Evaluation of Knowledge and Adherence on Paediatric Antibiotic Stewardship Practices among Clinicians at Referral Hospitals in Mwanza, Tanzania.
Material type:
Item type | Current library | Status | Barcode | |
---|---|---|---|---|
UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | Not for loan | 20241022112210.0 |
Abstract:
"Background: Antimicrobial stewardship is an important strategy used to enhance antibiotics use, ensure cost effectiveness, improve clinical outcomes and prevent antimicrobial resistance, by persuading prescribers to follow through evidence-based prescribing. This study aimed at determining the prevalence and adherence on paediatric antimicrobial stewardship among clinicians at referral hospitals.
Methodology: Hospital based cross-sectional study conducted in two referral hospitals in Mwanza from 1st to 28th April 2024 among paediatric clinicians. Data was collected using a semi-structured questionnaire, entered and cleaned in Microsoft excel. Using STATA version 15, data was analysed, descriptive statistics were presented in tables and figures. Logistic regression was used to determine the factors associated with practice of antimicrobial stewardship, at a significance level of 95% Confidence Interval.
Results: A total 113 clinicians were recruited with mean age of 36 years, 98(87%) from Bugando Medical Centre and 15(13%) from Sekou-Toure Regional Referral Hospital. The knowledge on antimicrobial stewardship was good by 72% and practice was adequate by 57%. Prescribers for upper tract infections at Bugando Medical Centre, those with older age, with diploma, using culture results for prescription and strong knowledge on antimicrobial stewarship, were more likely to correctly prescribe antibiotics.
Conclusion: Knowledge and adherence to antimicrobial stewardship are found to be high, in our study. This may be due to effective surveillance system on antimicrobial resistance and proper utilization of both hospital and Tanzania guideline in treating paediatric patients with antibiotics."
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