Abstract: Objective: To evaluate the prescribing practices of doctors regarding treatment options of Typhoid fever in Pakistan.
Methods: A cross-sectional survey was conducted from November 4, 2015 to December 31, 2015. Structured questionnaire was used as data collection tool. Non probability sampling technique was applied. After explaining the questionnaire, approximately 500 doctors were asked to filled questionnaire across Pakistan. All ethical considerations were observed in collection of data.
Results: A total of 454 doctors participated in the study. Ciprofloxacin came out as the first drug of choice of majority of the doctors while treating typhoid fever patient whereas Cefixime, Ceftriaxone and Ofloxacin were other drug of choice. However, most of the doctors (45%) reported ciprofloxacin as the cause of treatment failure in adult typhoid patient due to growing bacterial resistance. According to majority (74%) of the doctors, reason for bacterial resistance was sub optimal doses in antibiotic use for typhoid fever patients. In most of the cases (61.2%), treatment options for adult typhoid fever did not base on culture sensitivity test.
Conclusion: Resistance to ciprofloxacin has now reached significant level as majority of the doctors reported treatment failure due to bacterial resistance, therefore its use for treatment of adult’s patients with typhoid fever should have considerate about emerging resistance.
Keywords: Prescribing practices, Doctors, Treatment options, Typhoid fever, Pakistan.
Title: Prescribing Practices of Doctors Regarding Treatment Options of Typhoid Fever in Pakistan
Author: Dr. Muhammad Adil Ramzan, Dr. Pirbho Mal, Dr. Niaz Mohammad, Dr. Khalid Mahmood, Dr. Noor Akhter, Dr. Neeta Maheshwary, Dr. Ahson Siddiqi, Dr. Shaz Effendi, Muhammad Asif
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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