Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea)

Salifou Talassone Bangoura; Abdoulaye Toure; Sidikiba Sidibé; Alioune Camara; Djibril Sylla; Alpha-Kabinet Keita; Mamadou Saliou Sow; Alimou Camara; Mamadou Saliou Kalifa Diallo; Mohamed Cisse

doi:doi:10.11648/j.cajph.20200601.11

Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea)

Salifou Talassone Bangoura, Abdoulaye Toure, Sidikiba Sidibé, Alioune Camara, Djibril Sylla, Alpha-Kabinet Keita, Mamadou Saliou Sow, Alimou Camara, Mamadou Saliou Kalifa Diallo, Mohamed Cisse

Published in Central African Journal of Public Health (Volume 6, Issue 1)

Received: 21 November 2019 Accepted: 17 December 2019 Published: 6 January 2020

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Abstract

Background: In hospitals, antibiotics are one of the most prescribed drug classes. The purpose of this study was to describe the extent and factors associated with the prescription of antibiotics in the Internal Medicine Department of Donka National Hospital. Material and Methods: A cross-sectional study was conducted from July 30, 2018 to January 31, 2019 among prescribers and patients hospitalized or seen on an outpatient basis. Data were collected by direct interview and through patient records. A multivariate logistic regression was performed to identify the factors associated with antibiotic prescribing. Results: Out of a total of 400 consultants, 82 (21%) patients received antibiotic therapy. Beta-lactam antibiotics were the most prescribed antibiotic (45%) and urogenital infections (24.3%) were the most common indication. In univariate analysis, the consultation by a trainee physician [OR = 3.06 (95% CI: 1.56-6)] was associated with a prescription for antibiotics. Students/students [OR = 1.85 (95% CI: 1.01-3.39)], civil servants [OR = 1.82 (95% CI: 1.02-3.26)], patients residing in Conakry [OR = 2.06 (95% CI: 1.08-3.91)], those hospitalized [OR = 3.16 (95% CI: 1.55-6.46)] and those with a fever [OR = 6.49 (95% CI: 3.84-10.96)] were more likely to receive an antibiotic. Only fever [OR adjusted = 4.30 (95% CI: 2.43-7.61)] remained associated with the prescription of antibiotics in multivariate analysis. Conclusion: The results showed that fever was the factor independently associated with the antibiotic prescription. In a country where malaria is the main cause of fever, the results suggest the need for training health care workers in antibiotic prescribing.

Published in	Central African Journal of Public Health (Volume 6, Issue 1)
DOI	10.11648/j.cajph.20200601.11
Page(s)	1-4
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Antibiotic, Frequency, Associated Factors

References

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APA Style

Salifou Talassone Bangoura, Abdoulaye Toure, Sidikiba Sidibé, Alioune Camara, Djibril Sylla, et al. (2020). Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea). Central African Journal of Public Health, 6(1), 1-4. https://doi.org/10.11648/j.cajph.20200601.11

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ACS Style

Salifou Talassone Bangoura; Abdoulaye Toure; Sidikiba Sidibé; Alioune Camara; Djibril Sylla, et al. Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea). Cent. Afr. J. Public Health 2020, 6(1), 1-4. doi: 10.11648/j.cajph.20200601.11

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AMA Style

Salifou Talassone Bangoura, Abdoulaye Toure, Sidikiba Sidibé, Alioune Camara, Djibril Sylla, et al. Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea). Cent Afr J Public Health. 2020;6(1):1-4. doi: 10.11648/j.cajph.20200601.11

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@article{10.11648/j.cajph.20200601.11,
  author = {Salifou Talassone Bangoura and Abdoulaye Toure and Sidikiba Sidibé and Alioune Camara and Djibril Sylla and Alpha-Kabinet Keita and Mamadou Saliou Sow and Alimou Camara and Mamadou Saliou Kalifa Diallo and Mohamed Cisse},
  title = {Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea)},
  journal = {Central African Journal of Public Health},
  volume = {6},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.cajph.20200601.11},
  url = {https://doi.org/10.11648/j.cajph.20200601.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200601.11},
  abstract = {Background: In hospitals, antibiotics are one of the most prescribed drug classes. The purpose of this study was to describe the extent and factors associated with the prescription of antibiotics in the Internal Medicine Department of Donka National Hospital. Material and Methods: A cross-sectional study was conducted from July 30, 2018 to January 31, 2019 among prescribers and patients hospitalized or seen on an outpatient basis. Data were collected by direct interview and through patient records. A multivariate logistic regression was performed to identify the factors associated with antibiotic prescribing. Results: Out of a total of 400 consultants, 82 (21%) patients received antibiotic therapy. Beta-lactam antibiotics were the most prescribed antibiotic (45%) and urogenital infections (24.3%) were the most common indication. In univariate analysis, the consultation by a trainee physician [OR = 3.06 (95% CI: 1.56-6)] was associated with a prescription for antibiotics. Students/students [OR = 1.85 (95% CI: 1.01-3.39)], civil servants [OR = 1.82 (95% CI: 1.02-3.26)], patients residing in Conakry [OR = 2.06 (95% CI: 1.08-3.91)], those hospitalized [OR = 3.16 (95% CI: 1.55-6.46)] and those with a fever [OR = 6.49 (95% CI: 3.84-10.96)] were more likely to receive an antibiotic. Only fever [OR adjusted = 4.30 (95% CI: 2.43-7.61)] remained associated with the prescription of antibiotics in multivariate analysis. Conclusion: The results showed that fever was the factor independently associated with the antibiotic prescription. In a country where malaria is the main cause of fever, the results suggest the need for training health care workers in antibiotic prescribing.},
 year = {2020}
}

