Antibiotic Prevalence Study and Factors Influencing Prescription of WHO Watch Category Antibiotic Ceftriaxone in a Tertiary Care Private Not for Profit Hospital in Uganda
<b>Background:</b> Excessive use of ceftriaxone contributes to the emergence and spread of antimicrobial resistance (AMR). In low and middle-income countries, antibiotics are overused but data on consumption are scarcely available. We aimed to determine the prevalence and factors influen...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/10/10/1167 |
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| author | Mark Kizito Rejani Lalitha Henry Kajumbula Ronald Ssenyonga David Muyanja Pauline Byakika-Kibwika |
| author_facet | Mark Kizito Rejani Lalitha Henry Kajumbula Ronald Ssenyonga David Muyanja Pauline Byakika-Kibwika |
| author_sort | Mark Kizito |
| collection | DOAJ |
| description | <b>Background:</b> Excessive use of ceftriaxone contributes to the emergence and spread of antimicrobial resistance (AMR). In low and middle-income countries, antibiotics are overused but data on consumption are scarcely available. We aimed to determine the prevalence and factors influencing ceftriaxone prescription in a tertiary care private not-for-profit hospital in Uganda. <b>Methods:</b> A cross-sectional study was carried out from October 2019 through May 2020 at Mengo Hospital in Uganda. Patients admitted to the medical ward and who had been prescribed antibiotics were enrolled. Sociodemographic and clinical data were recorded in a structured questionnaire. Bivariate and adjusted logistic regression analyses were performed to determine factors associated with ceftriaxone prescription. <b>Results:</b> Study participants were mostly female (54.7%). The mean age was 56.2 years (SD: 21.42). The majority (187, 73.3%) presented with fever. Out of the 255 participants included in this study, 129 (50.6%) participants were prescribed ceftriaxone. Sixty-five (25.5%) and forty-one (16.0%) participants had a prescription of levofloxacin and metronidazole, respectively. Seven participants (2.7%) had a prescription of meropenem. Out of 129 ceftriaxone prescriptions, 31 (24.0%) were in combination with other antibiotics. Overall, broad-spectrum antibiotic prescriptions accounted for 216 (84.7%) of all prescriptions. Ceftriaxone was commonly prescribed for pneumonia (40/129, 31%) and sepsis (38/129, 29.5%). Dysuria [OR = 0.233, 95% CI (0.07–0.77), <i>p</i> = 0.017] and prophylactic indication [OR = 7.171, 95% CI (1.36–37.83), <i>p</i> = 0.020] were significantly associated with ceftriaxone prescription. <b>Conclusions:</b> Overall, we observed a high prevalence of prescriptions of ceftriaxone at the medical ward of Mengo Hospital. We recommend an antibiotic stewardship program (ASP) to monitor antibiotic prescription and sensitivity patterns in a bid to curb AMR. |
| first_indexed | 2024-03-10T06:46:32Z |
| format | Article |
| id | doaj.art-aa1e6d8bd2284c398b2bfcf85ff9a3a0 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-10T06:46:32Z |
| publishDate | 2021-09-01 |
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| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-aa1e6d8bd2284c398b2bfcf85ff9a3a02023-11-22T17:13:06ZengMDPI AGAntibiotics2079-63822021-09-011010116710.3390/antibiotics10101167Antibiotic Prevalence Study and Factors Influencing Prescription of WHO Watch Category Antibiotic Ceftriaxone in a Tertiary Care Private Not for Profit Hospital in UgandaMark Kizito0Rejani Lalitha1Henry Kajumbula2Ronald Ssenyonga3David Muyanja4Pauline Byakika-Kibwika5Department of Medicine, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaDepartment of Medicine, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaDepartment of Microbiology, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaDepartment of Epidemiology and Biostatistics, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaDepartment