Trends of antibiotics prescription before COVID-19 emergence and during COVID-19 pandemic at Bugando Medical Centre, Mwanza, Tanzania (Record no. 22645)

MARC details
000 -LEADER
fixed length control field 03486nam a22002897a 4500
001 - CONTROL NUMBER
control field CUHAS/BP/3000527/T/18
003 - CONTROL NUMBER IDENTIFIER
control field CUHAS/BP/3000527/T/18
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193956.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221213b |||||||| |||| 00| 0 eng d
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
035 ## - SYSTEM CONTROL NUMBER
System control number CUHAS/BP/3000527/T/18
040 ## - CATALOGING SOURCE
Language of cataloging English
Transcribing agency DDC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
Language code of text/sound track or separate title Kiswahili
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name John Kuzenza
Dates associated with a name CUHAS/BP/3000527/T/18
9 (RLIN) 47278
Relator term Undergraduate Ethical Clearance Certificate No. 2270/2022
245 ## - TITLE STATEMENT
Title Trends of antibiotics prescription before COVID-19 emergence and during COVID-19 pandemic at Bugando Medical Centre, Mwanza, Tanzania
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS – Bugando] :
Date of publication, distribution, etc. ©07.09.2022
300 ## - PHYSICAL DESCRIPTION
Extent x; 22 Pages
Extent Includes References and Appendices
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: The COVID-19 pandemic led to rapid changes in demand and delivery of primary care services that could have led to increases in antibiotic prescribing. Following concerns about increased antibiotic use during the COVID-19 pandemic, trends of antibiotic prescribing at Bugando Medical Centre particularly in Outpatient Internal Medicine were evaluated. Antibiotics are among the most commonly prescribed medications in healthcare centres.<br/><br/>Method:All data concerning antibiotic prescribing was retrieved from the Electronic Health Management System (eHMS) at BMC and convenience sampling method was used to obtain antibiotic prescription files samples for the study period.<br/><br/>Results:A total of 600 antibiotic prescriptions were retrieved from the eHMS System and the results showed that the mostly prescribed antibiotic in 2019 was Amoxicillin/Clavulanic acid at 280 (46.7%), followed by Azithromycin 205 (34.2%). The least prescribed antibiotic to in 2019 was Cephalexin 43 (7.2%). This made Amoxicillin/Clavulanic acid the most prescribed antibiotic in outpatient Internal Medicine Department in 2019. The antibiotic prescriptions of selected antibiotics (Amoxicillin, Amoxicillin/Clavulanic acid, Azithromycin and Cephalexin) were 600. Among these, 315 (52.5%) were for Azithromycin followed by 216 (36.0%) for Amoxicillin/Clavulanic acid, Amoxicillin 48 (8.0%) and Cephalexin the least prescribed in 2020 at 21 (3.5%). This showed that in 2020 among all the selected antibiotics the mostly antibiotic prescribed was Azithromycin and the least prescribed was Cephalexin.<br/> <br/>Discussion/conclusion: The results showed an increase in the prescriptions of Azithromycin during the pandemic, while there was a decrease in prescriptions of Amoxicillin/Clavulanic acid, Amoxicillin and Cephalexin during the COVID-19 pandemic. On the other hand, the decrease in the use of Amoxicillin and Cephalexin can reduce the level of resistance to pathogens while an increase in Azithromycin use may have consequences on the resistance levels of pathogens causing acute respiratory infections. Trends in antibiotic prescription data show that in May to November 2020 antibiotics were widely prescribed. There might have been high rates of respiratory viral infections in the community, compared with previous years. This may possibly be related to the corona virus disease 2019 pandemic.<br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Pharmacy
9 (RLIN) 26693
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 19601
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type UNDERGRADUATE DISSERTATIONS
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Total checkouts Barcode Date last seen Copy number Price effective from Koha item type
            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   12/13/2022   CRECU/2270 12/13/2022 CRECU/2270 12/13/2022 UNDERGRADUATE DISSERTATIONS
Catholic University of  Health and Allied Sciences - CUHAS
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