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Appropriateness of Antibiotic Prescription Among Children Under 5 Years: A Cross‐Sectional Study in a Ghanaian Regional Hospital

Year: 2025

Type: article

Abstract: ABSTRACT Background and Aim Misuse of medications, particularly antibiotics, severely impacts the standard of care and can result in antibiotic resistance. Antibiotic resistance is a growing problem in Ghana, compromising patient outcomes. This study aims to assess antibiotic prescription pattern and level of inappropriateness based on Standard Treatment Guideline (STG) recommendations in children under 5 years. Methods An analytical cross‐sectional study design was used to assess antibiotic prescription in children under 5 years attending the Wa Regional Hospital in Ghana. Medical records of pediatric outpatients from January to December 2022 were reviewed. Patients' sociodemographic characteristics, prescribed antibiotics, principal diagnosis, dose, and duration were extracted using a semi‐structured form. Prescriptions with clinical indication, dose, and duration which did not meet the requirements of the STG were coded as inappropriate. Data were analyzed and factors associated with inappropriate antibiotic prescription were determined using logistic regression. Results Children's mean age was 2.95 ± 1.20 years, with males comprising 54.5%. Most patients had NHIS coverage (90.6%). This study reports 62.7% (266/424) inappropriate antibiotic prescriptions in children under 5 years with infections. The most common classes of antibiotics wrongly prescribed were cephalosporin 54.3% (230/424), penicillin 21.7% (92/424), and aminoglycoside 12.5% (53/424). The class of principal diagnoses likely to have inappropriate antibiotic prescriptions included respiratory tract infections (aOR = 3.82; 95% CI = 2.13, 6.85; p < 0.0001) and urinary tract infections (aOR = 0.21; 95% CI = 0.11, 0.41; p < 0.0001). Conclusion Prevalence of inappropriate prescription of antibiotics was high among the study population, and this was strongly associated with respiratory and urinary tract infections. This study highlights the need to monitor antibiotic prescriptions in hospitals to ensure treatment effectiveness and combat antimicrobial resistance.

Source: Health Science Reports

DOI: 10.1002/hsr2.70761

Authors: Beatrice Obour, Glover Asiedu Appiah, Emmanuel Ayitey Tagoe, Harriet Affran Bonful

Institution: University of Ghana

Language: English

Topic: Antibiotic Use and Resistance

Subfield: Applied Microbiology and Biotechnology

Field: Immunology and Microbiology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,280