Meremikwu, Martin; Okomo, Uduak; Nwachukwu, Chukwuemeka; Oyo-Ita, Angela; Eke-Njoku, John; Okebe, Joseph; Oyo-Ita, Esu and Garner, Paul (2007) Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study. Malaria Journal, 6 . Article Number: 55. ISSN 1475-2875
Available under License Creative Commons Attribution.
Cited 12 times in WoS
--Background - Nigeria's national standard has recently moved to artemisinin combination treatments for malaria. As clinicians in the private sector are responsible for attending a large proportion of the population ill with malaria, this study compared prescribing in the private and public sector in one State in Nigeria prior to promoting ACTs. --Objective - To assess prescribing for uncomplicated malaria in government and private health facilities in Cross River State. --Method - Audit of 665 patient records at six private and seven government health facilities in 2003. --Results - Clinicians in the private sector were less likely to record history or physical examination than those in public facilities, but otherwise practice and prescribing were similar. Overall, 45% of patients had a diagnostic blood slides; 77% were prescribed monotherapy, either chloroquine (30.2%), sulphadoxine-pyrimethamine (22.7%) or artemisinin derivatives alone (15.8%). Some 20.8% were prescribed combination therapy; the commonest was chloroquine with sulphadoxine-pyrimethamine. A few patients (3.5%) were prescribed sulphadoxine-pyrimethamine-mefloquine in the private sector, and only 3.0% patients were prescribed artemisinin combination treatments. --Conclusion - Malaria treatments were varied, but there were not large differences between the public and private sector. Very few are following current WHO guidelines. Monotherapy with artemisinin derivatives is relatively common.
|Additional Information:||Published: 4 May 2007. 4 pages (page numbers not for citation purposes).|
|Uncontrolled Keywords:||MALARIA; NIGERIA; AUDIT; TREATMENT; PRESCRIBING PRACTICE|
|Subjects:||R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine|
|Departments, Research Centres and Related Units:||Academic Faculties, Institutes and Research Centres > Liverpool School of Tropical Medicine|
|Publisher's Statement:||© 2007 Meremikwu et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. For further information please click on link at related URL Field.|
|Deposited On:||31 Oct 2007 12:06|
|Last Modified:||20 May 2011 17:26|
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