Prescribing patterns of antimicrobials according to the WHO AWaRe classification at a tertiary referral hospital in the southern highlands of Tanzania

Autor: Anthony Nsojo, Lutengano George, Davance Mwasomola, Joseph Tawete, Christopher H. Mbotwa, Clement N. Mweya, Issakwisa Mwakyula
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Infection Prevention in Practice, Vol 6, Iss 2, Pp 100347- (2024)
Druh dokumentu: article
ISSN: 2590-0889
DOI: 10.1016/j.infpip.2024.100347
Popis: 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 (
Databáze: Directory of Open Access Journals