Use of WATCH antibiotics prior to presentation to the hospital in rural Burkina Faso

Bibliographic Details
Title: Use of WATCH antibiotics prior to presentation to the hospital in rural Burkina Faso
Authors: Daniel Valia, Brecht Ingelbeen, Bérenger Kaboré, Ibrahima Karama, Marjan Peeters, Palpouguini Lompo, Erika Vlieghe, Annelies Post, Janneke Cox, Quirijn de Mast, Annie Robert, Marianne A. B. van der Sande, Hector Rodriguez Villalobos, Andre van der Ven, Halidou Tinto, Jan Jacobs
Source: Antimicrobial Resistance and Infection Control, Vol 11, Iss 1, Pp 1-7 (2022)
Publisher Information: BMC, 2022.
Publication Year: 2022
Collection: LCC:Infectious and parasitic diseases
Subject Terms: Community antibiotic use, Antimicrobial resistance, Burkina Faso, AWaRe, Infectious and parasitic diseases, RC109-216
More Details: Abstract Background In low- and middle-income countries, the prevalence of antimicrobial resistance (AMR) is increasing. To control AMR, WHO recommends monitoring antibiotic use, in particular Watch antibiotics. These are critically important antibiotics, with restricted use because at risk of becoming ineffective due to increasing AMR. We investigated pre-hospital antibiotic use in rural Burkina Faso. Methods During 2016–2017, we collected data from patients aged > 3 months presenting with severe acute fever to the rural hospital of Nanoro Health District, Burkina Faso, including antibiotic use in the two weeks prior to consultation or hospitalization. We analysed reported antibiotic use by applying the WHO Access, Watch, Reserve classification. Results Of 920 febrile participants (63.0% ≤ 14 years), pre-hospital antibiotic use was reported by 363 (39.5%). Among these 363, microbiological diagnoses were available for 275 (75.8%) patients, of whom 162 (58.9%) were non-bacterial infections. Use of more than one antibiotic was reported by 58/363 (16.0%) participants. Of 491 self-referred patients who did not previously visit a primary health care center, 131 (26.7%) reported antibiotic use. Of 424 antibiotics reported, 265 (62.5%) were Access and 159 (37.5%) Watch antibiotics. Watch antibiotic use was more frequent among patients > 14 year olds (51.1%) compared to those 0–14 year old (30.7%, p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2047-2994
Relation: https://doaj.org/toc/2047-2994
DOI: 10.1186/s13756-022-01098-8
Access URL: https://doaj.org/article/011cc62b8cad4aff9d6e1033b195d60e
Accession Number: edsdoj.011cc62b8cad4aff9d6e1033b195d60e
Database: Directory of Open Access Journals
More Details
ISSN:20472994
DOI:10.1186/s13756-022-01098-8
Published in:Antimicrobial Resistance and Infection Control
Language:English