of Medicine, Mengo Hospital, Kampala P.O. Box 7161, UgandaDepartment of Medicine, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, Uganda<b>Background:</b> Excessive use of ceftriaxone contributes to the emergence and spread of antimicrobial resistance (AMR). In low and middle-income countries, antibiotics are overused but data on consumption are scarcely available. We aimed to determine the prevalence and factors influencing ceftriaxone prescription in a tertiary care private not-for-profit hospital in Uganda. <b>Methods:</b> A cross-sectional study was carried out from October 2019 through May 2020 at Mengo Hospital in Uganda. Patients admitted to the medical ward and who had been prescribed antibiotics were enrolled. Sociodemographic and clinical data were recorded in a structured questionnaire. Bivariate and adjusted logistic regression analyses were performed to determine factors associated with ceftriaxone prescription. <b>Results:</b> Study participants were mostly female (54.7%). The mean age was 56.2 years (SD: 21.42). The majority (187, 73.3%) presented with fever. Out of the 255 participants included in this study, 129 (50.6%) participants were prescribed ceftriaxone. Sixty-five (25.5%) and forty-one (16.0%) participants had a prescription of levofloxacin and metronidazole, respectively. Seven participants (2.7%) had a prescription of meropenem. Out of 129 ceftriaxone prescriptions, 31 (24.0%) were in combination with other antibiotics. Overall, broad-spectrum antibiotic prescriptions accounted for 216 (84.7%) of all prescriptions. Ceftriaxone was commonly prescribed for pneumonia (40/129, 31%) and sepsis (38/129, 29.5%). Dysuria [OR = 0.233, 95% CI (0.07–0.77), <i>p</i> = 0.017] and prophylactic indication [OR = 7.171, 95% CI (1.36–37.83), <i>p</i> = 0.020] were significantly associated with ceftriaxone prescription. <b>Conclusions:</b> Overall, we observed a high prevalence of prescriptions of ceftriaxone at the medical ward of Mengo Hospital. We recommend an antibiotic stewardship program (ASP) to monitor antibiotic prescription and sensitivity patterns in a bid to curb AMR.https://www.mdpi.com/2079-6382/10/10/1167ceftriaxone prescriptionprevalenceantibiotic stewardshipUganda |
| spellingShingle | Mark Kizito Rejani Lalitha Henry Kajumbula Ronald Ssenyonga David Muyanja Pauline Byakika-Kibwika Antibiotic Prevalence Study and Factors Influencing Prescription of WHO Watch Category Antibiotic Ceftriaxone in a Tertiary Care Private Not for Profit Hospital in Uganda Antibiotics ceftriaxone prescription prevalence antibiotic stewardship Uganda |
| title | Antibiotic Prevalence Study and Factors Influencing Prescription of WHO Watch Category Antibiotic Ceftriaxone in a Tertiary Care Private Not for Profit Hospital in Uganda |
| title_full | Antibiotic Prevalence Study and Factors Influencing Prescription of WHO Watch Category Antibiotic Ceftriaxone in a Tertiary Care Private Not for Profit Hospital in Uganda |
| title_fullStr | Antibiotic Prevalence Study and Factors Influencing Prescription of WHO Watch Category Antibiotic Ceftriaxone in a Tertiary Care Private Not for Profit Hospital in Uganda |
| title_full_unstemmed | Antibiotic Prevalence Study and Factors Influencing Prescription of WHO Watch Category Antibiotic Ceftriaxone in a Tertiary Care Private Not for Profit Hospital in Uganda |
| title_short | Antibiotic Prevalence Study and Factors Influencing Prescription of WHO Watch Category Antibiotic Ceftriaxone in a Tertiary Care Private Not for Profit Hospital in Uganda |
| title_sort | antibiotic prevalence study and factors influencing prescription of who watch category antibiotic ceftriaxone in a tertiary care private not for profit hospital in uganda |
| topic | ceftriaxone prescription prevalence antibiotic stewardship Uganda |
| url | https://www.mdpi.com/2079-6382/10/10/1167 |
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