Primary Care Physicians’ Knowledge , Attitude and Prescribing Practices for Acute Respiratory Tract Infections in Children Aged ( 2-59 ) Months in Ismailia Governorate

Waleed Sayed Ahmed; Hebatallah Nour-Eldein; Mosleh Abdel Rahman Ismail

doi:10.5742/MEFM.2014.92417

Article Details

Primary Care Physicians’ Knowledge , Attitude and Prescribing Practices for Acute Respiratory Tract Infections in Children Aged ( 2-59 ) Months in Ismailia Governorate

Authors:

Waleed Sayed Ahmed | Hebatallah Nour-Eldein | Mosleh Abdel Rahman Ismail

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2013 vol.11 Issue 8, pp.13-22

Document Type:

Article

Publication Date:

10/2013

Document Language:

English

Document ID (Org No.):

46070

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEFM.2014.92417

Descriptors:

Keywords:

Abstract:

 Background: Acute Respiratory Infections (ARI) are the main cause of morbidity worldwide. Physicians’ knowledge ofdiagnostics and therapeutics can play a role in prescribing. WHO recommended drug useindicators to study prescription practices.
Aim: to assess primary care physicians’ knowledge, attitude and prescribing practice for acute respiratory tract infections inchildren aged 2-59 months to improve the use of drugs within primary care settings.
Methods: This is a crosssectional descriptive analytic study that was conducted in primary health care centers in Ismailia city between July and December 2011. It included all primary care physicians. They responded to a validatedanonymous questionnaire tocollect data about characteristics of primary care physicians, their knowledge, attitude and theirprescriptions for ARI cases.
SPSS. version 18 was used for data entry and analysis. Chi square/Fisher exact test were used for categorical variables. Student t test was used forcontinuous data. StatisticallySignificant difference wasconsidered at P <0.05.
Results: Good knowledge and favorable attitude scores were found among 69.4% & 77.1% of physicians respectively.
Inappropriate practices were indicated by most of drug use indicators. The average number of drugs per cases (optimal < 2) was 1.91±0.89. Polypharmacy (optimal > 3) was found in 22.9% of prescriptions. Cases with antibiotics prescribed were 74.7% (optimal 75%). The percentage of caseswith injections was 28.5%(optimal 25%). The percentage of antibiotics prescribed for cold cases was 16% (optimal 0%). The percentage of drugs prescribed in generic names was 43% (optimal 100%). Only 15.6% of the studied prescriptions were according to IMCI guidelines.
Conclusion: Good knowledgeand favorable attitudes were found especially among recentlygraduated primary carephysicians for ARI in children aged 2-59 months while poor practice as indicated by most of the prescribing indicators could be a stimulus for further postgraduate educational intervention study and implementation of a periodical audit of drugprescribing in clinical practice.

Article Details

Primary Care Physicians’ Knowledge , Attitude and Prescribing Practices for Acute Respiratory Tract Infections in Children Aged ( 2-59 ) Months in Ismailia Governorate

Authors:

Waleed Sayed Ahmed | Hebatallah Nour-Eldein | Mosleh Abdel Rahman Ismail

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2013 vol.11 Issue 8, pp.13-22

Document Type:

Article

Publication Date:

10/2013

Document Language:

English

Document ID (Org No.):

46070

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEFM.2014.92417

Descriptors:

PAEDIATRICS

URINARY TRACT DISEASES

PULMONARY DISEASES

PRIMARY HEALTH CARE

ANTIBIOTICS

DIAGNOSIS

PATIENTS

CHILDREN

THERAPY

Primary Care Physicians

ARI

IMCI

Prescription

Rational

Issues

Article Details

Authors: Waleed Sayed Ahmed | Hebatallah Nour-Eldein | Mosleh Abdel Rahman Ismail

Publisher: medi+WORLD International

Main Topics: Medicine

Journal: World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2013 vol.11 Issue 8, pp.13-22

Document Type: Article

Publication Date: 10/2013

Document Language: English

Document ID (Org No.): 46070

Frequency: Monthly

eISSN: 18390196

pISSN: 18390188

DOI: 10.5742/MEFM.2014.92417

Descriptors:

Issues

Authors:

Waleed Sayed Ahmed | Hebatallah Nour-Eldein | Mosleh Abdel Rahman Ismail

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2013 vol.11 Issue 8, pp.13-22

Document Type:

Article

Publication Date:

10/2013

Document Language:

English

Document ID (Org No.):

46070

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEFM.2014.92417