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Table 3 Attitude and practice of antibiotic prescriptions and antimicrobial resistance among physicians in Nigeria

From: Predictors of antibiotic prescriptions: a knowledge, attitude and practice survey among physicians in tertiary hospitals in Nigeria

Sn Attitude Strongly agree Agree Neutral Disagree Strongly disagree
   % % % % %
1 Antibiotic resistance is a serious public health issue worldwide 79.3 18.5 1.8 0.3 0.2
2 Antibiotic resistance is a serious public health issue in Nigeria 82.0 16.3 1.1 0.2 0.4
3 Antibiotic resistance is a problem in other hospitals but not in our hospital 1.3 2.2 6.4 46.8 43.3
4 Antibiotic could be used to prevent bacterial infection in patients with viral URTI 6.6 20.4 12.3 29.6 31.2
5 Any patient with fever would benefit from antibiotic therapy 1.8 6.3 9.1 43.8 38.9
6 Prolonged use of broad-spectrum antibiotics is a risk factor for antibiotic resistance 42.9 38.9 7.0 7.4 3.8
7 Patients may feel better if you prescribe antibiotics to satisfy their demands and expectations 4.3 22.3 17.9 29.8 25.7
8 There is nothing I can do as a person to lower the risk of antibiotic resistance in our hospital 2.2 1.9 6.1 38.6 51.2
9 There is no risk of resistance if antibiotics are taken as prescribed 21.1 32.4 20.4 17.6 8.5
10 Persons who have never taken antibiotics have no risk of resistance 8.0 19.1 10.1 46.1 16.8
11 It is better to stop antibiotics as soon as a patient feels better 3.5 11.3 11.5 49.7 24.0
12 Regular hand washing can prevent antibiotics resistance 4.6 7.9 8.3 42.6 36.6
13 A longer course of antibiotic is less likely to cause resistance than a short course 7.8 19.2 18.6 37.7 16.7
14 Pharmaceutical companies sometimes influence my choice of antibiotics 9.1 40.5 15.2 24.0 11.2
15 In hospital setting, antibiotic resistance could be transmitted from healthcare worker to patients 26.7 37.2 12.0 15.2 8.9
  Practice Always Most of the time Sometimes Rarely Never
   % % % % %
1 Prescribe antibiotics for common cold 1.4 3.3 28.0 44.1 23.2
2 Prescribe antibiotics for pneumonia 45.4 45.1 6.3 1.5 1.7
3 Prescribe antibiotics for malaria 2.0 1.5 8.1 21.7 66.7
4 Stop antibiotics immediately patient symptoms resolve 1.4 5.0 15.8 26.5 51.4
5 Prescribe antibiotics because patient insists on it 0.2 0.8 11.2 27.8 60.0
6 Prescribe antibiotics because you do not trust the available laboratory results 1.1 8.6 61.9 17.4 10.9
7 Wait for culture result before prescribing antibiotics 0.8 10.6 49.2 30.5 8.9
8 Prescribe antibiotics based on culture results 17.9 48.0 28.7 3.8 1.6
9 Prescribe antibiotic based on recommendation of pharmaceutical companies 1.4 4.8 29.5 37.7 26.6
10 Prescribe antibiotics inappropriately because patient cannot afford the appropriate antibiotic 0.4 3.4 34.0 29.0 33.2
11 Prescribe antibiotics inappropriately because the appropriate antibiotic is not available 0.6 3.4 38.1 30.2 27.8
12 De-escalate from broad spectrum to narrow spectrum antibiotics as soon as culture results are available 24.0 37.1 22.3 9.9 6.7
13 Prescribe prophylaxis antibiotics for more than 24hours 6.4 19.2 41.9 23.3 9.1
  1. URTI upper respiratory tract infection