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Antibiotic prescribing in DR Congo: a knowledge, attitude and practice survey among medical doctors and students

Thriemer, Kamala, Katuala, Yves, Batoko, Bibi, Alworonga, Jean-Pierre, Devlieger, Hugo, Van Geet, Christel, Ngbonda, Dauly and Jacobs, Jan (2013). Antibiotic prescribing in DR Congo: a knowledge, attitude and practice survey among medical doctors and students. PLoS One,8(2):e55495-1-e55495-8.

Document type: Journal Article
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IRMA ID 84473306xPUB38
Title Antibiotic prescribing in DR Congo: a knowledge, attitude and practice survey among medical doctors and students
Author Thriemer, Kamala
Katuala, Yves
Batoko, Bibi
Alworonga, Jean-Pierre
Devlieger, Hugo
Van Geet, Christel
Ngbonda, Dauly
Jacobs, Jan
Journal Name PLoS One
Publication Date 2013
Volume Number 8
Issue Number 2
ISSN 1932-6203   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84874147881
Start Page e55495-1
End Page e55495-8
Total Pages 8
Place of Publication United States
Publisher Public Library of Science
HERDC Category C1 - Journal Article (DIISR)
Abstract Objectives:
Antibiotic resistance (ABR) particularly hits resource poor countries, and is fuelled by irrational antibiotic (AB) prescribing. We surveyed knowledge, attitudes and practices of AB prescribing among medical students and doctors in Kisangani, DR Congo.

Methods:
Self-administered questionnaires.

Results:
A total of 184 questionnaires were completed (response rate 94.4%). Knowledge about AB was low (mean score 4.9/8 points), as was the estimation of local resistance rates of S. Typhi and Klebsiella spp.(correct by 42.5% and 6.9% of respondents respectively). ABR was recognized as a problem though less in their own practice (67.4%) than nation- or worldwide (92.9% and 85.5%, p<.0001). Confidence in AB prescribing was high (88.6%) and students consulted more frequently colleagues than medical doctors when prescribing (25.4% versus 11.6%, p = 0.19). Sources of AB prescribing included pharmaceutical companies (73.9%), antibiotic guidelines (66.3%), university courses (63.6%), internet-sites (45.7%) and WHO guidelines (26.6%). Only 30.4% and 16.3% respondents perceived AB procured through the central procurement and local pharmacies as of good quality. Local AB guidelines and courses about AB prescribing are welcomed (73.4% and 98.8% respectively).

Conclusions:
This data shows the need for interventions that support rational AB prescribing.
DOI http://dx.doi.org/10.1371/journal.pone.0055495   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)


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