Evidence map›Paper›PMID 34202391›Full record

ArticleAntibiotics (Basel, Switzerland)2021

Evaluation of the Clinical Use of Ceftriaxone among In-Patients in Selected Health Facilities in Uganda.

Paul Kutyabami, Edson Ireeta Munanura, Rajab Kalidi, Sulah Balikuna, Margaret Ndagire, Bruhan Kaggwa, Winnie Nambatya, Pakoyo Fadhiru Kamba, Allan Musiimenta, Diana Nakitto Kesi and 3 more

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Antibiotic prescribing in public primary healthcare centres in Maseru, Lesotho.Southern African journal of infectious diseases · 2025
    Article
  8. Article
  9. JAC-antimicrobial resistance · 2024
    Article
  10. Article
  11. Article
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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

13 authors.

Paul KutyabamiDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Edson Ireeta MunanuraDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Rajab KalidiDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Sulah BalikunaDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Margaret NdagireDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Bruhan KaggwaDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Winnie NambatyaDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Pakoyo Fadhiru KambaDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Allan MusiimentaDepartment of Statistical Methods and Actuarial Sciences, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, University Rd, 10218 Kampala, Uganda.
Diana Nakitto KesiDirectorate of Product Safety, National Drug Authority, Lumumba Avenue, 10106 Kampala, Uganda.
Victoria NambasaDirectorate of Product Safety, National Drug Authority, Lumumba Avenue, 10106 Kampala, Uganda.ORCID 0000-0002-7961-9687
Allan SerwangaDirectorate of Product Safety, National Drug Authority, Lumumba Avenue, 10106 Kampala, Uganda.
Helen Byomire NdagijeDirectorate of Product Safety, National Drug Authority, Lumumba Avenue, 10106 Kampala, Uganda.ORCID 0000-0001-5802-4791

Funding

National Drug Authority- Uganda NDA/CONS/18-19/00011
6 · The paper itself

Abstract

Ceftriaxone has a high propensity for misuse because of its high rate of utilization. In this study, we aimed at assessing the appropriateness of the clinical utilization of ceftriaxone in nine health facilities in Uganda. Using the World Health Organization (WHO) Drug Use Evaluation indicators, we reviewed a systematic sample of 885 patients' treatment records selected over a three (3)-month period. Our results showed that prescriptions were written mostly by medical officers at 53.3% (470/882). Ceftriaxone was prescribed mainly for surgical prophylaxis at 25.3% (154/609), respiratory tract infections at 17% (104/609), and sepsis at 11% (67/609), as well as for non-recommended indications such as malaria at 7% (43/609) and anemia at 8% (49/609). Ceftriaxone was mostly prescribed once daily (92.3%; 817/885), as a 2 g dose (50.1%; 443/885), and for 5 days (41%; 363/885). The average score of inappropriate use of ceftriaxone in the eight indicators was 32.1%. Only 58.3% (516/885) of the ceftriaxone doses prescribed were administered to completion. Complete blood count and culture and sensitivity testing rates were 38.8% (343/885) and 1.13% (10/885), respectively. Over 85.4% (756/885) of the patients improved and were discharged. Factors associated with appropriate ceftriaxone use were gender, pregnancy status, days of hospitalization, health facility level of care, health facility type, and type of prescriber.

Indexed as

antimicrobialsceftriaxonedrug utilization review

Identifiers

PMID34202391
PMCPMC8300672

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.