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Antibiotic prescribing practices in community and clinical settings during the Covid-19 pandemic in Nairobi, Kenya

Bibliographic Data

ID19591282
AuthorsJune Gacheri (University of Nairobi, corresponding author), Katie A Hamilton (0000-0001-9121-7894, University of Liverpool, corresponding author), Peterkin Munywoki (0009-0009-4320-7179, International Livestock Research Institute, corresponding author), Sinaida Wakahiu (0009-0003-2287-4737, International Livestock Research Institute, corresponding author), Karen Kiambi (International Livestock Research Institute, corresponding author), Eric M Fèvre (0000-0001-8931-4986, University of Liverpool, corresponding author), Margaret Oluka (0000-0002-4881-8667, University of Nairobi, corresponding author), Arshnee Moodley (0000-0002-6440-7876, University of Nairobi, corresponding author), Eric M Guantai, Dishon M Muloi (0000-0002-6236-2280, University of Liverpool, corresponding author)
EditorsRaquel Muñiz-Salazar (0000-0001-5528-7772)
Year2024
Volume4
Issue4
Pagese0003046
Publication date2024-04-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0003046
PMID38662675
OpenAlexW4395448909
LanguageEN
Citations received1
References cited28

The COVID-19 pandemic has significantly impacted healthcare systems, including antibiotic use practices. We present data on patterns of antibiotic dispensing and use in community and hospital settings respectively in Nairobi, Kenya during the pandemic. We conducted interviews with 243 pharmacies in Nairobi using a standardised questionnaire from November to December 2021. The data collected included demographic characteristics, antibiotic customers, types of antibiotics sold, and antibiotic prescribing practices. Additionally, we retrospectively reviewed health records for 992 and 738 patients admitted in COVID-19 and general wards at two large inpatient hospitals between April 2020 and May 2021, and January 2019 to October 2021, respectively. Demographic, utilisation of laboratory services, treatment, clinical, and outcome data were collected using a modified Global WHO Point Prevalence Surveys (Global-PPS) tool. Almost all pharmacies (91.4%) served customers suspected of having COVID-19 with a mean weekly number of 15.6 customers. All pharmacies dispensed antibiotics, mainly azithromycin and beta lactams to suspected COVID-19 infected customers. 83.4% of hospitalised COVID-19 patients received at least one antibiotic at some point during their hospitalisation, which was significantly higher than the 53.8% in general ward patients (p

2019-20 coronavirus outbreak · Antibiotics · Biology · Family medicine · Outbreak · Pandemic · Antibiotic Use and Resistance · Medicine · Pharmaceutical Practices and Patient Outcomes · Pneumonia and Respiratory Infections · Internal Medicine · Microbiology · Virology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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