Antibiotic use in acute respiratory infections in under-fives in Uganda: findings and implications.

Kibuule, Dan ORCID: 0000-0002-6908-2177, Kagoya, Harriet Rachel ORCID: 0000-0002-0765-4424 and Godman, Brian ORCID: 0000-0001-6539-6972 (2016) Antibiotic use in acute respiratory infections in under-fives in Uganda: findings and implications. Expert review of anti-infective therapy, 14 (9). pp. 863-872.

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Abstract

<h4>Background</h4>Self-medication with antibiotics among households is common in Uganda. However, there are limited studies evaluating self-purchasing of antibiotics for acute respiratory infections (ARI) in the under-fives. Consequently, the objective of this study was to evaluate patterns of household self-medication with antibiotics in ARI among under-fives in Kampala.<h4>Methods</h4>Descriptive cross-sectional observational design. Care takers at households were selected from five divisions of Kampala using the WHO 30-cluster method and interviewed using a standardized questionnaire in June - July 2011.<h4>Results</h4>Out of the 200 households, most ARI cases 107 (53.5%; p = 0.322) were inappropriately managed. The prevalence of antibiotic use in ARI was 43% (p < 0.001). Amoxicillin (31.4%) and cotrimoxazole (30%) were the most self-medicated antibiotics. Antibiotics use was associated with pneumonia symptoms and access to antibiotics.<h4>Conclusions</h4>Household use of antibiotics in ARIs among under-fives is suboptimal. There is an urgent need for guidelines on awareness to reduce self-medication of ARIs in Uganda.

Item Type:	Article
Additional Information:	peerreview_statement: The publishing and review policy for this title is described in its Aims & Scope. aims_and_scope_url: http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=ierz20
Uncontrolled Keywords:	Humans, Respiratory Tract Infections, Acute Disease, Anti-Bacterial Agents, Self Medication, Prevalence, Cross-Sectional Studies, Child, Preschool, Infant, Infant, Newborn, Rural Population, Urban Population, Drug Utilization, Uganda, Surveys and Questionnaires
Depositing User:	Symplectic Admin
Date Deposited:	04 Aug 2017 11:44
Last Modified:	19 Jan 2023 06:58
DOI:	10.1080/14787210.2016.1206468
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3008824