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Overuse of antibiotics in maternity and neonatal wards, a descriptive report from public hospitals in Dar es Salaam, Tanzania.
Kakolwa, Mwaka A; Woodd, Susannah L; Aiken, Alexander M; Manzi, Fatuma; Gon, Giorgia; Graham, Wendy J; Kabanywanyi, Abdunoor M.
Afiliación
  • Kakolwa MA; Ifakara Health Institute, PO Box 78373, Dar es Salaam, Tanzania. mkakolwa@ihi.or.tz.
  • Woodd SL; London School of Hygiene and Tropical Medicine, Faculty of Epidemiology and Population Health, Keppel Street, London, UK.
  • Aiken AM; London School of Hygiene and Tropical Medicine, Faculty of Epidemiology and Population Health, Keppel Street, London, UK.
  • Manzi F; Ifakara Health Institute, PO Box 78373, Dar es Salaam, Tanzania.
  • Gon G; London School of Hygiene and Tropical Medicine, Faculty of Epidemiology and Population Health, Keppel Street, London, UK.
  • Graham WJ; London School of Hygiene and Tropical Medicine, Faculty of Epidemiology and Population Health, Keppel Street, London, UK.
  • Kabanywanyi AM; Ifakara Health Institute, PO Box 78373, Dar es Salaam, Tanzania.
Antimicrob Resist Infect Control ; 10(1): 142, 2021 10 09.
Article en En | MEDLINE | ID: mdl-34627366
BACKGROUND: Overuse of antibiotics is a major challenge and undermines measures to control drug resistance worldwide. Postnatal women and newborns are at risk of infections and are often prescribed prophylactic antibiotics although there is no evidence to support their universal use in either group. METHODS: We performed point prevalence surveys in three hospitals in Dar es Salaam, Tanzania, in 2018 to collect descriptive data on antibiotic use and infections, in maternity and neonatal wards. RESULTS: Prescribing of antibiotics was high in all three hospitals ranging from 90% (43/48) to 100% (34/34) in women after cesarean section, from 1.4% (1/73) to 63% (30/48) in women after vaginal delivery, and from 89% (76/85) to 100% (77/77) in neonates. The most common reason for prescribing antibiotics was medical prophylaxis in both maternity and neonatal wards. CONCLUSIONS: We observed substantial overuse of antibiotics in postnatal women and newborns. This calls for urgent antibiotic stewardship programs in Tanzanian hospitals to curb this inappropriate use and limit the spread of antimicrobial resistance.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Posnatal / Uso Excesivo de Medicamentos Recetados / Antibacterianos Tipo de estudio: Risk_factors_studies Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Antimicrob Resist Infect Control Año: 2021 Tipo del documento: Article País de afiliación: Tanzania Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Posnatal / Uso Excesivo de Medicamentos Recetados / Antibacterianos Tipo de estudio: Risk_factors_studies Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Antimicrob Resist Infect Control Año: 2021 Tipo del documento: Article País de afiliación: Tanzania Pais de publicación: Reino Unido