The aim of this questionnaire is to investigate the
tendency and practices of physicians with regard to the use of antibiotics,
with particular emphasis on vancomycin using a self-administered questionnaire
for physicians.
4.8.1 Years of experience of physicians
Among the interviewed physicians, 41.0 % have experience
of more than 10 years (Table 4.16).
Table (4.16): Years of experience of physicians
Years of experience
|
%
|
Less than 3 years
|
10
|
3-5 years
|
33
|
6-9 years
|
16
|
more than 10 years
|
41
|
Total
|
100
|
4.8.2 Percentage
of antibiotic as being part of physician's prescription
Percent of physicians using antibiotics as 100% was 7%, 17%
of them used antibiotics in about 80% of their prescription (Table
4.17).
Table (4.17): Percentage of antibiotic
as being part of physicians prescription
% of antibiotic in prescription
|
%
|
Commutative %
|
10
|
0
|
0
|
20
|
7
|
7
|
30
|
12
|
19
|
40
|
5
|
24
|
50
|
12
|
36
|
60
|
14
|
50
|
70
|
13
|
63
|
80
|
17
|
80
|
90
|
13
|
93
|
100
|
7
|
100
|
Total
|
100
|
4.8.3 Physicians following a protocol in
treating specific infectious disease
Only 5.0% of physicians did not depend on
specific protocol in their treatment, while 60% of them depending on protocol
in the treatment (Table 4.18).
Table (4.18): Percentage
of physicians following a protocol in
treating specific infectious disease
Following a protocol
|
%
|
No
|
5
|
Sometimes
|
35
|
Yes
|
60
|
Total
|
100
|
Type of protocol used by physicians
Fifty five percent of physicians depend on international
protocol while 1.0% depends on specific protocol.
Table (4.19): Type
of protocol used by physicians
%
|
Type of protocol
|
55
|
International
|
27
|
Local
|
17
|
national
|
1
|
Specific protocol
|
100
|
Total
|
Physicians depending on culture and sensitivity on
prescribing an antibiotic
Only 31% of the interviewed physicians depend
totally on culture results for antibiotic prescription while 6% don’t ask for
culture at all (Table
4.20).
Table (4.20):
Physicians depending on culture and
sensitivity on prescribing an antibiotic
Physician requesting for culture
|
%
|
No
|
6
|
Sometimes
|
63
|
Yes
|
31
|
Total
|
100
|
Physicians trusting the results of antibiotic
sensitivity tests done in local laboratories
The result in the following table raises a very
important issue "trusting the laboratory result". It can be observed
that only 40% of physicians have trust while 52% are not sure (Table 4.21).
Table (4.21):
Physicians trusting the results of antibiotic sensitivity tests done in local
laboratories
Physicians trusting results
|
(%)
|
No
|
8
|
Sometimes
|
52
|
Yes
|
40
|
Total
|
100
|
4.8.7 Physicians prescription of antibiotics in uncomplicated viral
infections
From figure (4.11), 10% of physician use
antibiotic for the treatment of uncomplicated viral infections.
Figure (4.11):
Physicians prescription
of antibiotics in uncomplicated viral infections
4.8.8 Physicians
prescribing antibiotics that are not available at the ministry of health (MOH)
Thirty four percent of physicians
prescribed antibiotics that are not available at the MOH
(Table 4.22).
Table (4.22):
Physicians prescribing antibiotics that are
not available at the MOH
Prescribing antibiotics not available in MOH
|
%
|
No
|
17
|
Sometimes
|
49
|
Yes
|
34
|
Total
|
100.0
|
Prescribing of Vancomycin as a medication for certain
diseases
High percentage of physician used vancomycin for
patient treatment and this may in part explain why high percentage of
resistance was observed in hospitalized patients.
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