Potential activities to improve primary care prescribing of antibiotics across Africa

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Chigome, A; Ramdas, N; Campbell, S; Gajdács, M; Sefah, IA; Hango, E; Massele, A; Godman, BB; Meyer, JC (2025) Potential activities to improve primary care prescribing of antibiotics across Africa. Frontiers in Tropical Diseases, 6. ISSN 2673-7515 https://doi.org/10.3389/fitd.2025.1634182
SGUL Authors: Godman, Brian Barr

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Official URL: https://doi.org/10.3389/fitd.2025.1634182

Abstract

Considerable concerns with AMR across Africa, enhanced by inappropriate prescribing of antibiotics in ambulatory care. This includes prescribing for self-limiting conditions and Watch antibiotics. Inappropriate prescribing is enhanced by concerns with ambulatory care prescribers’ knowledge of antibiotics including their perceived effectiveness for self-limiting conditions, AMR and ASPs. Appropriate education of prescribers, including surrounding the AWaRe system and guidance, which recommends the prescribing of antibiotics with less resistance potential, alongside introducing ASPs in ambulatory care, can help address concerns. This will increasingly include instigating agreed quality indicators, and their monitoring, surrounding the AWaRe system and guidance. Improved surveillance of local resistance patterns can help with appropriately updating antibiotics prescribing guidance, including revising AWaRe guidance based on local patterns. Additional financing is needed to attain national goals

Item Type:

Article

Additional Information:

© 2025 Chigome, Ramdas, Campbell, Gajdács, Sefah, Hango, Massele, Godman and Meyer. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

SGUL Research Institute / Research Centre:

Academic Structure > Infection and Immunity Research Institute (INII)

Journal or Publication Title:

Frontiers in Tropical Diseases

Article Number:

1634182

ISSN:

2673-7515

Publisher License:

Creative Commons: Attribution 4.0

Dates: