A Review on Combating Antibiotic Resistance

Tibrewal, Richa

doi:10.32553/ijmbs.v1i1.14

Cited by 1 publication

(1 citation statement)

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“…It has been argued that the more we procrastinate on taking urgent action to protect the current antibiotics we have, the more difficult and expensive it will be to tackle antibiotic resistance in the future. 18 To combat the problem of increased use of antibiotics and its consequence, building capacity in areas of antimicrobial stewardship programmes (ASPs) and infection control is important. [19][20][21] Globally, ASPs in hospitals have shown promise in reducing irrational antibiotic prescriptions.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Factors influencing receipt of an antibiotic prescription among insured patients in Tanzania: a cross-sectional study

2022

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ObjectivesThere are limited data on factors influencing antibiotic prescription among insured patients. We assessed for correlates of an antibiotic prescription among insured patients.DesignA cross-sectional study.SettingThe study was conducted at the National Health Insurance Fund offices, Dar es Salaam, Tanzania.Data sourceWe captured data from the claim forms, containing inpatient and outpatient treatment information for insured patients, for the month of September 2019.Outcome variableReceipt of an antibiotic prescription.Exposure variablesAge, sex, diagnosis, prescriber qualification, health facility level, ownership and department were exposure variables. Predictors of receipt of an antibiotic prescription were determined by Poisson regression analysis.ResultsOf 993 analysed patients, the mean (±SD) age was 36.3 (±23.2) years, 581 (58.5%) were females and 535 (53.9%) were adults. The prevalence of antibiotic prescription was 46.4% (95% CI 42.8% to 50.0%). Strong predictors of an antibiotic prescription were being a child (1.7, 95% CI 1.3 to 2.2); acute upper respiratory tract infection (URTI) of multiple and unspecified sites (1.6, 95% CI 1.3 to 1.4); chronic rhinitis, nasopharyngitis and pharyngitis (4.0, 95% CI 2.4 to 6.4); being attended by a clinical officer (1.9, 95% CI 1.2 to 3.0); attending a health centre (1.5, 95% CI 1.1 to 2.0); attending a public facility (1.2, 95% CI 1.0 to 1.4) and visiting an inpatient department (2.0, 95% CI 1.2 to 3.4).ConclusionsAmong insured patients, being a child, acute URTI, being attended by a clinical officer or dental therapist, being attended by an assistant medical/dental officer, attending a health centre or a district hospital, attending a public health facility and visiting an inpatient department predicted an antibiotic prescription. Incorporation of these findings in revisions or establishment of targeted antimicrobial stewardship programmes may lead to better antibiotic prescribing practices that are critical for combating antibiotic resistance.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%