Evidence map›Paper›PMID 41174539›Full record

ArticleBMC infectious diseases2025

Compliance with global action plan on antibiotic prescription and utilization: a multi-facility cross-sectional study in southern Nigeria.

Mary Richard Akpan, Unyime Israel Eshiet, Idongesit Linus Jackson, Ekemini-Obong Etim

Abstract read
In one paragraph

Article in BMC infectious diseases, 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. Review
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

4 authors.

Mary Richard AkpanDepartment of Clinical Pharmacy & Biopharmacy, University of Uyo, Uyo, Nigeria.
Unyime Israel EshietDepartment of Clinical Pharmacy & Biopharmacy, University of Uyo, Uyo, Nigeria. unyimeeshiet@uniuyo.edu.ng.
Idongesit Linus JacksonDepartment of Clinical Pharmacy & Biopharmacy, University of Uyo, Uyo, Nigeria.
Ekemini-Obong EtimDepartment of Clinical Pharmacy & Biopharmacy, University of Uyo, Uyo, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntibiotic resistance is a growing concern worldwide. The World Health Organization (WHO) developed the AWaRe classification to categorize antibiotics based on their risk of resistance and to guide appropriate antibiotic prescribing. Understanding the pattern of antibiotics prescribing can help to inform policy and practice.

objectiveTo assess the extent of compliance with global action plan on antibiotic prescription and utilization in the country by assessing antibiotic prescribing patterns in selected public healthcare facilities using the WHO AWaRe classification of antibiotics.

methodA cross sectional study involving a 3-month review of antibiotic prescription pattern using the WHO AWaRe classification of antibiotics was carried out in 5 selected healthcare facilities in Akwa Ibom State, southern Nigeria, between September 01 and November 30, 2023.

resultsA total of 2,230 antibiotic prescriptions were reviewed across the 5 selected hospitals during the period of the study. The proportion of antibiotics prescribed within the Acess group of the AWaRe classification in the hospitals was 48.7% (n = 1,086), while the proportion of antibiotics prescribed within the "Watch" group was 51.3% (n = 1,144). No antibiotic was prescribed within the Reserve group across the hospitals within the period of the study.

conclusionThere's a lack of compliance with the WHO global action plan on antibiotic prescription and utilization as the overall prescribing of Access group antibiotics in this study falls short of the WHO recommendations. There is a need for a review of the nationwide strategy to optimize the use of antibiotics in the country. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Anti-Bacterial AgentsDrug PrescriptionsDrug UtilizationGuideline AdherencePractice Patterns, Physicians'Antimicrobial StewardshipCross-Sectional StudiesFemaleHealth FacilitiesHospitalsHumansMaleNigeriaWorld Health OrganizationAnti-Bacterial AgentsAntibiotic prescriptionAntibiotic stewardshipAWaRe classification

Identifiers

PMID41174539
PMCPMC12577218

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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.