Table 2: Factors perceived by physicians (N = 34) to have contributed to AMR in private and public health institutions in Grenada, 2015.

AMR contributing factors Private Institutions %, 95% CI, (n) Public Institutions %, 95% CI, (n)
Frequent Occasional Never Frequent Occasional Never
Patients failing to adhere to treatment 70.6; 52.3-84.3 (4) 11.8; 3.8-28.4 (4) 0.0; 0.0-0.0 70.6; 52.3-84.3 (24) 11.8; 3.8-28.4 (4) 2.9; 0.2-17.1 (1)
Patients demanding antibiotics 61.8; 43.6-77.3 (21) 17.6; 7.4-35.2 (6) 2.9; 0.2-17.1 (1) 50.0; 32.8-67.3 (17) 35.3; 20.3-53.5 (12) 0.0; 0.0 = 0.0
Prescribing antimicrobials when they are not needed 55.9; 38.1-72.4 (19) 26.5; 13.5-44.7 (9) 0.0; 0.0 = 0.0 52.9; 35.4-69.8 (18) 29.4; 15.7-47.7 (10) 2.9; 0.2-17.1 (1)
Lack of proper patient advise about use of antibiotics 55.9; 38.1-72.4 (19) 23.5; 11.4-41.6 (8) 2.9; 0.2-17.1 (1) 52.9; 35.4-69.8 (18) 29.4; 15.7-47.7 (10) 2.9; 0.2-17.1 (1)
Limited use of laboratory services for diagnosis 47.1; 30.2-64.6 (16) 35.3; 20.3-53.5 (12) 0.0; 0.0 = 0.0 47.1; 30.2-64.6 (16) 38.2; 22.7-56.4 (13) 14.7; 5.6-31.8 (5)
Patients are not properly diagnosed 23.5; 11.4-41.6 (8) 58.8; 40.8-74.9 (20) 0.0; 0.0 = 0.0 32.4; 18.0-50.6 (11) 52.9; 35.4-69.8 (18) 0.0; 0.0 = 0.0
Wrong medicine prescribed for patients 23.5; 11.4-41.6 (8) 55.9; 38.1-72.4 (19) 2.9; 0.2-17.1 (1) 14.7; 5.6-31.8 (5) 67.6; 49.4-82.0 (23) 2.9; 0.2-17.1 (1)
Antibiotics available are of questionable quality 17.6; 7.4-35.2 (6) 52.9; 35.4-69.8 (18) 11.8; 3.8-28.4 (4) 20.6; 9.3-38.4 (7) 52.9; 35.4-69.8 (18) 11.8; 3.8-28.4 (4)
There is a shortage of non-antibiotic medicines 17.6; 7.4-35.2 (6) 52.9; 35.4-69.8 (18) 5.9; 1.0-21.1 (2) 26.5; 13.5-44.7 (9) 50.0; 32.8-67.3 (17) 8.8; 2.3-24.8 (3)
Not prescribing antibiotics when they are needed 11.8; 3.8-28.4 (4) 67.6; 49.4-82.0 (23) 2.9; 0.2-17.1 (1) 14.7; 5.6-31.8 (5) 14.7; 5.6-31.8 (5) 5.9; 1.0-21.1 (2)