Behavioral practices towards antibiotic use among health care workers - Sierra Leone, 2021: a facility-based cross-sectional study

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. we conducted a...

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Bibliographic Details
Published in:	The Pan African medical journal Vol. 47; p. 63
Main Authors:	Koroma, Aminata Tigiedankay, Bundu, Patrick Maada, Sheriff, Musa, Baryon, Brima, Gamaga, Brima, Sillah, Foday, Lebbie, Munis, Ngobeh, Daniel, Moiwo, Matilda Mattu, Morrison, Jefery, Sesay, Abu Dim Din, Kamara, Samba, Jalloh, Mustapha, Nyandemoh, Haurace, Massaquoi, Momoh, Kamara, Kadijatu Nabie, Kanu, Joseph Sam, Squire, James Sylvester, Hakizimana, Jean Leonard, Elduma, Adel Hussein, Gebru, Gebrekrstos Negash
Format:	Journal Article
Language:	English
Published:	Uganda 01-01-2024
Subjects:	Adult Anti-Bacterial Agents - administration & dosage Attitude of Health Personnel Cross-Sectional Studies Drug Resistance, Microbial Female Health Knowledge, Attitudes, Practice Health Personnel - statistics & numerical data Humans Male Middle Aged Practice Patterns, Physicians' - statistics & numerical data Risk Factors Sierra Leone Surveys and Questionnaires Young Adult Sierra Leone practice Antibiotics antimicrobial resistance attitudes knowledge
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Summary:	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. 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. 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). 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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1937-8688 1937-8688
DOI:	10.11604/pamj.2024.47.63.39287