Antimicrobial Susceptibility Testing Results Utilization by Doctors for Patients at Bugando Medical Centre, Mwanza
Material type:
TextPublication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS - Bugando] : Phone: +255 28 298 3384 : Fax: +255 28 298 3386 : Email: vc@bugando.ac.tz : Website: www.bugando.ac.tz : ©03.09.2019Description: 34 Pages; Includes References and AppendicesSubject(s): Summary: Abstract:
Background: The WHO has declared antimicrobial resistance as a global threat, and there is an urgent need for instituting antimicrobial stewardship across countries. In Tanzania study from Mwanza and Dar es salaam are showing approximately 20% of neonates are dying due to multidrug resistance. This study aims to provide data on utilization of antimicrobial susceptibility testing results by doctors at BMC.
Methods: A cross sectional study was conducted at Bugando Medical Centre, Mwanza, Tanzania between May and June 2019. Microbiology post-culture result report for patients were obtained from the BMC clinical microbiology laboratory. Antibiotics prescription and other data were obtained from patient’s files. Then, structured data collection tool was used to collect information among doctors to delineate factors hindering utilization of AST results.
Results: A total of 303 participants’ AST results were obtained. The median age of patients was 10 (1-49) years, and approximately 161 (53.1%) were female. Prevalent samples in this study were urine (43.3%) and blood (22.6%). The most prevalent bacteria isolated were E. coli 18.2% (55/303), S. aureus 13.9% (42/303), and aeruginosa 9.6% (28/303). Utilization of AST results was 58.1% (176/303. The most common reasons for not Utilizing AST results reported by 62 interviewed doctors from all wards were; improvement of the patients’ conditions (21.0%), culture result delays (24.2%), and multiple reasons (21%). This found that 61.7% of patients received empirical therapy.
Conclusion and recommendation: Antibiotic prescription at BMC is largely empirically and utilization of AST results is not satisfactory. Both individual and system-based factors hindering utilization of AST results have been delineated to be addressed for the betterment of patients’ care to ensure best antimicrobial stewardship practices and favorable patients’ outcomes. A need to explore reasons underlying delay in the delivery of AST results from laboratory experts should be further explored so as to have comprehensive intervention.
| Item type | Current library | Collection | Status | Barcode | |
|---|---|---|---|---|---|
| UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | UD0843 |
Abstract:
Background: The WHO has declared antimicrobial resistance as a global threat, and there is an urgent need for instituting antimicrobial stewardship across countries. In Tanzania study from Mwanza and Dar es salaam are showing approximately 20% of neonates are dying due to multidrug resistance. This study aims to provide data on utilization of antimicrobial susceptibility testing results by doctors at BMC.
Methods: A cross sectional study was conducted at Bugando Medical Centre, Mwanza, Tanzania between May and June 2019. Microbiology post-culture result report for patients were obtained from the BMC clinical microbiology laboratory. Antibiotics prescription and other data were obtained from patient’s files. Then, structured data collection tool was used to collect information among doctors to delineate factors hindering utilization of AST results.
Results: A total of 303 participants’ AST results were obtained. The median age of patients was 10 (1-49) years, and approximately 161 (53.1%) were female. Prevalent samples in this study were urine (43.3%) and blood (22.6%). The most prevalent bacteria isolated were E. coli 18.2% (55/303), S. aureus 13.9% (42/303), and aeruginosa 9.6% (28/303). Utilization of AST results was 58.1% (176/303. The most common reasons for not Utilizing AST results reported by 62 interviewed doctors from all wards were; improvement of the patients’ conditions (21.0%), culture result delays (24.2%), and multiple reasons (21%). This found that 61.7% of patients received empirical therapy.
Conclusion and recommendation: Antibiotic prescription at BMC is largely empirically and utilization of AST results is not satisfactory. Both individual and system-based factors hindering utilization of AST results have been delineated to be addressed for the betterment of patients’ care to ensure best antimicrobial stewardship practices and favorable patients’ outcomes. A need to explore reasons underlying delay in the delivery of AST results from laboratory experts should be further explored so as to have comprehensive intervention.
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