Publications by authors named "Asiwome Aggor"

Increasing trends in antimicrobial resistance among uropathogens call for rational use of empirical antibiotics for managing uncomplicated urinary tract infections (UTIs). In Ghana, standard treatment guidelines (STGs) for UTI recommend oral ciprofloxacin or cefuroxime for 5-7 days in females and 10-14 days in males. We conducted a cross-sectional audit using electronic medical records (EMR) to assess compliance to the STGs among adults (≥18 years) with uncomplicated UTIs diagnosed in a primary health facility between October 2019 and October 2021.

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Article Synopsis
  • The first point prevalence survey at Korle Bu Teaching Hospital aimed to establish a baseline for antimicrobial use and identify necessary stewardship interventions.
  • During the survey, 988 patients were assessed, showing an overall antimicrobial prevalence of 53.3%, with community-acquired infections treated more frequently than healthcare-associated ones.
  • Key findings included that the most common reasons for antimicrobial prescribing were pneumonia, skin infections, and sepsis, with a notable focus on compliance and documentation in prescriptions, suggesting potential improvements in antimicrobial stewardship.
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The World Health Organisation (WHO) and others have identified, as a priority, the need to improve antimicrobial stewardship (AMS) interventions as part of the effort to tackle antimicrobial resistance (AMR). An international health partnership model, the Commonwealth Partnerships for Antimicrobial Stewardship (CwPAMS) programme, was established between selected countries in Africa (Ghana, Tanzania, Zambia and Uganda) and the UK to support AMS. This was funded by UK aid under the Fleming Fund and managed by the Commonwealth Pharmacists Association (CPA) and Tropical Health and Education Trust (THET).

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