Antibiotic prescription audit at QECH and KCH
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Date
2022-03-10
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Kamuzu University of Health Sciences
Abstract
There is an increase in antibiotic resistance by bacteria to most of the available antibiotics and it
is an issue of great public health concern. Antibiotic resistance is mostly brought about by
inappropriate and unnecessary prescribing of antibiotics despite the availability of prescribing
guidelines. Antibiotic stewardship involves appropriate selection, dose, route and duration of
antibiotic therapy, and has been shown to minimize emergence of resistance. Auditing antibiotic
use is essential in monitoring appropriate use within an institution. This cross sectional and
retrospective study aims to conduct an audit on antibiotic prescription at QECH and KCH in
Malawi to appreciate the extent of antibiotic prescription between these two referral hospitals.
The objectives of this study include, assessing if prescription is based on proper diagnosis,
evaluating if antibiotic prescriptions are based on prescribed guidelines and identifying the most
commonly prescribed antibiotics at QECH and KCH in the medical wards
We are going to audit antibiotic prescription at the two referral hospitals in the medical wards
using questionnaires. This process will involve prescribers who are authorized to prescribe
antibiotics in the medical department of the hospitals and the use of patient files of those prescribed
antibiotics.
It is expected that they will be minimal adherence to the prescribing guidelines in the Malawi
Standard Treatment Guidelines by the prescribers and that most prescription of antibiotics will be
done without appropriate diagnosis.
The results of this study will be submitted to KUHES library, they will also be presented to the
academic staff and students.
Description
This is cross sectional and
retrospective study