Evidence map›Paper›PMID 37038468›Full record

ArticleIJID regions2023

Antibiotic use and consumption in Freetown, Sierra Leone: A baseline report of prescription stewardship in outpatient clinics of three tertiary hospitals.

Sulaiman Lakoh, Valerie John-Cole, Ronita D C Luke, Nellie Bell, James B W Russell, Ayeshatu Mustapha, Umu Barrie, Onome T Abiri, Joshua M Coker, Matilda N Kamara and 11 more

Abstract read
In one paragraph

Article in IJID regions, 2023. 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. Review
  3. Article
  4. Antibiotic prescribing in public primary healthcare centres in Maseru, Lesotho.Southern African journal of infectious diseases · 2025
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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

21 authors.

Sulaiman LakohCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Valerie John-ColeCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Ronita D C LukeCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Nellie BellCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
James B W RussellCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Ayeshatu MustaphaMinistry of Health and Sanitation, Government of Sierra Leone, Freetown, Sierra Leone.
Umu BarrieInfectious Disease Research Network, Freetown, Sierra Leone.
Onome T AbiriCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Joshua M CokerCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Matilda N KamaraCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Freddie J CokerCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Olukemi AdekanmbiDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Ibrahim Franklyn KamaraWorld Health Organization Country Office, Freetown, Sierra Leone.
Bobson Derrick FofanahWorld Health Organization Country Office, Freetown, Sierra Leone.
Darlinda F JibaMinistry of Health and Sanitation, Government of Sierra Leone, Freetown, Sierra Leone.
Adetunji O AdenijiCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Sartie KennehMinistry of Health and Sanitation, Government of Sierra Leone, Freetown, Sierra Leone.
Gibrilla F DeenCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Troy D MoonDepartment of Tropical Medicine, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
George A YendewaDepartment of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Emmanuel FirimaDivision Clinical Epidemiology, University Hospital Basel, Basel, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Objective: As there are no country-representative data on bacterial sensitivities to guide antimicrobial stewardship (AMS) interventions, an AMS programme was established in the outpatient clinics of three tertiary hospitals in Freetown, Sierra Leone. Methods: The study employed a cross-sectional design to collect antibiotic prescribing data from 370 pregnant women and lactating mothers, 314 children and 229 regular patients in the outpatient clinics of the Princess Christian Maternity Hospital (PCMH), Ola During Children's Hospital and Connaught Hospital (CH), respectively, in April 2022. All data were analysed using Stata Version 16. Results: Of 913 patients, most were female ( Conclusion: Gaps in antibiotic prescriptions were identified in the outpatient clinics of three national referral hospitals in Sierra Leone. In order to combat antimicrobial resistance, AMS interventions are needed to reduce the prescription of antibiotics for inappropriate indications or without specified duration.

Indexed as

Antibiotic consumptionAntibiotic useAntimicrobial resistanceAWaReDefined daily doseFreetown, Sierra Leone

Identifiers

PMID37038468
PMCPMC10082370

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.