had no information about local antibiotic resistance for Salmonella Typhi (211/385, 54.8%) and hospital-acquired pneumonia (253/384, 65.9%). Unnecessary antibiotic prescriptions were considered as harmless by 115 participants and 148 considered locally-available generic antibiotics to be of poor quality. Nearly three-quarters (280/386) of participants agreed that it was difficult to select the correct antibiotics. Most participants (373/386) welcomed educational programmes on antibiotic prescribing and 65.0% (249/383) preferred local over international antibiotic guidelines.

Conclusion: Doctors in the Lao People's Democratic Republic seem to favour antibiotic prescribing interventions. Health authorities should consider a capacity building programme that incorporates antibiotic prescribing and hospital infection control.

Citing Articles

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Antibiotic Prescribing Behavior of Physicians in Outpatient Departments in Hospitals in Northwest Ethiopia: Structural Equation Modeling Approach.

Abejew A, Wubetu G, Gedif Fenta T Interact J Med Res. 2024; 13:e57285.

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Understanding hospital antimicrobial prescribing decisions and determinants of uptake of new local antimicrobial prescribing guidelines in Laos.

Chansamouth V, Douangnouvong A, Thammavongsa P, Sombandith X, Keomany S, Rattana S Wellcome Open Res. 2024; 9:183.

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Different kettles of fish: Varying patterns of antibiotic use on pig, chicken and fish farms in Lao PDR and implications for antimicrobial resistance strategies.

Poupaud M, Goutard F, Phouthana V, Munoz Viera F, Caro D, Patriarchi A Transbound Emerg Dis. 2022; 69(6):3940-3951.

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Knowledge, attitude, and practice of antibiotics use among primary healthcare physicians, Ministry of Health, Jeddah.

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