Antibiotic prescription behaviours in Lao People's Democratic Republic: a knowledge, attitude and practice survey

Fabrice Quet; Erika Vlieghe; Caroline Leyer; Yves Buisson; Paul N Newton; Philaysak Naphayvong; Valy Keoluangkhot; Monique Chomarat; Christophe Longuet; Nicolas Steenkeste; Jan Jacobs

doi:10.2471/BLT.14.142844

Antibiotic prescription behaviours in Lao People's Democratic Republic: a knowledge, attitude and practice survey

Fabrice Quet, Erika Vlieghe, Caroline Leyer, Yves Buisson, Paul N Newton, Philaysak Naphayvong, Valy Keoluangkhot, Monique Chomarat, Christophe Longuet, Nicolas Steenkeste, Jan Jacobs

Tropical Bacteriology

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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.

Original language	English
Journal	Bulletin of the World Health Organization
Volume	93
Issue number	4
Pages (from-to)	219-227
Number of pages	9
ISSN	0042-9686
DOIs	https://doi.org/10.2471/BLT.14.142844
Publication status	Published - 2015

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Quet, F., Vlieghe, E., Leyer, C., Buisson, Y., Newton, P. N., Naphayvong, P., Keoluangkhot, V., Chomarat, M., Longuet, C., Steenkeste, N., & Jacobs, J. (2015). Antibiotic prescription behaviours in Lao People's Democratic Republic: a knowledge, attitude and practice survey. Bulletin of the World Health Organization, 93(4), 219-227. https://doi.org/10.2471/BLT.14.142844

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title = "Antibiotic prescription behaviours in Lao People's Democratic Republic: a knowledge, attitude and practice survey",

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.",

author = "Fabrice Quet and Erika Vlieghe and Caroline Leyer and Yves Buisson and Newton, {Paul N} and Philaysak Naphayvong and Valy Keoluangkhot and Monique Chomarat and Christophe Longuet and Nicolas Steenkeste and Jan Jacobs",

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language = "English",

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Quet, F, Vlieghe, E, Leyer, C, Buisson, Y, Newton, PN, Naphayvong, P, Keoluangkhot, V, Chomarat, M, Longuet, C, Steenkeste, N & Jacobs, J 2015, 'Antibiotic prescription behaviours in Lao People's Democratic Republic: a knowledge, attitude and practice survey', Bulletin of the World Health Organization, vol. 93, no. 4, pp. 219-227. https://doi.org/10.2471/BLT.14.142844

TY - JOUR

T1 - Antibiotic prescription behaviours in Lao People's Democratic Republic

T2 - a knowledge, attitude and practice survey

AU - Quet, Fabrice

AU - Vlieghe, Erika

AU - Leyer, Caroline

AU - Buisson, Yves

AU - Newton, Paul N

AU - Naphayvong, Philaysak

AU - Keoluangkhot, Valy

AU - Chomarat, Monique

AU - Longuet, Christophe

AU - Steenkeste, Nicolas

AU - Jacobs, Jan

N1 - FTX

PY - 2015

Y1 - 2015

N2 - 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.

AB - 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.

U2 - 10.2471/BLT.14.142844

DO - 10.2471/BLT.14.142844

M3 - A1: Web of Science-article

C2 - 26229186

SN - 0042-9686

VL - 93

SP - 219

EP - 227

JO - Bulletin of the World Health Organization

JF - Bulletin of the World Health Organization

IS - 4

ER -

Antibiotic prescription behaviours in Lao People's Democratic Republic: a knowledge, attitude and practice survey

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