Evidence map›Paper›PMID 35134056›Full record

ArticlePloS one2022

Knowledge, perceptions and practices on antibiotic use among Sri Lankan doctors.

Gihan Shu, Kaushika Jayawardena, Dinesh Jayaweera Patabandige, Asanka Tennegedara, Veranja Liyanapathirana

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

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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

7 citing papers in PubMed.

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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

5 authors.

Gihan ShuDepartment of Microbiology, Faculty of Medicine, University of Peradeniya, Kandy, Sri Lanka.
Kaushika JayawardenaDepartment of Microbiology, Faculty of Medicine, University of Peradeniya, Kandy, Sri Lanka.
Dinesh Jayaweera PatabandigeTeaching Hospital, Peradeniya, Sri Lanka.
Asanka TennegedaraDepartment of Microbiology, Faculty of Medicine, University of Peradeniya, Kandy, Sri Lanka.
Veranja LiyanapathiranaDepartment of Microbiology, Faculty of Medicine, University of Peradeniya, Kandy, Sri Lanka.ORCID 0000-0002-4356-2172

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrescribers have a major role in preventing antimicrobial resistance (AMR) through appropriate prescribing. However, in countries like Sri Lanka, where continuous professional development is not mandatory for license renewal and antimicrobial stewardship is not implemented, prescribing practices go largely unchecked.

objectivesTo identify the knowledge on antibiotic use and practices related to antibiotic prescribing among Sri Lankan doctors.

methodsThis cross-sectional study was conducted in 2020. We used a validated, pretested Google-form based questionnaire with multiple choices, single best answer questions, polar questions (Yes/No) and five-point Likert scale questions. The Google-sheet generated was used for data analysis. Knowledge and practice scores were calculated.

resultsOf the 262 respondents, 40.1% were males. Majority (61.8%) were aged 25-35-years and in medical practice for 0-5 years (48.9%) while 46.2% had or were engaged in post graduate studies. Knowledge scores ranged from 98.31% to 46.55% [mean:71.27% (SD±10.83); median:71.18% (IQR 64.4-79.7)]. Most (98.09%) obtained ≥50 marks while 45.8% scored more than the mean. The practice scores ranged from 100% to 0% [mean:65.33% (SD±18.16), median:66.67% (IQR53.3-80)]. The majority (81.3%) scored ≥50 in the practice score while 52.3% achieved more than the mean practice score. The knowledge score and the practice score differed significantly (p<0.001, related sample Wilcoxon Signed Rank Test) but the knowledge and practice scores were significantly correlated [Spearman correlation, p<0.001, r = 0.343 (Bias corrected 95% CI 0.237-0.448)]. Knowledge scores and the practice scores were significantly higher in those with or undergoing postgraduate training.

conclusionsWhile the knowledge and practice scores were high, and knowledge and practice scores were correlated, the practices score was lower than that of knowledge indicating the need to encourage correct practices through means other than solely promoting knowledge.

Indexed as

AdultAnti-Bacterial AgentsAntimicrobial StewardshipClinical CompetenceCross-Sectional StudiesEducation, MedicalFemaleHealth Knowledge, Attitudes, PracticeHumansInappropriate PrescribingKnowledgeMaleMiddle AgedPhysiciansPractice Patterns, Physicians'Sri LankaAnti-Bacterial Agents

Identifiers

PMID35134056
PMCPMC8824337

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Registered trials

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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.