Evidence map›Paper›PMID 26229186›Full record

ArticleBulletin of the World Health Organization2015

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 and 1 more

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Bulletin of the World Health Organization, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 60 citations in OpenAlex.

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  16. Typhoid in Laos: An 18-Year Perspective.The American journal of tropical medicine and hygiene · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 3 countries.

Fabrice QuetUMR 1094 (Université de Limoges Inserm/CHU de Limoges), Limoges, France .
Erika VliegheInstitute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium .
Caroline LeyerFondation Mérieux, Lyon, France .
Yves BuissonInstitut de la Francophonie pour la Médecine Tropicale (IFMT), Vientiane, Lao People's Democratic Republic.
Paul N NewtonLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Lao People's Democratic Republic.
Philaysak NaphayvongInstitut de la Francophonie pour la Médecine Tropicale (IFMT), Vientiane, Lao People's Democratic Republic.
Valy KeoluangkhotInstitut de la Francophonie pour la Médecine Tropicale (IFMT), Vientiane, Lao People's Democratic Republic.
Monique ChomaratLaboratoire de Microbiologie Centre Hospitalier, Lyon-Sud Pierre-Bénite, France .
Christophe LonguetFondation Mérieux, Lyon, France .
Nicolas SteenkesteFondation Mérieux, Lyon, France .
Jan JacobsInstitute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium .
Fondation Mérieux · FRInstituut voor Tropische Geneeskunde · BEMahosot Hospital · LA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the antibiotic prescribing practices of doctors working in the Lao People's Democratic Republic and their knowledge of local antibiotic resistance patterns.

methodsDoctors 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.

findingsThe 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.

conclusionDoctors 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.

Indexed as

Health Knowledge, Attitudes, PracticeAnti-Bacterial AgentsAttitude of Health PersonnelDrug PrescriptionsDrug Resistance, MicrobialDrug UtilizationHealth SurveysHumansLaosPhysician-Patient RelationsPhysiciansPractice Patterns, Physicians'Anti-Bacterial Agents

Identifiers

PMID26229186
PMCPMC4431558
OpenAlexW2037963855

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.