Monday, January 23, 2012

Physician questionnaire


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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