Antibiotics Prescriptions in the Otolaryngology Department of the Departmental and Teaching Hospital of Borgou-Alibori in 2020
Cossi Angelo Attinsounon *
Infectious Diseases and Tropical Medicine Unit, University of Parakou, Benin, Faculty of Medicine, University of Parakou, Benin and Departmental and Teaching Hospital of Borgou-Alibori, Parakou, Benin.
Elmida Kouton
Faculty of Medicine, University of Parakou, Benin.
Carine Yehouenou
Mycobacteriology Reference Laboratory (LRM), National Teaching Hospital for Pneumophtisiology, Cotonou, Benin.
Bruno Ametonou
Otorhinolaryngology (ENT) Unit, University of Parakou, Benin and Departmental and Teaching Hospital of Borgou-Alibori, Parakou, Benin.
Fatiou Bouraïma
Faculty of Medicine, University of Parakou, Benin, Otorhinolaryngology (ENT) Unit, University of Parakou, Benin and Departmental and Teaching Hospital of Borgou-Alibori, Parakou, Benin.
Marius Flatin
Faculty of Medicine, University of Parakou, Benin, Otorhinolaryngology (ENT) Unit, University of Parakou, Benin and Departmental and Teaching Hospital of Borgou-Alibori, Parakou, Benin.
*Author to whom correspondence should be addressed.
Abstract
Aims: The aim of this study was to assess the quality of antibiotic prescriptions in the ENT department of the Departmental and Teaching Hospital of Borgou-Alibori (DTH-BA).
Study design: This was a prospective descriptive study.
Place and Duration of Study: Departmental and Teaching Hospital of Borgou-Alibori (DTH-BA), from June 15 to September 15, 2020.
Methodology: All patients admitted to the department during the study period who had received a on for an antibiotic and had given informed consent were recruited exhaustively. A team of experts consisting of an infectious diseases physician and an ENT physician was responsible for analyzing and assessing the quality of antibiotic prescriptions.
Results: Of the 455 consultations recorded over the period, 141 patients were included, 132 of them treated on an outpatient basis and nine hospitalized. The most frequently diagnosed conditions were acute otitis media (AOM) in 36 patients (25%), chronic otitis media (COM) in 24 patients (16.7%) and sinusitis in 14 patients (9.7%). The most commonly prescribed antibiotics were penicillins (84 patients or 59.6%), followed by macrolides (30 patients or 21.3%) and cephalosporins (21 patients or 14.9%). Antibiotic therapy was justified in 54.6% of cases, and dosage and duration were correct in 73.9% and 37.7% respectively.
Conclusion: This study suggests that ENT doctors should be given more training in the basics and procedures for the proper use of antibiotics.
Keywords: Otorhinolaryngology, antibiotics, prescription, hospital, Benin