OBJECTIVES

This study aimed to investigate whether the antibiotics prescribing in upper respiratory tract infections (URTI) at District Health Promotion Hospitals met the criteria for rational antibiotics use developed by the Panasnikom hospital practice guideline; to investigate various factors affecting the rational prescribing; and to construct a model that predicted the rationality of antibiotics drug prescription in upper respiratory tract infection.

METHODS

A cross-sectional study was conducted in Chonburi, Thailand. All antibiotics prescriptions for URTI during 1 March 2020 - 31 March 2020 were collected from JHCIS database and analyzed using descriptive statistics and Inference test (SPSS Inc, Chicago).

RESULTS

A total number of 94 prescriptions from 13 nurse prescribers and 13 Public Health Officers were analyzed. Ninety-four prescriptions (100%) did not meet the criteria for the RDU prescribing in URTI. The percentage of prescribers who had work experiences in the hospital/healthcare system for 1-10 years, 11-20 years, 21-30 years, and 31-40 years were 61.14% (n =16), 3.8% (n=1), 26.7% (n = 7), and 7.7% (n = 2), respectively. The percentage of prescribers with RDU training from none, one, two and three times were 53.8% (n = 14), 15.4% (n = 4), 11.5% (n = 3), and 19.2% (n = 5), respectively. chi-square tests for independence are not significance but train is significantly (p≤0.05). Training was the only significant factor related to RDU prescribing (p < 0.05).

CONCLUSIONS

The history of pervious training for RDU was the most important factor that influenced the rationality for the prescription in URTI.