This cross-sectional-based study was carried out at
Khartoum locality, Khartoum. The impact of such a
problem on health and the economy worldwide
encouraged us to conduct this study. Prescribing
antibiotics irrationally resulted in the development of
antibacterial resistance, in a direct causation relationship.
Health professionals carry the majority of the
responsibility of the antibiotic resistance generation.
The study aimed to generate data that might help
our health system policymakers, promoting them to set up
a well-structured rational use of antibiotics models. One
more goal is to improve the practice of the doctors,
making them always satisfied with their antibiotics
The study was conducted by distributing
questionnaires to 75 doctors who work at 15 different
primary health centers. The practice of doctors was
assessed using closed-ended statements. Statements used
in this study addressed facts like supportive laboratory
tests requested before prescription, antibiotics
prescription during minor conditions, and factors
influencing them to overprescribe antibacterial agents.
In the next phase, pharmacies that belong to health
centers were included in the study. A well-structured
checklist was used to obtain the data related to the
rational use of antibiotics. Data obtained were the total
number of prescriptions per day, number of prescriptions
containing antibiotics, number of prescriptions with clear
written diagnosis, and number of prescriptions with
We gave scores for every statement choice, 2 points
for the correct answer, 1 for the answer ‘I don’t know,
and 0 for the incorrect answer. Total marks of each
questionnaire collected, afterward, practice evaluated as
good, moderate, or poor. In the final step, the findings of
the questionnaires compared to the checklists findings
obtained from the pharmacies.
The number of years spent in medical practice for
the health professionals who participated in this study has
been estimated. 92% have less than five years of medical
experience, 6.7% have been practiced for 5-10 years,
while 1.3% have been practiced for ten years. 33% of the
total number of health professionals had 16-20 patients
per day during the duration of the study.
After marking and analyzing statements addressing
the practice, the final result showed the poor practice of
rational use of antibiotics.
Keywords : Antibiotics; Practice; Factors; Khartoum; Sudan.