Evidence map›Paper›PMID 39398086›Full record

ArticleGhana medical journal2024

Antibiotic use in surgical infections at a tertiary teaching hospital in Ghana.

Josephine Mensah, Antoinette A Bediako-Bowan, Amos Amoako-Adusei, Franklin Acheampong, Mohammed Sheriff, Nii A Adu-Aryee

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Article in Ghana medical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Josephine MensahPharmacy Directorate, University of Ghana Medical Centre, Legon, Accra, Ghana.
Antoinette A Bediako-BowanDepartment of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Korle Bu, Accra, Ghana.
Amos Amoako-AduseiSchool of Public Health, University of Ghana, Legon, Accra, Ghana.
Franklin AcheampongResearch Directorate, Korle Bu Teaching Hospital, Korle Bu, Accra, Ghana.
Mohammed SheriffDepartment of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Korle Bu, Accra, Ghana.
Nii A Adu-AryeeDepartment of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Korle Bu, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The study aimed to assess antibiotic prescribing and use patterns at the Department of Surgery, Korle Bu Teaching Hospital. Design: A cross-sectional study design was employed in this study. Setting: The study was conducted at the Department of Surgery, Korle Bu Teaching Hospital. Participants: Forty-two prescribers out of 63 (67%) at the Department of Surgery responded to questionnaires. Over the study period, prescriptions and medical records of 1715 patients from the general surgery, neurosurgery, and urology units were reviewed. Main Outcome Measures: Percentage of prescriptions with antibiotics, percentage of prescribers using guidelines for antibiotic prescriptions, and percentage using culture and sensitivity to inform antibiotic prescriptions. Results: Of the 1715 prescriptions assessed, 75% (1294/1715) were from inpatients, and 45% (772/1715) included an antibiotic. Ciprofloxacin and metronidazole constituted 54% of antibiotic prescriptions from general surgery. Amoxicillin/clavulanic acid and ceftriaxone constituted 64.7% of antibiotic prescriptions from neurosurgery, and ceftriaxone and ciprofloxacin made up 37.7% of antibiotic prescriptions from urology. Microbiology testing was done for only 14.5% (9/62) of inpatients who received antibiotics for treatment. The choice of antibiotics was influenced mainly by doctors' previous experience (37/42, 88.1%). Conclusion: Antibiotics are widely used. About half of all prescriptions had antibiotics, with ciprofloxacin and metronidazole constituting more than half of antibiotic prescriptions from general surgery. Doctors mainly based their antibiotic prescriptions on previous experience and occasionally on microbiological investigations. Funding: None declared.

Indexed as

Anti-Bacterial AgentsHospitals, TeachingPractice Patterns, Physicians'Surgical Wound InfectionTertiary Care CentersAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCiprofloxacinCross-Sectional StudiesFemaleGhanaHumansAnti-Bacterial AgentsCiprofloxacinMetronidazoleAntibioticsAntibiotic useGhanaSurgical antibiotic prophylaxisSurgical infections

Identifiers

PMID39398086
PMCPMC11465725

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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.