The pattern of antibiotics prescription and consumption: A cross–sectional study
Objective: To investigate the antibiotic utilization and prescription patterns as well as define its convenience to the norm in four North-Sinai hospitals, Egypt. Antimicrobial resistance is a universal health threat. The golden era of miracle antibiotics has ended and we have faced the challenge of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | One Health Bulletin |
| Subjects: | |
| Online Access: | http://www.johb.info/article.asp?issn=2773-0344;year=2022;volume=2;issue=1;spage=13;epage=13;aulast=Shams |
| _version_ | 1797322320137682944 |
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| author | Maiada Mahmoud Hashem Shams Ebthal Mamdouh Hamdy Karim Atia Mohamed Mai Othman Qwaider Belal El-Agha Sarah Abd-Alhamed Elmatary |
| author_facet | Maiada Mahmoud Hashem Shams Ebthal Mamdouh Hamdy Karim Atia Mohamed Mai Othman Qwaider Belal El-Agha Sarah Abd-Alhamed Elmatary |
| author_sort | Maiada Mahmoud Hashem Shams |
| collection | DOAJ |
| description | Objective: To investigate the antibiotic utilization and prescription patterns as well as define its convenience to the norm in four North-Sinai hospitals, Egypt. Antimicrobial resistance is a universal health threat. The golden era of miracle antibiotics has ended and we have faced the challenge of being troubled by infectious diseases with no discovery of new antibiotics found since 1987. Antibiotic pressure, overuse, and misuse are important risk factors for antimicrobial resistance and hospital cross-infection. To combat antimicrobial resistance, Egypt started its National Action Plan (2018-2022) aiming to optimize the usage and consumption of antibiotics.
Method: This multicenter descriptive cross-sectional study was designed to describe the pattern of antibiotic prescription and consumption at four North Sinai Hospitals related to the Ministry of Health and Population. We reviewed 309 medical records of the inpatient department; the samples were selected through a stratified random sampling technique. Data were collected retrospectively from the medical records of the hospitalized patients in October, November, and December of 2020 by a paper-based method. Data were analyzed using descriptive statistics.
Result: The prevalence of antibiotic consumption is near 68.9% in the four hospitals indicating that two-thirds of admitted patients receive antibiotics. Approximately 52.1% administered antibiotics for no reason. Most of the admitted patients took antibiotics on the same day of admission, regardless of the different types of hospital departments. Furthermore, 98.7% of antibiotics were prescribed without culture or order for culture and microbiological tests. Broad-spectrum antibiotics were 90% of all antibiotics prescribed. A total of 18 types of antibiotics were prescribed, cefotaxime was the most commonly prescribed antibiotic representing 26.5%.
Conclusion: Judicious antibiotic prescribing behavior slows down the nature of antibiotic resistance. To guarantee the best antimicrobial use in the hospitals, standard treatment guidelines, and the Essential Medicines List for infectious diseases should be carried out and revised at least every 2 years to be a clinical reference for clinicians. Continuous education and training of clinicians and healthcare workers can contribute to optimizing the rational use of antibiotics, which in return reduces the progress of antibiotic resistance. There is an urgent need for antibiotic stewardship and surveillance and their application in all hospitals. |
| first_indexed | 2024-03-08T05:11:34Z |
| format | Article |
| id | doaj.art-d4d7bc72b6324c4c929c2eb69d4823e7 |
| institution | Directory Open Access Journal |
| issn | 2773-0344 2773-0352 |
| language | English |
| last_indexed | 2024-03-08T05:11:34Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | One Health Bulletin |
| spelling | doaj.art-d4d7bc72b6324c4c929c2eb69d4823e72024-02-07T09:10:01ZengWolters Kluwer Medknow PublicationsOne Health Bulletin2773-03442773-03522022-01-0121131310.4103/2773-0344.356988The pattern of antibiotics prescription and consumption: A cross–sectional studyMaiada Mahmoud Hashem ShamsEbthal Mamdouh HamdyKarim Atia MohamedMai Othman QwaiderBelal El-AghaSarah Abd-Alhamed ElmataryObjective: To investigate the antibiotic utilization and prescription patterns as well as define its convenience to the norm in four North-Sinai hospitals, Egypt. Antimicrobial resistance is a universal health threat. The golden era of miracle antibiotics has ended and we have faced the challenge of being troubled by infectious diseases with no discovery of new antibiotics found since 1987. Antibiotic pressure, overuse, and misuse are important risk factors for antimicrobial resistance and hospital cross-infection. To combat antimicrobial resistance, Egypt started its National Action Plan (2018-2022) aiming to optimize the usage and consumption of antibiotics. Method: This multicenter descriptive cross-sectional study was designed to describe the pattern of antibiotic prescription and consumption at four North Sinai Hospitals related to the Ministry of Health and Population. We reviewed 309 medical records of the inpatient department; the samples were selected through a stratified random sampling technique. Data were collected retrospectively from the medical records of the hospitalized patients in October, November, and December of 2020 by a paper-based method. Data were analyzed using descriptive statistics. Result: The prevalence of antibiotic consumption is near 68.9% in the four hospitals indicating that two-thirds of admitted patients receive antibiotics. Approximately 52.1% administered antibiotics for no reason. Most of the admitted patients took antibiotics on the same day of admission, regardless of the different types of hospital departments. Furthermore, 98.7% of antibiotics were prescribed without culture or order for culture and microbiological tests. Broad-spectrum antibiotics were 90% of all antibiotics prescribed. A total of 18 types of antibiotics were prescribed, cefotaxime was the most commonly prescribed antibiotic representing 26.5%. Conclusion: Judicious antibiotic prescribing behavior slows down the nature of antibiotic resistance. To guarantee the best antimicrobial use in the hospitals, standard treatment guidelines, and the Essential Medicines List for infectious diseases should be carried out and revised at least every 2 years to be a clinical reference for clinicians. Continuous education and training of clinicians and healthcare workers can contribute to optimizing the rational use of antibiotics, which in return reduces the progress of antibiotic resistance. There is an urgent need for antibiotic stewardship and surveillance and their application in all hospitals.http://www.johb.info/article.asp?issn=2773-0344;year=2022;volume=2;issue=1;spage=13;epage=13;aulast=Shamsantimicrobial resistanceantibiotic resistanceantibiotics prescribing patternantibiotic irrational use |
| spellingShingle | Maiada Mahmoud Hashem Shams Ebthal Mamdouh Hamdy Karim Atia Mohamed Mai Othman Qwaider Belal El-Agha Sarah Abd-Alhamed Elmatary The pattern of antibiotics prescription and consumption: A cross–sectional study One Health Bulletin antimicrobial resistance antibiotic resistance antibiotics prescribing pattern antibiotic irrational use |
| title | The pattern of antibiotics prescription and consumption: A cross–sectional study |
| title_full | The pattern of antibiotics prescription and consumption: A cross–sectional study |
| title_fullStr | The pattern of antibiotics prescription and consumption: A cross–sectional study |
| title_full_unstemmed | The pattern of antibiotics prescription and consumption: A cross–sectional study |
| title_short | The pattern of antibiotics prescription and consumption: A cross–sectional study |
| title_sort | pattern of antibiotics prescription and consumption a cross sectional study |
| topic | antimicrobial resistance antibiotic resistance antibiotics prescribing pattern antibiotic irrational use |
| url | http://www.johb.info/article.asp?issn=2773-0344;year=2022;volume=2;issue=1;spage=13;epage=13;aulast=Shams |
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