Changing antibiotics prescribing practices in health centers of Khartoum State, Sudan

Abstract

Inappropriate prescribing patterns of antibiotics in health centers of Khartoum State, Sudan, are alarmingly high. Multifaceted interventions involving audit and feedback combined with either academic detailing or seminars appear more effective in changing prescribing practices of antibiotics than audit and feedback alone.

Ongoing strategies to improve the management of upper respiratory tract infections and reduce inappropriate antibiotic use particularly among lower and middle-income countries: findings and implications for the future

“…Sudan 344 Twenty health centers in Khartoum Dtate were randomly assigned to receive either (a) no intervention; (b) audit and feedback; (c) audit and feedback þ seminar; or (d) audit and feedback þ academic detailing The targeted interventions involving audit and feedback combined with academic detailing reduced the mean number of physician encounters with an antibiotic prescribed by 6.3 and 7.7 (p < .001) at 1 and 3 months post-intervention, respectively. The mean number of encounters where antibiotics were inappropriatetly prescribed were also significantly reduced post intervention (p < .001) Reducing the number of activities reduced the overall impact 298 .…”

Evaluation of a hospital pharmacy-based pharmaceutical care services for asthma patients

“…However, there is lack of information regarding the implementation of pharmaceutical care services in developing countries and its value. Studies carried out in several developing countries including Sudan have shown that prescribing and dispensing practices were frequently irrational and illogical with many inappropriate prescribing practices 16,17,18,19,20,21…”

Drug Use Practices at Pediatric Hospitals of Khartoum State, Sudan

“…2 Several studies from developing countries have described drug use problems that have included polypharmacy, use of drugs that were not related to the diagnosis, patient nonadherence, overuse or misuse of antibiotics, overuse of injections and of relatively safe drugs, and the use of unnecessary expensive drugs. [3][4][5][6][7][8][9][10][11][12][13] Such practices result in a waste of resources, inappropriate patient demand, antimicrobial resistance, and increased drug-related morbidity and mortality. 14 Drug use studies are important tools to assess whether medications are rationally used, with considerations of their efficacy, safety, convenience, and cost.…”