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Community antibiotic consumption and associated factors in Lusaka district of Zambia: findings and implications for antimicrobial resistance and stewardship
by
Bunuma, Emmanuel
, Skjerve, Eystein
, Ngoma, Maty Tsumbu
, Mukuma, Mercy
, Muma, John Bwalya
, Sitali, Doreen
, Mudenda, Steward
, Bumbangi, Flavien Nsoni
in
Antibiotics
/ Antimicrobial agents
/ Drug resistance
/ Health facilities
/ Original
/ Public health
2024
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Community antibiotic consumption and associated factors in Lusaka district of Zambia: findings and implications for antimicrobial resistance and stewardship
by
Bunuma, Emmanuel
, Skjerve, Eystein
, Ngoma, Maty Tsumbu
, Mukuma, Mercy
, Muma, John Bwalya
, Sitali, Doreen
, Mudenda, Steward
, Bumbangi, Flavien Nsoni
in
Antibiotics
/ Antimicrobial agents
/ Drug resistance
/ Health facilities
/ Original
/ Public health
2024
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Do you wish to request the book?
Community antibiotic consumption and associated factors in Lusaka district of Zambia: findings and implications for antimicrobial resistance and stewardship
by
Bunuma, Emmanuel
, Skjerve, Eystein
, Ngoma, Maty Tsumbu
, Mukuma, Mercy
, Muma, John Bwalya
, Sitali, Doreen
, Mudenda, Steward
, Bumbangi, Flavien Nsoni
in
Antibiotics
/ Antimicrobial agents
/ Drug resistance
/ Health facilities
/ Original
/ Public health
2024
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Community antibiotic consumption and associated factors in Lusaka district of Zambia: findings and implications for antimicrobial resistance and stewardship
Journal Article
Community antibiotic consumption and associated factors in Lusaka district of Zambia: findings and implications for antimicrobial resistance and stewardship
2024
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Overview
Abstract
Introduction
Antimicrobial resistance (AMR) is a global public health crisis. This study assessed the general public’s consumption of antibiotics and associated factors in the Lusaka district of Zambia.
Methods
This cross-sectional study was conducted among 2038 participants between December 2022 and January 2023. Data were analysed using Stata 13.0. Multivariable regression techniques were used to determine the factors that influenced antibiotic consumption.
Results
Of the 2038 participants, 53.4% were female, and 51.5% had attended at least secondary school. Antibiotic use was 99.2%, of which 40.9% were appropriately used. Overall, 79.1% of antibiotics were prescribed in hospitals, while 20.9% were used from leftovers and accessed without prescriptions. This study found that the appropriate use of antibiotics was associated with being female, being aged 35 years and above, attaining secondary school or tertiary education, having a monthly expenditure of 195 USD and above, being aware that antibiotics were not the same as painkillers, and being confident that when someone was hospitalized, they would get well.
Conclusions
This study found that the appropriate use of antibiotics was low, and this is an urgent public health issue requiring community engagement in tackling AMR and adherence to treatment guidelines in healthcare facilities. Additionally, there is a need to implement and strengthen antimicrobial stewardship programmes in healthcare facilities to promote the rational use of antibiotics in Zambia. There is also a need to heighten community awareness campaigns and educational activities on the appropriate use of antibiotics.
Publisher
Oxford University Press
Subject
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