Evidence map›Paper›PMID 35740216›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Pattern of Antibiotic Use among Hospitalized Patients according to WHO Access, Watch, Reserve (AWaRe) Classification: Findings from a Point Prevalence Survey in Bangladesh.

Md Mahbubur Rashid, Zubair Akhtar, Sukanta Chowdhury, Md Ariful Islam, Shahana Parveen, Probir Kumar Ghosh, Aninda Rahman, Zobaidul Haque Khan, Khaleda Islam, Nitish Debnath and 2 more

Open access · goldAbstract 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 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.6field-weighted citation impact, top 2% of its field
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, 49 citations in OpenAlex.

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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

12 authors at 3 institutions in 2 countries.

Md Mahbubur RashidProgramme for Emerging Infections, Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.ORCID 0000-0002-7891-8191
Zubair AkhtarProgramme for Emerging Infections, Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.ORCID 0000-0001-5054-9243
Sukanta ChowdhuryProgramme for Emerging Infections, Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.ORCID 0000-0003-3053-4241
Md Ariful IslamProgramme for Emerging Infections, Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
Shahana ParveenProgramme for Emerging Infections, Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
Probir Kumar GhoshProgramme for Emerging Infections, Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.ORCID 0000-0003-1580-5883
Aninda RahmanCommunicable Disease Control (CDC), Directorate General of Health Services, Government of Bangladesh, Dhaka 1212, Bangladesh.
Zobaidul Haque KhanFleming Fund Country Grant to Bangladesh, DAI Global, LLC, House 3, Road 23B, Gulshan 1, Dhaka 1212, Bangladesh.ORCID 0000-0003-4754-7188
Khaleda IslamFleming Fund Country Grant to Bangladesh, DAI Global, LLC, House 3, Road 23B, Gulshan 1, Dhaka 1212, Bangladesh.ORCID 0000-0002-8303-0947
Nitish DebnathFleming Fund Country Grant to Bangladesh, DAI Global, LLC, House 3, Road 23B, Gulshan 1, Dhaka 1212, Bangladesh.
Mahmudur RahmanGlobal Health Development, EMPHNET, 69 Mohakhali, Dhaka 1212, Bangladesh.
Fahmida ChowdhuryProgramme for Emerging Infections, Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
International Centre for Diarrhoeal Disease Research · BDARK Foundation · BDDirectorate General of Health Services · BD

Funding

Fleming fund FF48-416 FFCGB 1
6 · The paper itself

Abstract

For supporting antibiotic stewardship interventions, the World Health Organization (WHO) classified antibiotics through the AWaRe (Access, Watch, and Reserve) classification. Inappropriate use of antimicrobials among hospital-admitted patients exposes them to the vulnerability of developing resistant organisms which are difficult to treat. We aimed to describe the proportion of antibiotic use based on the WHO AWaRe classification in tertiary and secondary level hospitals in Bangladesh. A point prevalence survey (PPS) was conducted adapting the WHO PPS design in inpatients departments in 2021. Among the 1417 enrolled patients, 52% were female and 63% were from the 15-64 years age group. Nearly 78% of patients received at least one antibiotic during the survey period. Third-generation cephalosporins (44.6%), penicillins (12.3%), imidazoles (11.8%), aminoglycosides (7.2%), and macrolides (5.8%) were documented as highly used antibiotics. Overall, 64.0% of Watch, 35.6% of Access, and 0.1% of Reserve group antibiotics were used for treatment. The use of Watch group antibiotics was high in medicine wards (78.7%) and overall high use of Watch antibiotics was observed at secondary hospitals (71.5%) compared to tertiary hospitals (60.2%) (

Indexed as

accessantibioticsAWaReBangladeshhospitalswatchWHO

Identifiers

PMID35740216
PMCPMC9220119
OpenAlexW4283016611

What OpenQuestion holds

Textmetadata
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.