Evidence map›Paper›PMID 35203802›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Point Prevalence Survey of Antibiotic Use across 13 Hospitals in Uganda.

Reuben Kiggundu, Rachel Wittenauer, J P Waswa, Hilma N Nakambale, Freddy Eric Kitutu, Marion Murungi, Neville Okuna, Seru Morries, Lynn Lieberman Lawry, Mohan P Joshi and 2 more

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. CTX-M variants on the move: Tracking resistance inOne health (Amsterdam, Netherlands) · 2026
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  15. Patterns of antimicrobial use in Qatar's hospitals: Results from the first national point prevalence survey.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
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1 more citing papers are in PubMed but not listed here.

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

12 authors.

Reuben KiggunduUSAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health (MSH), Kampala P.O. Box 920102, Uganda.
Rachel WittenauerSchool of Pharmacy, University of Washington, Seattle, WA 98105, USA.ORCID 0000-0002-6606-8708
J P WaswaUSAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health (MSH), Kampala P.O. Box 920102, Uganda.
Hilma N NakambaleDepartment of Global Health, University of Washington, Seattle, WA 98105, USA.
Freddy Eric KitutuSustainable Pharmaceutical Systems (SPS) Unit, Pharmacy Department, Makerere University School of Health Sciences, Kampala P.O. Box 10217, Uganda.ORCID 0000-0003-2277-9572
Marion MurungiUSAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health (MSH), Kampala P.O. Box 920102, Uganda.
Neville OkunaDepartment of Pharmaceuticals and Natural Medicines, Ministry of Health, Kampala P.O. Box 7272, Uganda.
Seru MorriesDepartment of Pharmaceuticals and Natural Medicines, Ministry of Health, Kampala P.O. Box 7272, Uganda.
Lynn Lieberman LawryOverseas Strategic Consulting, Ltd., Philadelphia, PA 19102, USA.
Mohan P JoshiUSAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health (MSH), Arlington, VA 22203, USA.ORCID 0000-0003-4846-6312
Andy StergachisSchool of Pharmacy, University of Washington, Seattle, WA 98105, USA.
Niranjan KonduriUSAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health (MSH), Arlington, VA 22203, USA.ORCID 0000-0002-6828-1182

Funding

United States Agency for International Development 7200AA18C00074
6 · The paper itself

Abstract

Standardized monitoring of antibiotic use underpins the effective implementation of antimicrobial stewardship interventions in combatting antimicrobial resistance (AMR). To date, few studies have assessed antibiotic use in hospitals in Uganda to identify gaps that require intervention. This study applied the World Health Organization's standardized point prevalence survey methodology to assess antibiotic use in 13 public and private not-for-profit hospitals across the country. Data for 1077 patients and 1387 prescriptions were collected between December 2020 and April 2021 and analyzed to understand the characteristics of antibiotic use and the prevalence of the types of antibiotics to assess compliance with Uganda Clinical Guidelines; and classify antibiotics according to the WHO Access, Watch, and Reserve classification. This study found that 74% of patients were on one or more antibiotics. Compliance with Uganda Clinical Guidelines was low (30%); Watch-classified antibiotics were used to a high degree (44% of prescriptions), mainly driven by the wide use of ceftriaxone, which was the most frequently used antibiotic (37% of prescriptions). The results of this study identify key areas for the improvement of antimicrobial stewardship in Uganda and are important benchmarks for future evaluations.

Indexed as

antibiotic use surveillanceantimicrobialsantimicrobial stewardshipglobal health securityhospitalpoint prevalence surveyprivate sectorUganda

Identifiers

PMID35203802
PMCPMC8868487

What OpenQuestion holds

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Registered trials

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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.