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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Antibiotic Prescribing in DR Congo: A Knowledge, Attitude and Practice Survey among Medical Doctors and Students
PLoS ONE, Volume 8, No. 2, Article e55495, Year 2013
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Description
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. © 2013 Thriemer et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3575397/bin/pone.0055495.s001.doc
Authors & Co-Authors
Thriemer, Kamala L.
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Katuala, Yves
Democratic Republic Congo
University Hospital of Kisangani
Batoko, Bibi
Democratic Republic Congo
University Hospital of Kisangani
Alworonga, Jean Pierre
Democratic Republic Congo
University Hospital of Kisangani
Devlieger, Hugo
Belgium, Leuven
Ku Leuven– University Hospital Leuven
van Geet, Chris A.
Belgium, Leuven
Ku Leuven– University Hospital Leuven
Ngbonda, Dauly
Democratic Republic Congo
University Hospital of Kisangani
Jacobs, Jan Adriaan
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Statistics
Citations: 176
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1371/journal.pone.0055495
e-ISSN:
19326203
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Congo