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- Title
Behavioral practices towards antibiotic use among health care workers - Sierra Leone, 2021: a facility-based cross-sectional study.
- Authors
Koroma, Aminata Tigiedankay; Bundu, Patrick Maada; Sheriff, Musa; Baryon, Brima; Gamaga, Brima; Sillah, Foday; Lebbie, Munis; Ngobeh, Daniel; Moiwo, Matilda Mattu; Morrison, Jefery; Din Sesay, Abu Dim; Kamara, Samba; Jalloh, Mustapha; Nyandemoh, Haurace; Massaquoi, Momoh; Kamara, Kadijatu Nabie; Kanu, Joseph Sam; Squire, James Sylvester; Hakizimana, Jean Leonard; Elduma, Adel Hussein
- Abstract
Introduction: globally, antimicrobial resistance (AMR) kills around 1.27 million 700,000 people each year. In Sierra Leone, there is limited information on antibiotic use among healthcare workers (HCWs). We assessed antibiotic prescribing practices and associated factors among HCWs in Sierra Leone. Methods: we conducted a cross-sectional survey among HCWs. We collected data using a questionnaire containing a Likert scale for antibiotic prescribing practices. We categorized prescribing practices into good and poor practices. We calculated adjusted odds ratios (aOR) to identify risk factors. Results: out of 337 (100%) HCWs, 45% scored good practice. Out of the total, 131 (39%) of HCWS considered fever as an indication of antibiotic resistance and 280 (83%) HCWs prescribed antibiotics without performing microbiological tests and 114 (34%) prescribed a shorter course of antibiotics. Factors associated with good practice were being a doctor (aOR=1.95; CI: 1.07, 3.56), the internet as a source of information (aOR=2.00; CI: 1.10, 3.66), having a high perception that AMR is a problem in the health-facility (aOR=1.80; CI: 1.01, 3.23) and there is a connection between one's prescription and AMR (aOR=2.15; CI: 1.07, 4.32). Conclusion: this study identified a low level of good practice toward antibiotic prescription. We initiated health education campaigns and recommended continuous professional development programs on antibiotic use.
- Subjects
MEDICAL personnel; CAREER development; HEALTH education; DRUG prescribing; DRUG resistance in bacteria
- Publication
Pan African Medical Journal, 2024, Vol 47, p1
- ISSN
1937-8688
- Publication type
Article
- DOI
10.11604/pamj.2024.47.63.39287