Evidence map›Paper›PMID 40873552›Full record

ArticleWellcome open research2025

Management of microbial keratitis by private pharmacies in Uganda: a study of knowledge, attitude, and practice.

Abel Ebong, Simon Arunga, Tara B Mtuy, Angela Meric Birungi, John Onyango, Gilbert Arinda, Francis Orishaba, Teddy Kwaga, Rita Kageni, David Macleod and 6 more

Abstract read
In one paragraph

Article in Wellcome open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

16 authors.

Abel EbongDepartment of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.ORCID https://orcid.org/0009-0007-0608-7337
Simon ArungaDepartment of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.
Tara B MtuyLondon School of Hygiene & Tropical Medicine, International Centre for Eye Health, London, UK.ORCID https://orcid.org/0000-0003-3436-0162
Angela Meric BirungiDepartment of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.
John OnyangoDepartment of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.
Gilbert ArindaDepartment of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.
Francis OrishabaDepartment of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.
Teddy KwagaDepartment of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.
Rita KageniDepartment of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.
David MacleodLondon School of Hygiene & Tropical Medicine, International Centre for Eye Health, London, UK.ORCID https://orcid.org/0000-0002-2371-5709
Reena YadavSagarmatha Choudhary Eye Hospital, Lahan, Nepal.ORCID https://orcid.org/0000-0002-3501-3771
Sandip Das SanyamSagarmatha Choudhary Eye Hospital, Lahan, Nepal.ORCID https://orcid.org/0000-0002-0554-8441
Jeremy J HoffmanLondon School of Hygiene & Tropical Medicine, International Centre for Eye Health, London, UK.ORCID https://orcid.org/0000-0001-9454-2131
Abeer H A Mohamed AhmedLondon School of Hygiene & Tropical Medicine, International Centre for Eye Health, London, UK.
Astrid LeckLondon School of Hygiene & Tropical Medicine, International Centre for Eye Health, London, UK.ORCID https://orcid.org/0000-0001-9251-2318
Mathew J BurtonLondon School of Hygiene & Tropical Medicine, International Centre for Eye Health, London, UK.ORCID https://orcid.org/0000-0003-1872-9169

Funding

Wellcome Trust
6 · The paper itself

Abstract

Purpose: To determine the knowledge, attitude, and practice of pharmacy attendants in the management of microbial keratitis. Methods: This mixed-methods study was conducted in selected pharmacies and drug shops located in Mbarara City between March and May 2022. We administered questionnaires assessing the knowledge, attitudes, and practices (KAP) related to microbial keratitis (MK) to 140 pharmacy attendants (PAs) in the drug shops and pharmacies. We also conducted 40 in-depth interviews (IDI) and three focus group discussions (FGD) with pharmacy attendants to discuss practices, challenges, and opportunities to improve the management of MK. Results: Of the 140 pharmacy attendants, almost half (49.29%) reported that they were not confident when making diagnoses in patients with eye problems, and 19.29% were uncertain of which drug to prescribe. In the IDIs and FGDs, the pharmacy attendants reported that they receive and manage patients with MK. Some immediately refer any patients they receive with eye complaints without prescribing any medication while others only refer those who are not responding to medication. The challenges faced in managing patients with MK included inadequate knowledge of managing eye diseases including MK, patients presenting with severe diseases because of delays in seeking healthcare, and the use of traditional eye medicine. The pharmacy attendants suggested ways of improving the management of MK and other eye diseases in the community including community sensitisation on eye diseases and conducting continued professional development lecture sessions on MK in pharmacies, drug shops, and clinics. Conclusion: The study showed that probable MK was a common presentation among patients seeking to buy drugs from pharmacies and drug shops. Pharmacies are key stakeholders in the health seeking journey of patients and hence need to be supported through capacity building and strengthening the referral network to improve the outcomes of patients with eye diseases and MK.

Indexed as

Bacterial keratitisFungal keratitisKeratitisMicrobial KeratitisPharmaciesTraditional Eye MedicineUganda

Identifiers

PMID40873552
PMCPMC12378391

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.