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Appropriateness of Antibiotic Prescribing for Acute Conjunctivitis: A Cross-Sectional Study at a Specialist Eye Hospital in Ghana, 2021
by
Peprah Boaitey, Kwame
, Kwarteng Amaning, Eva
, Lynen, Lutgarde
, Adomako, Lady Asantewah Boamah
, Appiah, Faustina
, Kamau, Edward Mberu
, Baanam, Mathurin Youfegan
, Hope, Paa Kwesi Fynn
, Alaverdyan, Sevak
, Ashubwe-Jalemba, Jacklyne
, Appiah-Thompson, Benedicta L.
, Mensah, Baaba
in
Acute Disease
/ Adolescent
/ Adult
/ Anti-Bacterial Agents - therapeutic use
/ Antibiotics
/ Antimicrobial agents
/ Bacterial infections
/ Blood vessels
/ Child
/ Ciprofloxacin
/ Conjunctivitis
/ Cross-Sectional Studies
/ Drug resistance
/ Female
/ Gentamicins
/ Ghana
/ Global health
/ Health facilities
/ Hospitals
/ Hospitals, Special
/ Humans
/ Male
/ Medical personnel
/ Medical records
/ National health insurance
/ Nurses
/ Ointments
/ Patients
/ Practice Patterns, Physicians
/ Printed materials
/ Public health
/ Tetracyclines
/ Tobramycin
2022
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Appropriateness of Antibiotic Prescribing for Acute Conjunctivitis: A Cross-Sectional Study at a Specialist Eye Hospital in Ghana, 2021
by
Peprah Boaitey, Kwame
, Kwarteng Amaning, Eva
, Lynen, Lutgarde
, Adomako, Lady Asantewah Boamah
, Appiah, Faustina
, Kamau, Edward Mberu
, Baanam, Mathurin Youfegan
, Hope, Paa Kwesi Fynn
, Alaverdyan, Sevak
, Ashubwe-Jalemba, Jacklyne
, Appiah-Thompson, Benedicta L.
, Mensah, Baaba
in
Acute Disease
/ Adolescent
/ Adult
/ Anti-Bacterial Agents - therapeutic use
/ Antibiotics
/ Antimicrobial agents
/ Bacterial infections
/ Blood vessels
/ Child
/ Ciprofloxacin
/ Conjunctivitis
/ Cross-Sectional Studies
/ Drug resistance
/ Female
/ Gentamicins
/ Ghana
/ Global health
/ Health facilities
/ Hospitals
/ Hospitals, Special
/ Humans
/ Male
/ Medical personnel
/ Medical records
/ National health insurance
/ Nurses
/ Ointments
/ Patients
/ Practice Patterns, Physicians
/ Printed materials
/ Public health
/ Tetracyclines
/ Tobramycin
2022
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Appropriateness of Antibiotic Prescribing for Acute Conjunctivitis: A Cross-Sectional Study at a Specialist Eye Hospital in Ghana, 2021
by
Peprah Boaitey, Kwame
, Kwarteng Amaning, Eva
, Lynen, Lutgarde
, Adomako, Lady Asantewah Boamah
, Appiah, Faustina
, Kamau, Edward Mberu
, Baanam, Mathurin Youfegan
, Hope, Paa Kwesi Fynn
, Alaverdyan, Sevak
, Ashubwe-Jalemba, Jacklyne
, Appiah-Thompson, Benedicta L.
, Mensah, Baaba
in
Acute Disease
/ Adolescent
/ Adult
/ Anti-Bacterial Agents - therapeutic use
/ Antibiotics
/ Antimicrobial agents
/ Bacterial infections
/ Blood vessels
/ Child
/ Ciprofloxacin
/ Conjunctivitis
/ Cross-Sectional Studies
/ Drug resistance
/ Female
/ Gentamicins
/ Ghana
/ Global health
/ Health facilities
/ Hospitals
/ Hospitals, Special
/ Humans
/ Male
/ Medical personnel
/ Medical records
/ National health insurance
/ Nurses
/ Ointments
/ Patients
/ Practice Patterns, Physicians
/ Printed materials
/ Public health
/ Tetracyclines
/ Tobramycin
2022
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Appropriateness of Antibiotic Prescribing for Acute Conjunctivitis: A Cross-Sectional Study at a Specialist Eye Hospital in Ghana, 2021
Journal Article
Appropriateness of Antibiotic Prescribing for Acute Conjunctivitis: A Cross-Sectional Study at a Specialist Eye Hospital in Ghana, 2021
2022
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Overview
Most presentations of conjunctivitis are acute. Studies show that uncomplicated cases resolve within 14 days without medication. However, antibiotic prescription remains standard practice. With antimicrobial resistance becoming a public health concern, we undertook this study to assess antibiotic prescription patterns in managing acute conjunctivitis in an eye hospital in Ghana. We recorded 3708 conjunctivitis cases; 201 were entered as acute conjunctivitis in the electronic medical records (January to December 2021). Of these, 44% were males, 56% were females, 39% were under 5 years, 21% were children and adolescents (5–17 years) and 40% were adults (≥18 years). A total of 111 (55.2%) patients received antibiotics, of which 71.2% were appropriately prescribed. The use of antibiotics was more frequent in children under 17 years compared to adults (p < 0.0001). Of the prescribed antibiotics, 44% belonged to the AWaRe “Access” category (Gentamycin, Tetracycline ointment), while 56% received antibiotics in the “Watch” category (Ciprofloxacin, Tobramycin). Although most of the antibiotic prescribing were appropriate, the preponderance of use of the Watch category warrants stewardship to encompass topical antibiotics. The rational use of topical antibiotics in managing acute conjunctivitis will help prevent antimicrobial resistance, ensure effective health care delivery, and contain costs for patients and the health system.
Publisher
MDPI AG,MDPI
Subject
/ Adult
/ Anti-Bacterial Agents - therapeutic use
/ Child
/ Female
/ Ghana
/ Humans
/ Male
/ Nurses
/ Patients
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