Knowledge, attitude, and prescribing practices of antimicrobials among doctors in the outpatient departments of Lagos university teaching hospital Idi-Araba: A cross sectional study

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Journal of Clinical Sciences Pub Date : 2022-01-01 DOI:10.4103/jcls.jcls_32_21
B. Akodu, Raheem Bisola, L. Temitope, Lawal Abdulrazzaq, Oshun Philip, Baiyeroju Ibukunoluwa, Orumbie Patrick, Olokodana-Adesalu Olufunmilayo, Oyeleke Ganiya, Osuagwu Chioma, Oduyebo Oyinlola
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Abstract

Background: Antimicrobial prescription becomes inappropriate when there is overprescribing, unsuitable dosage and when patients do not complete their treatments. In the outpatient settings, irrational prescription of antibiotics is more evident and has led to the development of resistance, adverse reactions, and increased health care costs. Understanding the knowledge, driving forces and practices of prescribing antibiotics is a step towards ensuring rational use of antibiotics. The study aimed to assess the knowledge, attitude, and practice of antimicrobial prescription among doctors in the outpatient departments of Lagos University Teaching Hospital Idi-Araba. Methods: This was a cross-sectional study conducted consecutively among 259 doctors in the outpatient departments of LUTH. Data entry and analysis were performed using Epi info software version 7. The level of statistical significance was at P < 0.05. Results: The mean age of the respondents was 33.5 ± 6.9 years. Majority of the respondents were males (58.7%). One-third (39%) had between 6 and 10 years of work experience. One-fifth (20.8%) of the respondents were from the department of surgery. Almost all (98.8%) had an overall good knowledge of antibiotics. Majority, (95.4%) had a good attitude towards prescribing. Two-third (63%) requested for a laboratory test before prescribing. However, less than half (44.4%) prescribed based on guidelines and more than half (56.8%) had received trainings on antibiotics prescriptions. Two-third (63.7%) of the respondents had good prescribing practices. There was a statistically significant association between the years of work experience and knowledge of prescribing antibiotics (P = 0.036). Conclusion: Majority had good knowledge and positive attitude toward prescribing. The severity of infection, availability of the drug, cost of the drug, and clinical response of the patients were the major predictors of antimicrobial prescription of the respondents. Antimicrobial stewardship programs should be enhanced and antibiotic surveillance should be improved.
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拉各斯大学i- araba教学医院门诊医生抗菌药物知识、态度和处方实践:一项横断面研究
背景:当处方过量、剂量不合适以及患者未完成治疗时,抗菌药物处方就不合适。在门诊环境中,抗生素的不合理处方更为明显,并导致耐药性,不良反应的发展,并增加了卫生保健费用。了解抗生素处方的知识、驱动力和做法是确保合理使用抗生素的一个步骤。本研究旨在了解拉各斯大学伊迪-阿拉巴教学医院门诊医生抗菌药物处方知识、态度和实践情况。方法:采用横断面研究方法,对我院门诊259名医生进行连续调查。使用Epi info软件进行数据录入和分析。差异有统计学意义,P < 0.05。结果:调查对象平均年龄为33.5±6.9岁。受访者以男性居多(58.7%)。三分之一(39%)的人有6到10年的工作经验。五分之一(20.8%)的受访者来自外科。几乎所有人(98.8%)对抗生素有全面的了解。绝大多数(95.4%)对处方持良好态度。三分之二(63%)的患者要求在开药前进行实验室检查。然而,不到一半(44.4%)的人按照指南开处方,超过一半(56.8%)的人接受过抗生素处方培训。三分之二(63.7%)的应答者具有良好的处方规范。工作年限与抗菌药物处方知识之间有统计学意义的相关性(P = 0.036)。结论:多数患者对处方有良好的认识和积极的态度。感染的严重程度、药物的可得性、药物的成本和患者的临床反应是受访者抗菌药物处方的主要预测因素。抗菌素管理规划应加强,抗生素监测应改善。
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
15
审稿时长
45 weeks
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