Study of prescription of antibiotics in Mali Hospital

Abstract

Objective: The purpose of this study was to evaluate the antibiotic prescription in a Malian university hospital. Methods: This cross-sectional study from 1st January 2004 to 30 June 2004 on the orders of the Bamako Initiative (BI) prescribed in Gabriel Touré Hospital in Bamako. Was included all IB prescriptions with a prescription antibiotic. Results Of all 12861 prescriptions recorded in the pharmacy department of the Gabriel Touré Hospital between January 1st , 2004 and June 30, 2004; 6000 prescriptions were included in our study. The vast majority of orders came from the pediatric ward (39.8%). Twenty-six molecules antibiotics were prescribed. (the most important were in descending order, amoxicillin (30.5%), gentamicin (26.8%) and ceftriaxone (13.1%). Average association was 2 antibiotics. Oral administration was most prescribed (62.9%). generic drugs were the most commonly prescribed (92.7%). Average cost of antibiotics prescribed was 2900 FCFA .Fcfa. sales of antibiotic units have moderately increased by 12.9% (2.2% on a monthly average) and sales value increased 19.8% (3.3% on a monthly average ). Conclusion: The prescription of antibiotics has reached high levels in Malian hospital. We recommend measures to optimize antibiotic therapy at the hospital.