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Appropriateness of Antibiotic Prescribing for Acute Conjunctivitis: A Cross-Sectional Study at a Specialist Eye Hospital in Ghana, 2021.
Hope, Paa Kwesi Fynn; Lynen, Lutgarde; Mensah, Baaba; Appiah, Faustina; Kamau, Edward Mberu; Ashubwe-Jalemba, Jacklyne; Peprah Boaitey, Kwame; Adomako, Lady Asantewah Boamah; Alaverdyan, Sevak; Appiah-Thompson, Benedicta L; Kwarteng Amaning, Eva; Baanam, Mathurin Youfegan.
Afiliación
  • Hope PKF; Bishop Ackon Memorial Christian Eye Centre, Cape Coast P.O. Box AD 184, Ghana.
  • Lynen L; Institute of Tropical Medicine, 2000 Antwerp, Belgium.
  • Mensah B; Bishop Ackon Memorial Christian Eye Centre, Cape Coast P.O. Box AD 184, Ghana.
  • Appiah F; Bishop Ackon Memorial Christian Eye Centre, Cape Coast P.O. Box AD 184, Ghana.
  • Kamau EM; UNICEF/UNDP/World Bank/WHO, The Special Programme for Research and Training in Tropical Diseases (TDR), 1211 Geneva, Switzerland.
  • Ashubwe-Jalemba J; Medwise Solutions, KNH, P.O. Box 2356, Nairobi 00202, Kenya.
  • Peprah Boaitey K; Institute for Evidence-Based Healthcare, Bond University, Gold Coast, QLD 4226, Australia.
  • Adomako LAB; Council for Scientific and Industrial Research-Water Research Institute, Accra P.O. Box M 32, Ghana.
  • Alaverdyan S; Tuberculosis Research and Prevention Center, Yerevan 0014, Armenia.
  • Appiah-Thompson BL; Bishop Ackon Memorial Christian Eye Centre, Cape Coast P.O. Box AD 184, Ghana.
  • Kwarteng Amaning E; Cape Coast Teaching Hospital, Cape Coast CT 1363, Ghana.
  • Baanam MY; AngloGold Ashanti Ghana, Obuasi Mine, Obuasi P.O. Box 2665, Ghana.
Int J Environ Res Public Health ; 19(18)2022 09 17.
Article en En | MEDLINE | ID: mdl-36141996
Most presentations of conjunctivitis are acute. Studies show that uncomplicated cases resolve within 14 days without medication. However, antibiotic prescription remains standard practice. With antimicrobial resistance becoming a public health concern, we undertook this study to assess antibiotic prescription patterns in managing acute conjunctivitis in an eye hospital in Ghana. We recorded 3708 conjunctivitis cases; 201 were entered as acute conjunctivitis in the electronic medical records (January to December 2021). Of these, 44% were males, 56% were females, 39% were under 5 years, 21% were children and adolescents (5-17 years) and 40% were adults (≥18 years). A total of 111 (55.2%) patients received antibiotics, of which 71.2% were appropriately prescribed. The use of antibiotics was more frequent in children under 17 years compared to adults (p < 0.0001). Of the prescribed antibiotics, 44% belonged to the AWaRe "Access" category (Gentamycin, Tetracycline ointment), while 56% received antibiotics in the "Watch" category (Ciprofloxacin, Tobramycin). Although most of the antibiotic prescribing were appropriate, the preponderance of use of the Watch category warrants stewardship to encompass topical antibiotics. The rational use of topical antibiotics in managing acute conjunctivitis will help prevent antimicrobial resistance, ensure effective health care delivery, and contain costs for patients and the health system.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conjuntivitis / Antibacterianos Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: Int J Environ Res Public Health Año: 2022 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conjuntivitis / Antibacterianos Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: Int J Environ Res Public Health Año: 2022 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Suiza