ArticleAfrican health sciences2019
Antibiotics prescription pattern and determinants of utilization in the national health insurance scheme at a Tertiary Hospital in Nigeria.
Article in African health sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Antimicrobial prescription pattern and appropriateness for respiratory tract infection in outpatients: a systematic review and meta-analysis.Systematic reviews · 2024Pooled it
- Primary care metronidazole prescription in public and private facilities of South Benin: a register-based cross-sectional study.BMC infectious diseases · 2026Article
- Molecular characterization of antibiotic resistance in bacteria from daycare centres in Ile-Ife, Nigeria.JAC-antimicrobial resistance · 2025Article
- Article
- Assessment of public knowledge and attitude toward antibiotics use and resistance: a community pharmacy-based survey.Journal of pharmaceutical policy and practice · 2023Article
- Trends and Patterns of Antibiotic Prescriptions in Primary Care Institutions in Southwest China, 2017-2022.Infection and drug resistance · 2023Article
- Factors influencing receipt of an antibiotic prescription among insured patients in Tanzania: a cross-sectional study.BMJ open · 2022Article
- Antibiotic prescribing patterns in Emergency Department at Regional Hospital in South Africa.African health sciences · 2021Observational
- Antibacterial prescription and the associated factors among outpatients diagnosed with respiratory tract infections in Mbarara Municipality, Uganda.BMC pulmonary medicine · 2021Article
- The prevalence and pattern of antibiotic prescription among insured patients in Dar es Salaam Tanzania.The Pan African medical journal · 2021Article
- Editorial.African health sciences · 2019Article
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3 authors.
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Abstract
backgroundSubsidizing the cost of medicines through insurance schemes increases consumption of medicines and may contribute to irrational use of antibiotics.
objectivesTo describe the systemic antibiotics prescriptions patterns and analyze the determinants of their utilization in the National Health insurance Scheme (NHIS).
methodsEstablished WHO guideline was followed to conduct this cross-sectional retrospective study at University of Nigeria Teaching Hospital, Nigeria. Data were collected from randomly sampled prescription sheets of one year duration. Logistic regression analysis was performed to determine the predictors of antibiotics prescriptions.
resultsThe results are based on 802 sampled out-patients NHIS prescriptions. Average number of medicines per encounter was 4.0 ± 1.8, whereas 46.9% of antibiotics were prescribed by generic name. Penicillins (most frequently amoxicillin/clavulanate), and nitroimidazole (most frequently metronidazole) were the most commonly prescribed antibiotics with percentage share of 43.3% and 22.2%. Being <5 years old, and taking more than 4 medicines (OR 2.20, 95% CI 1.37-3.55) were the factors associated with the highest risk of antibiotics exposure.
conclusionThere were poly-pharmacy, and non-adherence to generic antibiotic prescriptions. Penicillins (amoxicillin/clavulanate) were the most commonly prescribed antibiotic class. Being < 5 years old, and taking more than 4 medicines were significant predictors of antibiotics exposure.
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