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Proportion of multiple antibiotics prescription among under-fives attending Primary health Care Centres at Nyamagana, Mwanza, Tanzania

By: Contributor(s): Material type: TextTextPublisher number: Phone: +255 28 298 3384 Fax: +255 28 298 3386 Email: vc@bugando.ac.tz Website: www.bugando.ac.tz Language: English Language: Kiswahili Publication details: Mwanza, Tanzania : Catholic University of Health and Allied Sciences [CUHAS - Bugando] ©07.10.2020Description: viii; 17 Pages; Includes References and AppendicesSubject(s): Summary: Abstract: Background: According to the study done by WHO between the years 2006-2016 the percentage of antibiotic encounter in Africa was more than 46% which exceeded the reference value of 30% that was set by WHO. Regardless of the seemingly high levels of infection rates, not all antibiotic prescribing and use reported may be appropriate. As a direct consequence of irrational antibiotic use, resistance to the commonly available antibiotics has been increasing rapidly. Methodology: A descriptive, cross-sectional, retrospective study of 384 prescriptions, selected by systematic random sampling was conducted at Makongoro and Igoma health centers Mwanza. The World Health Organization prescribing indicators were analyzed using the SPSS package 20. Results: The average number of medicines per prescribing was 1.32. Out of the 387 patients files encountered, patient with the age below 1 year had the highest prevalence (30.75%) of hospitalization. (53.20%) were male and (46.8%) were female. (71.30%) patients received single prescription of antibiotic, the remaining (28.70%) patients received more than one antibiotic. Total of 511 antibiotics were prescribed, out of these antibiotics’ amoxicillin was the most prescribed 196/511 (38.36%) followed by co-trimoxazole 89/511 (17.42). The most diagnosed disease was upper respiratory tract infection (22.74%) and pneumonia (19.64%). Conclusion: Pediatric prescribing patterns can be said to be rational with the prescription rate of 1.32 which is in the optimal value <3 drugs provided by WHO.
Item type: UNDERGRADUATE DISSERTATIONS
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UNDERGRADUATE DISSERTATIONS MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO NFIC 1 UD1783
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Abstract:

Background: According to the study done by WHO between the years 2006-2016 the percentage of antibiotic encounter in Africa was more than 46% which exceeded the reference value of 30% that was set by WHO. Regardless of the seemingly high levels of infection rates, not all antibiotic prescribing and use reported may be appropriate. As a direct consequence of irrational antibiotic use, resistance to the commonly available antibiotics has been increasing rapidly.

Methodology: A descriptive, cross-sectional, retrospective study of 384 prescriptions, selected by systematic random sampling was conducted at Makongoro and Igoma health centers Mwanza. The World Health Organization prescribing indicators were analyzed using the SPSS package 20.

Results: The average number of medicines per prescribing was 1.32. Out of the 387 patients files encountered, patient with the age below 1 year had the highest prevalence (30.75%) of hospitalization. (53.20%) were male and (46.8%) were female. (71.30%) patients received single prescription of antibiotic, the remaining (28.70%) patients received more than one antibiotic. Total of 511 antibiotics were prescribed, out of these antibiotics’ amoxicillin was the most prescribed 196/511 (38.36%) followed by co-trimoxazole 89/511 (17.42). The most diagnosed disease was upper respiratory tract infection (22.74%) and pneumonia (19.64%).

Conclusion: Pediatric prescribing patterns can be said to be rational with the prescription rate of 1.32 which is in the optimal value <3 drugs provided by WHO.

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