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Table 4 Surgeons initial SAP type decision, App recommended type (in accordance to WHO/ Sanford guidance) and surgeons final SAP type decision during the intervention project (N = 321)

From: Gamified antimicrobial decision support app (GADSA) changes antibiotics prescription behaviour in surgeons in Nigeria: a hospital-based pilot study

SAP combination

Initial N (%)

App N (%)

Final N (%)

No SAP

5 (1.5)

132 (41.1)

35 (10.9))

AB combination covering gram-pos, gram-neg and anaerobs*1

154 (48)

57 (17.8)

139 (43.3)

Fluoroquinolone

112 (34.9)

3 (0.9)

102 (31.8)

1st gen Cephalosporin

1 (0.3)

86 (26.8)

4 (1.2)

2nd & 3rd gen Cephalosporin

24 (7.5)

4 (1.2)

19 (5.9)

Clindamycin + Gentamicin or Ciprofloxacin or Aztreonam

1 (0.3)

4 (1.2)

1 (0.3)

Fluoroquinolone or Chloramphenicol ophthalmic solution

14 (4.4)

0

14 (4.4)

Doxycycline

0

5 (1.6)

0

No recommendation recorded*2

 

14 (4.4)

 

Other

10 (3.1)

16 (5)

7 (2.2)

Total

321

321

321

  1. *1Beta-lactam Antibiotic + Metronidazole or Beta-lactamase inhibitor; Fluoroquinolone + Metronidazole
  2. *2Includes following recommendations from the app: “No guidance available for Beta-Lactam allergic patients.”, “No guidance for patients undergoing a specific procedure available.”