Antibiotic Prescription Patterns in Paediatric Wards of Rivers State University Teaching Hospital, Southern Nigeria: A Point Prevalence Survey

Authors

  • DC Briggs Department of Paediatrics, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • IL Oboro Department of Medical Microbiology and Parasitology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • M Bob-Manuel Department of Medical Microbiology and Parasitology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • SC Amadi Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • SO Enyinnaya Department of Medical Microbiology and Parasitology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • SD Lawson Department of Medical Microbiology and Parasitology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • AI Dan-Jumbo Department of Family Medicine, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria

DOI:

https://doi.org/10.60787/tnhj.v23i3.741

Keywords:

Infection, Stewardship, Paediatrics, Prescriptions, Antibiotic

Abstract

Background: Antimicrobial resistance remains a threat to patient safety and healthcare outcomes and largely arises from inappropriate antimicrobial prescriptions. This study aimed to determine the pattern of antibiotic prescriptions in the Paediatrics department of Rivers State University Teaching Hospital, Port Harcourt.

Method: A point prevalence survey was conducted in the Paediatric wardsand Special Care Baby Unit (SCBU) on 13 November 2021. Records of all children admitted before or at 8:00 a.m. on the day of the survey were descriptively analysed using the protocol and web-based management system of the Global Point Prevalence Survey of Antimicrobial Consumption and Resistance, University of Antwerp.

Results: The antibiotic prevalence in this study was 77.4%. The most common indication(s) for antibiotic use in SCBU was infection prophylaxis (81.3%) and in paediatric wards: Pneumonia, Ear Nose Throat and Soft tissue infections accounted for (23.1%) each. Third-generation cephalosporins and aminoglycosides were predominantly used in all wards and were empirical-based prescriptions. Regarding antibiotic quality indicators of prescriptions: In SCBU: 19 (90.5%) had indication(s) for antibiotics documented, 10 (46.7%) were guideline compliant, and 1 (4.8%) had documented review/stop date. In the paediatric medical and surgical wards, 17(85.0%) vs. 4(100%) had indication(s) for antibiotics documented, 6(30.0%) vs. 0(0%) were guideline compliant, and 1(5.0%) vs. 4(100.0%) had a review/ stop date.

Conclusion: High prevalence of antibiotic use, suboptimal antibiotic quality indicators and absence of laboratory evidence for antibiotic prescriptions were observed in the paediatric units. There is a need to reorientate prescribers and institute strategic measures to improve antimicrobial stewardship. 

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Published

2023-09-01

How to Cite

Briggs , D., Oboro , I., Bob-Manuel , M., Amadi , S., Enyinnaya , S., Lawson , S., & Dan-Jumbo , A. (2023). Antibiotic Prescription Patterns in Paediatric Wards of Rivers State University Teaching Hospital, Southern Nigeria: A Point Prevalence Survey. The Nigerian Health Journal, 23(3), 837–843. https://doi.org/10.60787/tnhj.v23i3.741

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