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October 5, 2025Medical Journal of Zambia

Pattern and Quality of Antimicrobial Prescribing in a Nigerian Tertiary Hospital: Report of a Longitudinal Surveillance Cautioning on Increasing Threats to Antimicrobial Resistance

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Authors

AFAbayomi FadeyiOAO E AyodeleSAS.A. Aderibigbe

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Overview

Longitudinal surveillance shows high antimicrobial use in hospitalized patients, indicating rising resistance risks.

Key Points

  • High antimicrobial prevalence of 79.8% in hospitalized patients was recorded over five years, signaling potential resistance concerns.
  • The most common route of administration for antimicrobials was intravenous at 75.9%, highlighting prescribing trends across different patient populations.
  • Polypharmacy, with multiple antibiotics prescribed for single diagnoses, affected 57.1% of patients, raising quality of care concerns.
  • Inadequate documentation of prescription indications and lack of guidelines emphasized the need for systemic interventions in antimicrobial management.

Cite This Study

Fadeyi et al. (2024) studied this question.

synapsesocial.com/papers/68e22da774308421369af183https://doi.org/10.55320/mjz.51.4.566
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Assessment of antibiotic prescribing quality through repeated point prevalence surveys in a Malaysian teaching hospital2025
  2. 2Doctors’ knowledge, attitudes and prescription practices on antibiotic use: a study in a suburban tertiary hospital in Nigeria2025 · 1 citations
  3. 3Patterns of inpatient antibiotic use and antimicrobial resistance in the surgical wards of a Ugandan tertiary hospital: A mixed methods study2026
  4. 4Descriptive cross-sectional study to evaluate antibiotic prescriptions in outpatients using prescribing indicators and access, watch, reserve framework of the World Health Organisation in a teaching hospital2025
  5. 5Improvements in Prescribing Indicators and Antibiotic Utilization Patterns Following Antimicrobial Stewardship Intervention at a District Hospital in Ghana2025