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Antimicrobial Prescription Pattern in Ho Teaching Hospital, Ghana: Seasonal Determination Using a Point Prevalence Survey
A standardised Global Point Prevalence Survey (PPS) tool was used to determine the antimicrobial prescription pattern in the Ho Teaching Hospital on two separate occasions in a total of 14 wards in the hospital, including dedicated wards for paediatrics and neonates. Manually collected and anonymise...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923162/ https://www.ncbi.nlm.nih.gov/pubmed/33670731 http://dx.doi.org/10.3390/antibiotics10020199 |
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author | Dodoo, Cornelius C. Orman, Emmanuel Alalbila, Thelma Mensah, Adelaide Jato, Jonathan Mfoafo, Kwadwo A. Folitse, Isaac Hutton-Nyameaye, Araba Okon Ben, Inemesit Mensah-Kane, Paapa Sarkodie, Emmanuel Kpokiri, Eneyi Ladva, Misha Awadzi, Benedict Jani, Yogini |
author_facet | Dodoo, Cornelius C. Orman, Emmanuel Alalbila, Thelma Mensah, Adelaide Jato, Jonathan Mfoafo, Kwadwo A. Folitse, Isaac Hutton-Nyameaye, Araba Okon Ben, Inemesit Mensah-Kane, Paapa Sarkodie, Emmanuel Kpokiri, Eneyi Ladva, Misha Awadzi, Benedict Jani, Yogini |
author_sort | Dodoo, Cornelius C. |
collection | PubMed |
description | A standardised Global Point Prevalence Survey (PPS) tool was used to determine the antimicrobial prescription pattern in the Ho Teaching Hospital on two separate occasions in a total of 14 wards in the hospital, including dedicated wards for paediatrics and neonates. Manually collected and anonymised data were entered, validated, analysed and reported using a web-based global PPS application. With 147 and 153 patients considered in the July 2019 and January 2020 surveys, respectively, 98 patients (66.7%) and 84 patients (54.9%) had received one or more antimicrobials. The prevalence of antimicrobial use in the adult wards was 64.3% (72/112) and 53.4% (63/118) in the first and second surveys, respectively. The prevalence in the paediatric wards was 60.0% (12/20) and 62.5% (10/16), respectively, in the two surveys, while that in the neonatal wards was 93.3% (14/15) and 57.9% (11/19), respectively. β-lactams were the most used antibiotics in both periods. Malaria was the most common diagnosis requiring the use of antimicrobials in July 2019, accounting for 19.4% of the diagnoses, whereas in January 2020, it was skin and soft-tissue conditions (28.1%). This reflects a seasonal association between malaria and rainfall patterns. Out of the antimicrobials prescribed during each of the survey periods, 95% were used for empirical treatment, and this could be attributed to a number of reasons, including logistical challenges, among others, that require further exploration in the context of local, national and international policy recommendations. |
format | Online Article Text |
id | pubmed-7923162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79231622021-03-03 Antimicrobial Prescription Pattern in Ho Teaching Hospital, Ghana: Seasonal Determination Using a Point Prevalence Survey Dodoo, Cornelius C. Orman, Emmanuel Alalbila, Thelma Mensah, Adelaide Jato, Jonathan Mfoafo, Kwadwo A. Folitse, Isaac Hutton-Nyameaye, Araba Okon Ben, Inemesit Mensah-Kane, Paapa Sarkodie, Emmanuel Kpokiri, Eneyi Ladva, Misha Awadzi, Benedict Jani, Yogini Antibiotics (Basel) Article A standardised Global Point Prevalence Survey (PPS) tool was used to determine the antimicrobial prescription pattern in the Ho Teaching Hospital on two separate occasions in a total of 14 wards in the hospital, including dedicated wards for paediatrics and neonates. Manually collected and anonymised data were entered, validated, analysed and reported using a web-based global PPS application. With 147 and 153 patients considered in the July 2019 and January 2020 surveys, respectively, 98 patients (66.7%) and 84 patients (54.9%) had received one or more antimicrobials. The prevalence of antimicrobial use in the adult wards was 64.3% (72/112) and 53.4% (63/118) in the first and second surveys, respectively. The prevalence in the paediatric wards was 60.0% (12/20) and 62.5% (10/16), respectively, in the two surveys, while that in the neonatal wards was 93.3% (14/15) and 57.9% (11/19), respectively. β-lactams were the most used antibiotics in both periods. Malaria was the most common diagnosis requiring the use of antimicrobials in July 2019, accounting for 19.4% of the diagnoses, whereas in January 2020, it was skin and soft-tissue conditions (28.1%). This reflects a seasonal association between malaria and rainfall patterns. Out of the antimicrobials prescribed during each of the survey periods, 95% were used for empirical treatment, and this could be attributed to a number of reasons, including logistical challenges, among others, that require further exploration in the context of local, national and international policy recommendations. MDPI 2021-02-18 /pmc/articles/PMC7923162/ /pubmed/33670731 http://dx.doi.org/10.3390/antibiotics10020199 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Dodoo, Cornelius C. Orman, Emmanuel Alalbila, Thelma Mensah, Adelaide Jato, Jonathan Mfoafo, Kwadwo A. Folitse, Isaac Hutton-Nyameaye, Araba Okon Ben, Inemesit Mensah-Kane, Paapa Sarkodie, Emmanuel Kpokiri, Eneyi Ladva, Misha Awadzi, Benedict Jani, Yogini Antimicrobial Prescription Pattern in Ho Teaching Hospital, Ghana: Seasonal Determination Using a Point Prevalence Survey |
title | Antimicrobial Prescription Pattern in Ho Teaching Hospital, Ghana: Seasonal Determination Using a Point Prevalence Survey |
title_full | Antimicrobial Prescription Pattern in Ho Teaching Hospital, Ghana: Seasonal Determination Using a Point Prevalence Survey |
title_fullStr | Antimicrobial Prescription Pattern in Ho Teaching Hospital, Ghana: Seasonal Determination Using a Point Prevalence Survey |
title_full_unstemmed | Antimicrobial Prescription Pattern in Ho Teaching Hospital, Ghana: Seasonal Determination Using a Point Prevalence Survey |
title_short | Antimicrobial Prescription Pattern in Ho Teaching Hospital, Ghana: Seasonal Determination Using a Point Prevalence Survey |
title_sort | antimicrobial prescription pattern in ho teaching hospital, ghana: seasonal determination using a point prevalence survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923162/ https://www.ncbi.nlm.nih.gov/pubmed/33670731 http://dx.doi.org/10.3390/antibiotics10020199 |
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