Academic Journal
Prescribing patterns of antimicrobials according to the WHO AWaRe classification at a tertiary referral hospital in the southern highlands of Tanzania
| Title: | Prescribing patterns of antimicrobials according to the WHO AWaRe classification at a tertiary referral hospital in the southern highlands of Tanzania |
|---|---|
| Authors: | Anthony Nsojo, Lutengano George, Davance Mwasomola, Joseph Tawete, Christopher H. Mbotwa, Clement N. Mweya, Issakwisa Mwakyula |
| Source: | Infection Prevention in Practice, Vol 6, Iss 2, Pp 100347- (2024) |
| Publisher Information: | Elsevier, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Infectious and parasitic diseases LCC:Public aspects of medicine |
| Subject Terms: | Prescribing patterns, Antimicrobials, WHO AWaRe classification, Tertiary referral hospital, Tanzania, Infectious and parasitic diseases, RC109-216, Public aspects of medicine, RA1-1270 |
| More Details: | Summary: Background: Antimicrobial consumption continues to rise globally and contributes to the emergence and spread of antimicrobial resistance. This study aimed to evaluate antimicrobial prescribing patterns in a selected tertiary hospital in Tanzania. Methods: This cross-sectional study was conducted for one year (September 2021–September 2022) at Mbeya Zonal Referral Hospital, a public hospital in the southern highlands zone of Tanzania. Data on clinical diagnosis, laboratory tests, prescribed antimicrobials, and prescribers' designations were collected through a custom eMedical system, aligning antimicrobials with the WHO's 2021 AWaRe classification. Descriptive analysis was performed to assess the pattern of antimicrobial prescriptions. Results: Of 2,293 antimicrobial prescriptions, 62.41% were ACCESS, 37.42% were WATCH, and 0.17% fell in the RESERVE categories. Metronidazole, accounting for 23.8%, was the most commonly prescribed antimicrobial. More than 50% of the ACCESS and WATCH prescriptions were justified by laboratory diagnosis and were predominantly prescribed by clinicians. A very small proportion of prescriptions ( |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2590-0889 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2590088924000118; https://doaj.org/toc/2590-0889 |
| DOI: | 10.1016/j.infpip.2024.100347 |
| Access URL: | https://doaj.org/article/1ef4060ef11b45bb80d71216b96cd398 |
| Accession Number: | edsdoj.1ef4060ef11b45bb80d71216b96cd398 |
| Database: | Directory of Open Access Journals |
| ISSN: | 25900889 |
|---|---|
| DOI: | 10.1016/j.infpip.2024.100347 |
| Published in: | Infection Prevention in Practice |
| Language: | English |