دورية أكاديمية

A Point Prevalence Survey of Antimicrobial Use at Geita Regional Referral Hospital in North-Western Tanzania

التفاصيل البيبلوغرافية
العنوان: A Point Prevalence Survey of Antimicrobial Use at Geita Regional Referral Hospital in North-Western Tanzania
المؤلفون: Lutugera Kihwili, Vitus Silago, Emiliana N. Francis, Vicent A. Idahya, Zabron C. Saguda, Siana Mapunjo, Martha F. Mushi, Stephen E. Mshana
المصدر: Pharmacy, Vol 11, Iss 5, p 159 (2023)
بيانات النشر: MDPI AG, 2023.
سنة النشر: 2023
المجموعة: LCC:Pharmacy and materia medica
مصطلحات موضوعية: antibiotic use, antimicrobial resistance, point prevalence survey, WHO-AWaRe classifications, WHO point prevalence survey, Pharmacy and materia medica, RS1-441
الوصف: We conducted a point prevalence survey (PPS) to determine the prevalence of antibiotic use at Geita Regional Referral Hospital (GRRH) located along the shores of Lake Victoria in north-western Tanzania. This has led to the identification of gaps for improvement. This PPS study was conducted on 9–10 March 2023. Patient-related information, including sociodemographic and clinical data, was collected from medical records. STATA software version 15.0 was used to perform descriptive data analysis. About 94.8% (55/58) patients were on antibiotics with a mean (±SD) prescription of 2 (±0.5) antibiotic agents ranging from 1 to 4 different agents. The commonest indications of the antibiotic prescription were medical prophylaxis 47.3% (26/55) followed by empiric treatment 41.8% (23/55). In total, 110 prescriptions were made, of which metronidazole (25.5%; n = 28), ceftriaxone (23.6%; n = 26), and ampicillin–cloxacillin (23.6%; n = 26) were frequently observed. Only 67.3% (n = 74) of prescriptions complied with Tanzania Standard Treatment Guidelines. Moreover, according to the WHO-AWaRe classification, 50.9%, 23.6%, and 25.5% were under the Access category, Watch category, and Not Recommended category, respectively. The prevalence of antibiotic use among patients admitted to GRRH was high, whereby medical prophylaxis and empiric treatment were the commonest indications for antibiotic prescription. To support rational therapy and antimicrobial stewardship initiatives, we recommend that laboratories in regional hospitals be equipped to conduct sustained routine culture and antimicrobial susceptibility testing.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2226-4787
Relation: https://www.mdpi.com/2226-4787/11/5/159; https://doaj.org/toc/2226-4787
DOI: 10.3390/pharmacy11050159
URL الوصول: https://doaj.org/article/c10e14cdea7b42499d5c5d4ef0c91c75
رقم الأكسشن: edsdoj.10e14cdea7b42499d5c5d4ef0c91c75
قاعدة البيانات: Directory of Open Access Journals