Evidence map›Paper›PMID 36011917›Full record

ArticleInternational journal of environmental research and public health2022

High Levels of Outpatient Antibiotic Prescription at a District Hospital in Ghana: Results of a Cross Sectional Study.

Obed Kwabena Offe Amponsah, Sharath Burugina Nagaraja, Nana Kwame Ayisi-Boateng, Divya Nair, Karlos Muradyan, Phanuel Seli Asense, Osei Kwaku Wusu-Ansah, Robert Fraser Terry, Mohammed Khogali, Kwame Ohene Buabeng

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. The Antimicrobial Resistance (AMR) Rates ofAntibiotics (Basel, Switzerland) · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Adherence to Prescribing Indicators at a District Hospital in Ghana: Do We Match WHO Standards?International journal of environmental research and public health · 2022
    Article
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

10 authors at 4 institutions in 4 countries.

Obed Kwabena Offe AmponsahDepartment of Pharmacy Practice, Kwame Nkrumah University of Science and Technology, Kumasi 00233, Ghana.ORCID 0000-0003-0016-7639
Sharath Burugina NagarajaDepartment of Community Medicine, ESIC Medical College and PGIMSR, Bengaluru 560010, India.ORCID 0000-0002-6599-5753
Nana Kwame Ayisi-BoatengDepartment of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi 00233, Ghana.ORCID 0000-0002-0961-4434
Divya NairInternational Union against TB and Lung Disease (The Union), 75006 Paris, France.
Karlos MuradyanTuberculosis Research and Prevention Center, Yerevan 0014, Armenia.ORCID 0000-0001-7000-3977
Phanuel Seli AsenseUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi 00233, Ghana.
Osei Kwaku Wusu-AnsahUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi 00233, Ghana.
Robert Fraser TerrySpecial Programme for Research and Training in Tropical Diseases (TDR), World Health Organisation, 1211 Geneva, Switzerland.ORCID 0000-0003-3849-7705
Mohammed KhogaliSpecial Programme for Research and Training in Tropical Diseases (TDR), World Health Organisation, 1211 Geneva, Switzerland.
Kwame Ohene BuabengDepartment of Pharmacy Practice, Kwame Nkrumah University of Science and Technology, Kumasi 00233, Ghana.ORCID 0000-0001-7944-2255
Kwame Nkrumah University of Science and Technology · GHWorld Health Organization · CHInternational Union Against Tuberculosis and Lung Disease · FRPandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences · IN

Funding

Department of HealthWorld Health Organization 001
6 · The paper itself

Abstract

backgroundMonitoring of antibiotic prescription practices in hospitals is essential to assess and facilitate appropriate use. This is relevant to halt the progression of antimicrobial resistance.

methodsAssessment of antibiotic prescribing patterns and completeness of antibiotic prescriptions among out-patients in 2021 was conducted at the University Hospital of Kwame Nkrumah University of Science and Technology in the Ashanti region of Ghana. We reviewed electronic medical records (EMR) of 49,660 patients who had 110,280 encounters in the year.

resultsThe patient encounters yielded 350,149 prescriptions. Every month, 33-36% of patient encounters resulted in antibiotic prescription, higher than the World Health Organization's (WHO) recommended optimum of 27%. Almost half of the antibiotics prescribed belonged to WHO's

conclusionsExtending antimicrobial stewardship to the out-patient settings by developing standard treatment guidelines, an out-patient specific drug formulary, and antibiograms can promote rational antibiotic use at the hospital. The EMR system of the hospital is a valuable tool for monitoring prescriptions that can be leveraged for future audits.

Indexed as

Anti-Bacterial AgentsOutpatientsCross-Sectional StudiesDrug PrescriptionsGhanaHospitals, DistrictHumansPractice Patterns, Physicians'Anti-Bacterial Agentsantibiotic prescriptionantimicrobial resistanceantimicrobial stewardshipAWaRe classificationelectronic medical recordsGhanaoperational researchoutpatientsSORT IT

Identifiers

PMID36011917
PMCPMC9407799
OpenAlexW4292247807

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.