WFRF:(Emgård Matilda)
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- Emgård, Matilda,1984Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine (author)
Tanzanian primary healthcare workers’ experiences of antibiotic prescription and understanding of antibiotic resistance in common childhood infections: a qualitative phenomenographic study
- Article/chapterEnglish2021
Publisher, publication year, extent ...
- 2021-06-27
- Springer Science and Business Media LLC,2021
Numbers
- LIBRIS-ID:oai:gup.ub.gu.se/306488
- https://gup.ub.gu.se/publication/306488URI
- https://doi.org/10.1186/s13756-021-00952-5DOI
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- Language:English
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- Background: Antibiotic resistance is a threat to global child health. Primary healthcare workers play a key role in antibiotic stewardship in the community, but few studies in low-income countries have described their experiences of initiating antibiotic treatment in children. Thus, the present study aimed to describe primary healthcare workers’ experiences of antibiotic prescription for children under 5 years of age and their conceptions of antibiotic resistance in Northern Tanzania. Methods: A qualitative study involving individual in-depth interviews with 20 prescribing primary healthcare workers in Moshi urban and rural districts, Northern Tanzania, was performed in 2019. Interviews were transcribed verbatim, translated from Kiswahili into English and analysed according to the phenomenographic approach. Findings: Four conceptual themes emerged during the analysis; conceptions in relation to the prescriber, the mother and child, other healthcare actors and in relation to outcome. The healthcare workers relied mainly on clinical examination and medical history provided by the mother to determine the need for antibiotics. Confidence in giving advice concerning non-antibiotic treatment varied among the participants and expectations of antibiotic treatment were perceived to be common among the mothers. Antibiotic resistance was mainly perceived as a problem for the individual patient who was misusing the antibiotics. Conclusions: To increase rational antibiotic prescription, an awareness needs to be raised among Tanzanian primary healthcare workers of the threat of antibiotic resistance, not only to a few individuals, but to public health. Guidelines on childhood illnesses should be updated with advice concerning symptomatic treatment when antibiotics are not necessary, to support rational prescribing practices and promote trust in the clinician and mother relationship. © 2021, The Author(s).
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Infektionsmedicin hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Infectious Medicine hsv//eng
- Antimicrobial stewardship
- Bacterial
- Drug prescribing
- Drug resistance
- Phenomenography
- antibiotic agent
- adult
- aged
- antibiotic resistance
- Article
- awareness
- childhood disease
- childhood infection
- clinical examination
- clinical outcome
- English (language)
- female
- health care personnel
- health personnel attitude
- human
- infection
- interview
- male
- maternal child health care
- medical history
- practice guideline
- prescription
- qualitative research
- rural area
- Swahili (language)
- Tanzania
- Tanzanian
- urban area
Added entries (persons, corporate bodies, meetings, titles ...)
- Mwangi, R. (author)
- Mayo, C. (author)
- Mshana, E. (author)
- Nkini, G. (author)
- Andersson, Rune,1951Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine(Swepub:gu)xandru (author)
- Msuya, S. E. (author)
- Lepp, Margret,1954Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xlepma (author)
- Muro, F. (author)
- Skovbjerg, Susann,1973Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine(Swepub:gu)xjsusm (author)
- Göteborgs universitetInstitutionen för biomedicin, avdelningen för infektionssjukdomar (creator_code:org_t)
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- In:Antimicrobial Resistance and Infection Control: Springer Science and Business Media LLC10:12047-2994
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