ArticleHealth science reports2026
Tetracycline Resistance Pattern Among Lymphatic Filariasis-Hyperendemic Communities in Southern Ghana: A Mixed-Method Approach.
Article in Health science reports, 2026. 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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Abstract
Background and Aim: Tetracyclines continue to serve as a cost-effective and essential treatment for common infections, particularly in resource-limited regions such as lymphatic filariasis (LF)-hyperendemic communities. The growing use of tetracycline-based antibiotics by symptomatic filarial lymphedema patients, likely influenced by the demonstrated benefits of anti- Methods: This cross-sectional study in Ghana's Ahanta West District enrolled 71 filarial lymphedema patients from four LF-hyperendemic communities. Structured questionnaires evaluated KAP on antibiotic use and resistance, complemented by microbiological analysis of wound swabs from 28 patients to profile the wound microbiome and assess tetracycline resistance. Results: Mean antibiotic knowledge (1.8 ± 1.0), attitude (1.4 ± 1.1), and practice (1.9 ± 1.1) scores were low, yielding a combined KAP score of 5.0 ± 1.9 (31.2% ± 11.9%) with no significant correlation to the educational level of patients. the facilities survey, the primary healthcare facilities in the area stocked at least one tetracycline-class antibiotic (specifically tetracycline and/or doxycycline). Microbiological testing identified 68 distinct bacterial isolates (20 genera, 36 species; dominated by Conclusion: Multifaceted strategies are essential to curb tetracycline resistance and overuse. These include culturally adapted education to enhance antibiotic stewardship among patients and providers, optimized wound care protocols addressing polymicrobial infections through improved hygiene and tailored regimens, and ongoing resistance surveillance to track trends while promoting therapeutic alternatives.
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