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TY  - JOUR
T1  - Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea)
AU  - Salifou Talassone Bangoura
AU  - Abdoulaye Toure
AU  - Sidikiba Sidibé
AU  - Alioune Camara
AU  - Djibril Sylla
AU  - Alpha-Kabinet Keita
AU  - Mamadou Saliou Sow
AU  - Alimou Camara
AU  - Mamadou Saliou Kalifa Diallo
AU  - Mohamed Cisse
Y1  - 2020/01/06
PY  - 2020
N1  - https://doi.org/10.11648/j.cajph.20200601.11
DO  - 10.11648/j.cajph.20200601.11
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 1
EP  - 4
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20200601.11
AB  - Background: In hospitals, antibiotics are one of the most prescribed drug classes. The purpose of this study was to describe the extent and factors associated with the prescription of antibiotics in the Internal Medicine Department of Donka National Hospital. Material and Methods: A cross-sectional study was conducted from July 30, 2018 to January 31, 2019 among prescribers and patients hospitalized or seen on an outpatient basis. Data were collected by direct interview and through patient records. A multivariate logistic regression was performed to identify the factors associated with antibiotic prescribing. Results: Out of a total of 400 consultants, 82 (21%) patients received antibiotic therapy. Beta-lactam antibiotics were the most prescribed antibiotic (45%) and urogenital infections (24.3%) were the most common indication. In univariate analysis, the consultation by a trainee physician [OR = 3.06 (95% CI: 1.56-6)] was associated with a prescription for antibiotics. Students/students [OR = 1.85 (95% CI: 1.01-3.39)], civil servants [OR = 1.82 (95% CI: 1.02-3.26)], patients residing in Conakry [OR = 2.06 (95% CI: 1.08-3.91)], those hospitalized [OR = 3.16 (95% CI: 1.55-6.46)] and those with a fever [OR = 6.49 (95% CI: 3.84-10.96)] were more likely to receive an antibiotic. Only fever [OR adjusted = 4.30 (95% CI: 2.43-7.61)] remained associated with the prescription of antibiotics in multivariate analysis. Conclusion: The results showed that fever was the factor independently associated with the antibiotic prescription. In a country where malaria is the main cause of fever, the results suggest the need for training health care workers in antibiotic prescribing.
VL  - 6
IS  - 1
ER  -

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Author Information

Salifou Talassone Bangoura

Department of Public Health, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Abdoulaye Toure

Department of Public Health, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Sidikiba Sidibé

Department of Public Health, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Alioune Camara

Department of Public Health, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Djibril Sylla

Department of Internal Medicine, Donka National Hospital, Conakry, Guinea
Alpha-Kabinet Keita

Guinean Research Center and Training in Infectiology (CERFIG), Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Mamadou Saliou Sow

Guinean Research Center and Training in Infectiology (CERFIG), Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Alimou Camara

Department of Pharmaceutical and Biological Sciences, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Mamadou Saliou Kalifa Diallo

Guinean Research Center and Training in Infectiology (CERFIG), Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Mohamed Cisse

Department of Dermatology and Venerology, Donka National Hospital, Conakry, Guinea

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APA Style

Salifou Talassone Bangoura, Abdoulaye Toure, Sidikiba Sidibé, Alioune Camara, Djibril Sylla, et al. (2020). Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea). Central African Journal of Public Health, 6(1), 1-4. https://doi.org/10.11648/j.cajph.20200601.11

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ACS Style

Salifou Talassone Bangoura; Abdoulaye Toure; Sidikiba Sidibé; Alioune Camara; Djibril Sylla, et al. Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea). Cent. Afr. J. Public Health 2020, 6(1), 1-4. doi: 10.11648/j.cajph.20200601.11

