Table 6 Responses of the interviewed physicians and microbiologists regarding ceftriaxone use and culture & sensitivity test in medical and emergency wards of Tikur Anbessa Specialized Hospital, 2014
Interview questions | Responses | Number of respondents |
|---|---|---|
Responses of interviewed Physicians | ||
Why was culture & sensitivity not sent for most of the patients? | Service is not available | 8 |
Patients come after initiation of antibiotics | 5 | |
Culture results are not reliable | 5 | |
It takes long time to get results back | 2 | |
Why was ceftriaxone administered on a twice-daily basis for most cases? | Just because of tradition of practice | 5 |
There are guidelines which promote it | 4 | |
To ensure its effectiveness | 2 | |
Why is the utilization rate of ceftriaxone very high in TASH? | Good availability | 8 |
Good effectiveness | 5 | |
Low rates of toxicity | 4 | |
Ease of administration | 4 | |
Why is ceftriaxone being co-administered with ringers lactate, warfarin and heparin? | Less availability of other drugs | 5 |
No problem up on such administration | 4 | |
Absence of checking for interaction | 2 | |
Why is ceftriaxone used in neutropenic fever,periodontal abscess, etc? | Cost of other more appropriate drugs | 4 |
Unavailability of other appropriate drugs | 4 | |
Why was ceftriaxone used for prolonged duration as in surgical prophylaxis? | Unavailability of equivalent PO medicines | 3 |
Lack of guidelines | 2 | |
It should not have been used this way | 1 | |
Responses of the interviewed microbiologists | ||
What can you say about the quality of microbiology laboratory? | Poor quality due to the use of expired reagents or antibiotic discs | 4 |
Currently, its quality is improved | 2 | |
Why is most culture & sensitivity tests end up with negative result? | Sample collection after initiation of antibiotics | 4 |
Use of expired reagents or antibiotic discs | 3 | |
Inappropriate sample collection | 2 | |
Failure to request appropriate laboratory test | 1 | |
Improper use of transporting medium | 1 | |
Who will take the bacteriology test result after it is done? | Physicians | 5 |
Patients | 3 | |
Attendants | 1 | |
On average, how long does it take for C&S result to come back (in day)? | Mostly 3 days | 5 |
Some cultures (eg. blood culture requires 7-14 days) | 3 | |