{{ $DoctorName }} @if (isset(session()->get('doctor')['vCentralCode'])) {{ session()->get('doctor')['vCentralCode'] }} @endif
@if (isset(session()->get('doctor')['vCentralCode'])) @endif

{{ $ActivityTypeName }}

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@csrf
@if (isset(session()->get('doctor')['vCentralCode'])) @else
@endif

Survey Questionnaire

(Kindly fill in the relevant information or tick, as appropriate.)

  1. How many cases of UTI do you see in a week?*
  2. How many of them are Complicated or Uncomplicated UTI cases?*
  3. Complicated - UTI
    Uncomplicated - UTI
    Total
    100%
  4. Does your treatment change according to type of UTI i.e. complicated and uncomplicated UTI?*
  5. Do you recommend culture sensitivity test before initiating anti-infective therapy in Complicated UTI?*
  6. Which antinfectives do you prefer in complicated UTI cases?*
  7. Why?*
  8. What is the duration of therapy with the anti-infective you currently prescribe in complicated UTI?*
  9. Do you prescribe faropenem in your practice?*
  10. Any particular reason to not prescribe Faropenem to all UTI cases?*
  11. What is the most common indication in your practice for which you prescribe faropenem?*
  12. What dosage of faropenem do you prefer in your practice?*
  13. What is the duration of therapy with faropenem in your practice?*
  14. Have you observed relapse of infections (patients come with the same infection after completing therapy) with faropenem?*
  15. Have you observed resistance to faropenem in your practice?*
  16. Would you prefer to use a combination of Clavulanic acid + Faropenem in Complicated UTI?*