Appropriateness of Antibiotic Prescribing for Acute Conjunctivitis: A Cross-Sectional Study at a Specialist Eye Hospital in Ghana, 2021

被引:3
|
作者
Hope, Paa Kwesi Fynn [1 ]
Lynen, Lutgarde [2 ]
Mensah, Baaba [1 ]
Appiah, Faustina [1 ]
Kamau, Edward Mberu [3 ]
Ashubwe-Jalemba, Jacklyne [4 ]
Boaitey, Kwame Peprah [5 ]
Adomako, Lady Asantewah Boamah [6 ]
Alaverdyan, Sevak [7 ]
Appiah-Thompson, Benedicta L. [1 ,8 ]
Amaning, Eva Kwarteng [9 ]
Baanam, Mathurin Youfegan [1 ,10 ]
机构
[1] Bishop Ackon Mem Christian Eye Ctr, POB AD 184, Cape Coast, Ghana
[2] Inst Trop Med, B-2000 Antwerp, Belgium
[3] UNICEF UNDP World Bank WHO, Special Programme Res & Training Trop Dis TDR, CH-1211 Geneva, Switzerland
[4] KNH, Medwise Solut, POB 2356, Nairobi 00202, Kenya
[5] Bond Univ, Inst Evidence Based Healthcare, Gold Coast, Qld 4226, Australia
[6] Council Sci & Ind Res Water Res Inst, POB M 32, Accra, Ghana
[7] TB Res & Prevent Ctr, Yerevan 0014, Armenia
[8] Cape Coast Teaching Hosp, CT 1363, Cape Coast, Ghana
[9] AngloGold Ashanti Ghana, POB 2665, Obuasi Mine, Obuasi, Ghana
[10] Univ Cape Coast, Univ Eye Hosp, POB 5007, Cape Coast, Ghana
关键词
SORT IT; operational research; acute conjunctivitis; topical antibiotics; antimicrobial resistance; Ghana; AWaRe; West Africa; eye care; ACUTE INFECTIOUS CONJUNCTIVITIS; BACTERIAL CONJUNCTIVITIS; ANTIMICROBIAL RESISTANCE; PRIMARY-CARE; WEST-AFRICA; DIAGNOSIS; SIGNS;
D O I
10.3390/ijerph191811723
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Most presentations of conjunctivitis are acute. Studies show that uncomplicated cases resolve within 14 days without medication. However, antibiotic prescription remains standard practice. With antimicrobial resistance becoming a public health concern, we undertook this study to assess antibiotic prescription patterns in managing acute conjunctivitis in an eye hospital in Ghana. We recorded 3708 conjunctivitis cases; 201 were entered as acute conjunctivitis in the electronic medical records (January to December 2021). Of these, 44% were males, 56% were females, 39% were under 5 years, 21% were children and adolescents (5-17 years) and 40% were adults (>= 18 years). A total of 111 (55.2%) patients received antibiotics, of which 71.2% were appropriately prescribed. The use of antibiotics was more frequent in children under 17 years compared to adults (p < 0.0001). Of the prescribed antibiotics, 44% belonged to the AWaRe "Access" category (Gentamycin, Tetracycline ointment), while 56% received antibiotics in the "Watch" category (Ciprofloxacin, Tobramycin). Although most of the antibiotic prescribing were appropriate, the preponderance of use of the Watch category warrants stewardship to encompass topical antibiotics. The rational use of topical antibiotics in managing acute conjunctivitis will help prevent antimicrobial resistance, ensure effective health care delivery, and contain costs for patients and the health system.
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页数:11
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