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Antibiotic use in a tertiary healthcare facility in Ghana: a point prevalence survey

Overview of attention for article published in Antimicrobial Resistance & Infection Control, January 2018
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (87th percentile)
  • High Attention Score compared to outputs of the same age and source (82nd percentile)

Mentioned by

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1 news outlet
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5 X users

Citations

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63 Dimensions

Readers on

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303 Mendeley
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Title
Antibiotic use in a tertiary healthcare facility in Ghana: a point prevalence survey
Published in
Antimicrobial Resistance & Infection Control, January 2018
DOI 10.1186/s13756-018-0299-z
Pubmed ID
Authors

Appiah-Korang Labi, Noah Obeng-Nkrumah, Edmund Tetteh Nartey, Stephanie Bjerrum, Nii Armah Adu-Aryee, Yaw Adjei Ofori-Adjei, Alfred E. Yawson, Mercy J. Newman

Abstract

The global rise and spread of antibiotic resistance is limiting the usefulness of antibiotics in the prevention and treatment of infectious diseases. The use of antibiotic stewardship programs guided by local data on prescribing practices is a useful strategy to control and reduce antibiotic resistance. Our objective in this study was to determine the prevalence and indications for use of antibiotics at the Korle-Bu Teaching Hospital Accra, Ghana. An antibiotic point prevalence survey was conducted among inpatients of the Korle-Bu Teaching Hospital between February and March 2016. Folders and treatment charts of patients on admission at participating departments were reviewed for antibiotics administered or scheduled to be administered on the day of the survey. Data on indication for use were also collected. Prevalence of antibiotic use was determined by dividing the number of inpatients on antibiotics at the time of survey by the total number of patients on admission. Of the 677 inpatients surveyed, 348 (51.4%, 95% CI, 47.6-55.2) were on treatment with antibiotics. Prevalence was highest among Paediatric surgery where 20/22 patients (90.9%, 95% CI, 70.8-98.9) were administered antibiotics and lowest among Obstetrics patients with 77/214 (36%, 95% CI, 29.5-42.8). The indications for antibiotic use were 245/611 (40.1%) for community-acquired infections, 205/611 (33.6%) for surgical prophylaxis, 129/611 (21.1%) for healthcare associated infections and 33/611 (5.4%) for medical prophylaxis. The top five antibiotics prescribed in the hospital were metronidazole 107 (17.5%), amoxicillin-clavulinic acid 82 (13.4%), ceftriaxone 17(12.1%), cefuroxime 61 (10.0%), and cloxacillin 52 (8.5%) respectively. Prevalence of meropenem and vancomycin use was 12(2%) and 1 (.2%) respectively. The majority of patients 181 (52%) were being treated with two antibiotics. This study indicated a high prevalence of antibiotic use among inpatients at the Korle-Bu Teaching Hospital. Metronidazole was the most commonly used antibiotic; mainly for surgical prophylaxis. There is the need to further explore factors contributing to the high prevalence of antibiotic use and develop strategies for appropriate antibiotic use in the hospital.

X Demographics

X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 303 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 303 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 59 19%
Student > Bachelor 32 11%
Researcher 24 8%
Student > Ph. D. Student 19 6%
Student > Postgraduate 18 6%
Other 50 17%
Unknown 101 33%
Readers by discipline Count As %
Medicine and Dentistry 55 18%
Pharmacology, Toxicology and Pharmaceutical Science 30 10%
Nursing and Health Professions 27 9%
Immunology and Microbiology 15 5%
Agricultural and Biological Sciences 13 4%
Other 48 16%
Unknown 115 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 15. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 June 2019.
All research outputs
#2,437,949
of 25,360,284 outputs
Outputs from Antimicrobial Resistance & Infection Control
#279
of 1,449 outputs
Outputs of similar age
#54,474
of 454,041 outputs
Outputs of similar age from Antimicrobial Resistance & Infection Control
#9
of 47 outputs
Altmetric has tracked 25,360,284 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 90th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,449 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.4. This one has done well, scoring higher than 80% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 454,041 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 87% of its contemporaries.
We're also able to compare this research output to 47 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 82% of its contemporaries.