A point prevalence survey of antimicrobial prescribing in four nigerian tertiary hospitals

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dc.contributor.authorOduyebo, O.O.
dc.contributor.authorOlayinka, A.T.
dc.contributor.authorIregbu, K.C.
dc.contributor.authorVersporten, A.
dc.contributor.authorGoossens, H.
dc.contributor.authorNwajiobi-princewill, P.I.
dc.contributor.authorJimoh, O.
dc.contributor.authorIge, T.O.
dc.contributor.authorAigbe, A.I.
dc.contributor.authorOla-bello, O.I.
dc.contributor.authorAboderin, A.O.
dc.contributor.authorOgunsola, F.T.
dc.date.accessioned2019-12-16T15:15:30Z
dc.date.available2019-12-16T15:15:30Z
dc.date.issued2017
dc.description.abstractAntimicrobial resistance has become a global challenge in health care. Its emergence in previously sensitive bacteria is usually associated with poor antibiotic-prescribing patterns. Methodology: A point prevalence survey was carried out in four tertiary hospitals in Nigeria in 2015 to determine the rate and characteristics of antibiotic prescription. Results: Of 828 patients eligible for the study, 69.7% received antibiotics, with highest rates in the adult Intensive Care Unit. There were therapeutic indications in 51.2% of the prescriptions, of which 89.5% were for community-acquired infections. Third-generation cephalosporins were the most prescribed antibiotics. On the evaluation of surgical prophylaxis, only 4.1% were compliant with institutional guidelines and 39.2% gave a reason for prescribing in patient case notes. Less than 1% of the prescriptions were based on the use of biomarkers. Conclusion: The prevalence of antibiotic prescription in Nigerian hospitals is high with only about 50% of prescriptions based on clear therapeutic indications. We provide evidence that the country needs to institute a cohesive antimicrobial stewardship intervention program.en_US
dc.identifier.citationOduyebo O.O, Olayinka A.T, Iregbu K.C, Versporten A, Goossens H, Nwajiobi-Princewill P.I, Jimoh O, Ige T.O, Aigbe A.I, Ola-Bello O.I, Aboderin A.O. and Ogunsola F.T. (2017). A point prevalence survey of antimicrobial prescribing in four Nigerian Tertiary Hospitals. Ann Trop Pathol, 8:42-6.en_US
dc.identifier.urihttps://www.google.com/search?q=A+Point+Prevalence+Survey+of+Antimicrobial+Prescribing+in+Four+Nigerian+Tertiary+Hospitals&oq=A+Point+Prevalence+Survey+of+Antimicrobial+Prescribing+in+Four+Nigerian+Tertiary+Hospitals&aqs=chrome..69i57.842j0j7&sourceid=chrome&ie=UTF-8
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/7155
dc.language.isoenen_US
dc.publisherWolters kluwer - medknow42en_US
dc.subjectAntimicrobial stewardshipen_US
dc.subjectNigeriaen_US
dc.subjectPoint prevalenceen_US
dc.subjectSurveillanceen_US
dc.titleA point prevalence survey of antimicrobial prescribing in four nigerian tertiary hospitalsen_US
dc.typeArticleen_US
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