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Factors determining antibiotic prescription for patients with febrile illness among first contact doctors in Gampaha District

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dc.contributor.author Premaratna, R.
dc.contributor.author Premaratna, K.
dc.contributor.author Mettananda, K.C.D.
dc.contributor.author Balasooriya, B.L.H.
dc.contributor.author Rodrigo, N.
dc.contributor.author Ranepura, S.
dc.contributor.author Jayasooriya, I.
dc.contributor.author de Silva, H.J.
dc.date.accessioned 2015-10-05T10:08:01Z
dc.date.available 2015-10-05T10:08:01Z
dc.date.issued 2005
dc.identifier.citation The Ceylon Medical Journal. 2005; 50(Supplement 1):38 en_US
dc.identifier.issn 0009-0875 (Print)
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/9938
dc.description Poster Presentation Abstract (PP4), 118th Annual Scientific Sessions, Sri Lanka Medical Association, 2005 Colombo, Sri Lanka en_US
dc.description.abstract BACKGROUND: Antibiotics are being over-prescribed in general practice. Gaining insight into the actual reasons for prescribing remains important for the design of effective strategies to optimise antibiotic prescribing. Illness (e.g.: presence of high fever), and consumer (e.g.: patients' demand) and prescriber (e.g.: hope patient expects) related factors have been identified for over prescription of antibiotics. The factors-influencing antibiotic prescription for patients with febrile illness among first contact doctors in Sri Lanka has not been documented before. METHODS: We conducted a pre-tested questionnaire based survey among 100 randomly selected first contact doctors (45 full time GPs) from 6 different areas of the Gampaha District to identify the factors influencing antibiotic prescription in patients with febrile illness. Questionnaires were distributed to be filled in and handed over the same day by 6 selected pre-intera doctors. RESULTS: Out of the 100 selected doctors, 81 (21 females) participants could be visited during the study period. Thirty four were in full time general practice (GP), 47 were working in a hospital in addition to GP. Mean duration of practice was 10.2 years (SD 9).The mean number of febrile patients seen per week 159 (SD 153). The mean duration of illness at the time of presentation was 2.5 days (SD 0.5), The % of doctors who would have a >50% chance of prescribing an antibiotic in patients with; mild fever 19%, fever body aches 23%, high fever 52% and fever with cough 68%, yellow sputum 73%, sore throat 83%, and who looks very ill 84%, due to fear of no improvement 52%, loosing patient 14% and on patients demand 10%. CONCLUSIONS: The antibiotic prescription among first contact doctors in Gampaha District seems to depend more on doctor's knowledge based illness related factors rather than on non-illness related factors. en_US
dc.language.iso en_US en_US
dc.publisher Sri Lanka Medical Association en_US
dc.subject Factors determining antibiotic prescription en_US
dc.title Factors determining antibiotic prescription for patients with febrile illness among first contact doctors in Gampaha District en_US
dc.type Article en_US


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