A systematic review on antibiotic use in humans in Nigeria
Abiodun Egwuenu1,&, Busola Olayinka2, Yinka Apeji2, Olufemi Abayomi3, Adebola Olayinka3,4, Joshua Obasanya1, Chikwe Ihekweazu1
1Nigeria Center for Disease Control, Abuja, Nigeria, 2Department of Pharmaceutical Services, Ahmadu Bello University, Kaduna, Kaduna, 3Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 4Ahmadu Bello University Teaching Hospital, Kaduna, Nigeria
Abiodun Egwuenu, Nigeria Center for Disease Control, Jabi, Abuja, Nigeria
Nigeria has the third highest percentage of antibiotic prescriptions at 48%, out of 12 African countries. However, this increasing trend in antibiotic consumption is contributory to antibiotic misuse, which is a key driver of the rising antimicrobial resistance (AMR) rates. The objectives of this systematic review are to describe the quantitative indicators of irrational antibiotic use and identify factors influencing use of antibiotics.
we searched for articles published in English between January 2000 till January 2017 from Medline via Pubmed and African Journals Online (AJOL) databases, using the following search terms: “rational use”, “antibiotic consumption”, “antimicrobials”, “Nigeria”, “purchase of antibiotics” and “over the counter”. This review was done using the preferred reporting system for systematic review and meta-analysis (PRISMA) statement. The two dimensions of irrational antibiotic use was searched for: prescription behavior by health workers and medicine use behavior by patients. Key indicators were extracted and summarized.
a total of 11 articles were included in the final data synthesis of which all were cross-sectional design and for 2 (18%) articles, the study population were medical doctors. The proportion of irrational antibiotic use ranged from 31.7% to 71.1% while the percentage of antibiotics prescribed per patient encounters which ranged from 26.8% among persons =15 years to 71.1% in children <5 years with a median of 44.7%. The commonest antibiotic used or prescribed were the penicillin group of antibiotics ranging from 25% to 71.2%, with a median of 29.9%. Factors influencing irrational antibiotic use include over the counter (OTC) supply of antibiotics, patients’ demand for antibiotics, access to National Health Insurance. Prescribers’ characteristics included longer years of practice, lack of specialization and age.
our findings highlight the need for physician re-training and patient education on rational antibiotic us. National legislation on antibiotic sales based on prescription should be enforced and surveillance of antibiotic prescription per patient encounter at health facilities should also be prioritized. This information was used in the development of the National Action Plan on AMR in the country.
Nigeria CDC/Nigeria Field Epidemiology and Laboratory Training Programme 2<sup>nd</sup> Annual Scientific Conference (Abuja)
To create a platform for epidemiologists and public health physicians to share their scientific works, NCDC/NFELTP organized the 2nd annual scientific conference with the theme "strengthening one health through field epidemiology training" at Transcorp Hilton Hotel, Abuja, Nigeria from July 5-7, 2017. The objectives of the conference were to provide residents and graduates a forum to share findings from their field activities; provide training opportunity for trainees on scientific communication; provide an opportunity for epidemiological networking as well as create a forum to discuss pertinent public health issues. In attendance were dignitaries from the United States Centers for Disease Control and Prevention (CDC), USAID, WHO, Africa CDC, Ministries Departments and Agencies, University officials and other implementing partners. With the current rise in zoonotic diseases, the conference also featured a two-day pre-conference workshop on One Health which prioritized zoonotic infectious diseases in Nigeria using standardized prioritization methods. A second workshop focused on antimicrobial resistance. There were 38 oral presentations, 60 poster presentations and 2 plenary sessions. The presentations covered various sub-themes ranging from outbreak investigations, case management, health system strengthening, vaccine preventable diseases, communicable diseases and surveillance. The conference featured a National Night and climaxed with awards to outstanding presenters.
Dates: 05 Jul 17 - 07 Jul 17
Venue: Transcorp Hilton Hotel
Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme
Contact person: Dr Patrick Nguku (firstname.lastname@example.org)