An Analysis of Determinants in Antimicrobial Use by Physicians in Ogun State, South West Nigeria

An Analysis of Determinants in Antimicrobial Use by Physicians in Ogun State, South West Nigeria

Author by Dr. Emmanuel Shobowale

Language: English

Abstract

Introduction: The increasing rates of antimicrobial resistance on the part of pathogens are gradually becoming a pandemic, this has to be curbed to reduce mortality. Background: The vast majority of antimicrobials currently in use are prescribed by Physicians. The Physicians act as a gateway in the control and use of life-saving medications such as antimicrobials, attention must be paid towards antimicrobial stewardship and rational antimicrobial use. Methods: This was a cross-sectional survey of clinicians at 3 tertiary hospitals in Nigeria. A self-administered structured Questionnaire containing 25 questions was given to the respondents to complete to assess the level of knowledge of physicians in antimicrobial use. Results: The following were found to be statistically significant – Physicians in the Public hospitals were more likely to collect specimens for microbiology analysis before commencing antibiotics – p = 0.02, Odds Ratio (O.R) = 2.61, Risk Ratio (R.R) = 1.47, 95% Confidence Interval (CI) = 1.16 – 5.80, Chi Square (χ2) = 1.47, a slightly higher likelihood of Physicians in the Private Tertiary Hospital having a Clinical Microbiologist in their hospital – p = 0. 00, O.R = 0.08, R.R = 0.25, CI = 0.05 –0.99, χ2 = 4.55. Discussion: Targeting rational interventions via educating physicians on antimicrobial use has had an established positive impact in curbing antimicrobial resistance in hospitals. Conclusion: Training programs on antimicrobial use need to be strengthened.


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