Table 4: Factors perceived by Physician and pharmacists to have influenced their choice of antibiotics for patients in Grenada, 2015.
Physicians %, 95% CI, (n) | Pharmacists %, 95% CI, (n) | |||||
Frequent | Occasional | Never | Frequent | Occasionally | Never | |
Cost to the patient | 67.6; 49.4-82.0 (23) | 17.6; 7.4-35.2 (6) | 0.0; 0.0-0.0 | 83.3; 50.9-97.1 (10) | 16.7; 2.9-44.8 (2) | 0.0; 0.0-0.0 |
Severity of infection | 85.3; 68.2-94.5 (29) | 0.0; 0.0-0.0 | 0.0; 0.0-0.0 | 75.0; 42.3-93.3 (9) | 25.0; 6.7-57.2 (3) | 0.0; 0.0-0.0 |
The infecting organism (suspected or confirmed) 79.4; 61.6-90.1 (27) | 79.4; 61.6-90.1 (27) | 5.9; 1.0-21.1 (2) | 0.0; 0.0-0.0 | 63.4; 31.6-87.6 (7) | 27.3; 7.3-60.7 (3) | 9.1; 0.5-42.3 (1) |
Cost to the hospital | 41.2; 25.1-59.2 (14) | 26.5; 13.5-44.7 (9) | 17.6; 7.4-35.2 (6) | 41.7; 16.5-71.4 (5) | 41.7; 16.5-71.4 (5) | 16.7; 2.9-44.8 (2) |
Effectiveness of antibiotics for patients typically seen | 82.4; 64.8-92.6 (28) | 2.9; 0.2-17.1 (1) | 0.0; 0.0-0.0 | 58.3; 28.6-83.5 (7) | 41.7; 16.5-71.4 (5) | 0.0; 0.0-0.0 |
Results from samples sent to the laboratory | 52.9; 35.4-69.8 (18) | 29.4; 15.7-47.7 (10) | 2.9; 0.2-17.1 (1) | 66.7; 35.4-88.7 (8) | 33.3; 11.3-64.6 (4) | 0.0; 0.0-0.0 |
Patients demands and expectations | 38.2; 22.7-56.4 (13) | 44.1; 27.6-61.9 (15) | 2.9; 0.2-17.1 (1) | 41.7; 16.5-71.4 (5) | 50.0; 22.3-77.7 (6) | 8.3; 0.4-40.2 (1) |
Profit for the clinician | 8.8; 2.3-24.8 (3) | 35.3; 20.3-53.5 (12) | 41.2 (14) | 30.0; 8.1-64.6 (3) | 40.0; 13.7-72.6 (4) | 30.0; 8.1-64.6 (3) |
Hospital or Ministry of Health guidelines | 23.5; 11.4-41.6 (8) | 47.1; 30.2-64.6 (16) | 11.8; 3.8-28.4 (4) | 33.3; 11.3-64.6 (4) | 58.4; 28.6-83.5 (7) | 8.3; 0.4-40.2 (1) |
Antibiotic stock available | 61.8; 43.6-77.3 (21) | 17.6; 7.4-35.2 (6) | 5.9; 1.0-21.1 (2) | 33.3; 11.3-64.6 (4) | 58.4; 28.6-83.5 (7) | 8.3; 0.4-40.2 (1) |
Influence of pharmaceutical sales representatives | 8.8; 2.3-24.8 (3) | 55.9; 38.1-72.4 (19) | 58.4; 28.6-83.5 (7) | 41.7; 16.5-71.4 (5) | 41.7; 16.5-71.4 (5) | 0.0; 0.0-0.0 |
Advice from colleagues and/or consultants | 44.1; 27.6-61.9 (15) | 35.3; 20.3-53.5 (12) | 2.9; 0.2-17.1 (1) | 27.3; 6.7-57.2 (3) | 72.3; 39.3-92.7 (8) | 0.0; 0.0-0.0 |