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AMA Style

Salifou Talassone Bangoura, Abdoulaye Toure, Sidikiba Sidibé, Alioune Camara, Djibril Sylla, et al. Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea). Cent Afr J Public Health. 2020;6(1):1-4. doi: 10.11648/j.cajph.20200601.11

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@article{10.11648/j.cajph.20200601.11,
  author = {Salifou Talassone Bangoura and Abdoulaye Toure and Sidikiba Sidibé and Alioune Camara and Djibril Sylla and Alpha-Kabinet Keita and Mamadou Saliou Sow and Alimou Camara and Mamadou Saliou Kalifa Diallo and Mohamed Cisse},
  title = {Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea)},
  journal = {Central African Journal of Public Health},
  volume = {6},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.cajph.20200601.11},
  url = {https://doi.org/10.11648/j.cajph.20200601.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200601.11},
  abstract = {Background: In hospitals, antibiotics are one of the most prescribed drug classes. The purpose of this study was to describe the extent and factors associated with the prescription of antibiotics in the Internal Medicine Department of Donka National Hospital. Material and Methods: A cross-sectional study was conducted from July 30, 2018 to January 31, 2019 among prescribers and patients hospitalized or seen on an outpatient basis. Data were collected by direct interview and through patient records. A multivariate logistic regression was performed to identify the factors associated with antibiotic prescribing. Results: Out of a total of 400 consultants, 82 (21%) patients received antibiotic therapy. Beta-lactam antibiotics were the most prescribed antibiotic (45%) and urogenital infections (24.3%) were the most common indication. In univariate analysis, the consultation by a trainee physician [OR = 3.06 (95% CI: 1.56-6)] was associated with a prescription for antibiotics. Students/students [OR = 1.85 (95% CI: 1.01-3.39)], civil servants [OR = 1.82 (95% CI: 1.02-3.26)], patients residing in Conakry [OR = 2.06 (95% CI: 1.08-3.91)], those hospitalized [OR = 3.16 (95% CI: 1.55-6.46)] and those with a fever [OR = 6.49 (95% CI: 3.84-10.96)] were more likely to receive an antibiotic. Only fever [OR adjusted = 4.30 (95% CI: 2.43-7.61)] remained associated with the prescription of antibiotics in multivariate analysis. Conclusion: The results showed that fever was the factor independently associated with the antibiotic prescription. In a country where malaria is the main cause of fever, the results suggest the need for training health care workers in antibiotic prescribing.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Frequency and Determinants of Prescribing Antibiotics for Internal Medicine at Donka National Hospital (Guinea)
AU  - Salifou Talassone Bangoura
AU  - Abdoulaye Toure
AU  - Sidikiba Sidibé
AU  - Alioune Camara
AU  - Djibril Sylla
AU  - Alpha-Kabinet Keita
AU  - Mamadou Saliou Sow
AU  - Alimou Camara
AU  - Mamadou Saliou Kalifa Diallo
AU  - Mohamed Cisse
Y1  - 2020/01/06
PY  - 2020
N1  - https://doi.org/10.11648/j.cajph.20200601.11
DO  - 10.11648/j.cajph.20200601.11
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 1
EP  - 4
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20200601.11
AB  - Background: In hospitals, antibiotics are one of the most prescribed drug classes. The purpose of this study was to describe the extent and factors associated with the prescription of antibiotics in the Internal Medicine Department of Donka National Hospital. Material and Methods: A cross-sectional study was conducted from July 30, 2018 to January 31, 2019 among prescribers and patients hospitalized or seen on an outpatient basis. Data were collected by direct interview and through patient records. A multivariate logistic regression was performed to identify the factors associated with antibiotic prescribing. Results: Out of a total of 400 consultants, 82 (21%) patients received antibiotic therapy. Beta-lactam antibiotics were the most prescribed antibiotic (45%) and urogenital infections (24.3%) were the most common indication. In univariate analysis, the consultation by a trainee physician [OR = 3.06 (95% CI: 1.56-6)] was associated with a prescription for antibiotics. Students/students [OR = 1.85 (95% CI: 1.01-3.39)], civil servants [OR = 1.82 (95% CI: 1.02-3.26)], patients residing in Conakry [OR = 2.06 (95% CI: 1.08-3.91)], those hospitalized [OR = 3.16 (95% CI: 1.55-6.46)] and those with a fever [OR = 6.49 (95% CI: 3.84-10.96)] were more likely to receive an antibiotic. Only fever [OR adjusted = 4.30 (95% CI: 2.43-7.61)] remained associated with the prescription of antibiotics in multivariate analysis. Conclusion: The results showed that fever was the factor independently associated with the antibiotic prescription. In a country where malaria is the main cause of fever, the results suggest the need for training health care workers in antibiotic prescribing.
VL  - 6
IS  - 1
ER  -

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