Evidence map›Paper›PMID 28633631›Full record

ArticleBMC health services research2017

Knowledge of antibiotic resistance and antibiotic prescription practices among prescribers in the Brong Ahafo Region of Ghana; a cross-sectional study.

Kwaku Poku Asante, Ellen Abrafi Boamah, Martha Ali Abdulai, Kwame Ohene Buabeng, Emmanuel Mahama, Francis Dzabeng, Edith Gavor, Edith Andrews Annan, Seth Owusu-Agyei, Martha Gyansa-Lutterodt and 1 more

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Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kwaku Poku AsanteKintampo Health Research Centre, Ghana Health Service, Kintampo, Brong Ahafo Region, Ghana. kwakupoku.asante@kintampo-hrc.org.
Ellen Abrafi BoamahKintampo Health Research Centre, Ghana Health Service, Kintampo, Brong Ahafo Region, Ghana.
Martha Ali AbdulaiKintampo Health Research Centre, Ghana Health Service, Kintampo, Brong Ahafo Region, Ghana.
Kwame Ohene BuabengFaculty of Pharmacy & Pharmaceutical Services, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Emmanuel MahamaKintampo Health Research Centre, Ghana Health Service, Kintampo, Brong Ahafo Region, Ghana.
Francis DzabengKintampo Health Research Centre, Ghana Health Service, Kintampo, Brong Ahafo Region, Ghana.
Edith GavorGhana National Drugs Programme, Ministry of Health, Accra, Ghana.
Edith Andrews AnnanWorld Health Organization, Ghana Country Office, Accra, Ghana.
Seth Owusu-AgyeiKintampo Health Research Centre, Ghana Health Service, Kintampo, Brong Ahafo Region, Ghana.
Martha Gyansa-LutterodtGhana National Drugs Programme, Ministry of Health, Accra, Ghana.
Ghana Antimicrobial Resistance Working Group

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundAntibiotic resistance (ABR) has become a major public health challenge in most parts of the world including Ghana and is a major threat to gain in bacterial disease control. The role of prescribers in the control of antibiotics is identified as crucial in developing interventions to control ABR. To guide policy recommendations on ABR, a study was carried out among prescribers to identify gaps in their knowledge of ABR and to document their prescription practices.

methodA cross-sectional survey was conducted among prescribers from both public and private facilities in the Brong Ahafo Region of Ghana using both quantitative and qualitative methods in 2014.

resultsThree hundred and seventy nine prescribers participated in the quantitative study and a subset of 33 participated in in-depth interviews. Majority (50.0%) of the prescribers interviewed were nurses. Most (51.0%) of the prescribers were located in hospitals. Knowledge of ABR was high among all the prescribers. About 80.0% percent of all prescribers agreed that the antibiotics that are currently used could lose its efficacy in future. There is no singular formal source of information on antibiotic resistance. The prescribers held a strong perception that antibiotic resistance is imminent though their knowledge on various resistant bacterial strains was limited. Prescribers attributed ABR burden to factors such as poor prescription practices and limited ABR control measures. The prescription practices of the prescribers vary but were mostly inappropriate among the lower cadre.

conclusionThe knowledge of ABR is high among prescribers. There is however a gap in the knowledge and perception of optimal antibiotic prescription practices among prescribers. There is the need for a formal source of information on ABR to support prescriber's antibiotic prescription practices.

Indexed as

Clinical CompetenceDrug Resistance, MicrobialHealth Knowledge, Attitudes, PracticeHealth PersonnelPractice Patterns, Physicians'AdultAnti-Bacterial AgentsCross-Sectional StudiesFemaleGhanaHumansInterviews as TopicMaleQualitative ResearchAnti-Bacterial AgentsAntibiotic resistanceKnowledgePracticesPrescribersPrescription

Identifiers

PMID28633631
PMCPMC5477684

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.