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dc.contributor.authorEmgård, Matilda
dc.contributor.authorMwangi, Rose
dc.contributor.authorMayo, Celina
dc.contributor.authorMshana, Ester
dc.contributor.authorNkini, Gertrud
dc.contributor.authorAndersson, Rune
dc.contributor.authorMsuya, Sia E
dc.contributor.authorLepp, Margret
dc.contributor.authorMuro, Florida
dc.contributor.authorSkovbjerg, Susann
dc.date.accessioned2021-07-13T06:03:33Z
dc.date.available2021-07-13T06:03:33Z
dc.date.issued2021
dc.identifier.issn2047-2994
dc.identifier.doi10.1186/s13756-021-00952-5
dc.identifier.urihttp://hdl.handle.net/10072/405908
dc.description.abstractBACKGROUND: Antibiotic resistance is a threat to global child health. Primary healthcare workers play a key role in antibiotic stewardship in the community, but few studies in low-income countries have described their experiences of initiating antibiotic treatment in children. Thus, the present study aimed to describe primary healthcare workers' experiences of antibiotic prescription for children under 5 years of age and their conceptions of antibiotic resistance in Northern Tanzania. METHODS: A qualitative study involving individual in-depth interviews with 20 prescribing primary healthcare workers in Moshi urban and rural districts, Northern Tanzania, was performed in 2019. Interviews were transcribed verbatim, translated from Kiswahili into English and analysed according to the phenomenographic approach. FINDINGS: Four conceptual themes emerged during the analysis; conceptions in relation to the prescriber, the mother and child, other healthcare actors and in relation to outcome. The healthcare workers relied mainly on clinical examination and medical history provided by the mother to determine the need for antibiotics. Confidence in giving advice concerning non-antibiotic treatment varied among the participants and expectations of antibiotic treatment were perceived to be common among the mothers. Antibiotic resistance was mainly perceived as a problem for the individual patient who was misusing the antibiotics. CONCLUSIONS: To increase rational antibiotic prescription, an awareness needs to be raised among Tanzanian primary healthcare workers of the threat of antibiotic resistance, not only to a few individuals, but to public health. Guidelines on childhood illnesses should be updated with advice concerning symptomatic treatment when antibiotics are not necessary, to support rational prescribing practices and promote trust in the clinician and mother relationship.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofpagefrom94
dc.relation.ispartofissue1
dc.relation.ispartofjournalAntimicrobial Resistance & Infection Control
dc.relation.ispartofvolume10
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchReproductive medicine
dc.subject.fieldofresearchMicrobiology
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchMedical microbiology
dc.subject.fieldofresearchPharmacology and pharmaceutical sciences
dc.subject.fieldofresearchcode3213
dc.subject.fieldofresearchcode3215
dc.subject.fieldofresearchcode3107
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode3207
dc.subject.fieldofresearchcode3214
dc.subject.keywordsAntimicrobial stewardship
dc.subject.keywordsBacterial
dc.subject.keywordsDrug prescribing
dc.subject.keywordsDrug resistance
dc.subject.keywordsPhenomenography
dc.titleTanzanian primary healthcare workers' experiences of antibiotic prescription and understanding of antibiotic resistance in common childhood infections: a qualitative phenomenographic study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationEmgård, M; Mwangi, R; Mayo, C; Mshana, E; Nkini, G; Andersson, R; Msuya, SE; Lepp, M; Muro, F; Skovbjerg, S, Tanzanian primary healthcare workers' experiences of antibiotic prescription and understanding of antibiotic resistance in common childhood infections: a qualitative phenomenographic study, Antimicrobial Resistance & Infection Control, 2021, 10 (1), pp. 94
dcterms.dateAccepted2021-05-17
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2021-07-12T04:20:25Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
gro.hasfulltextFull Text
gro.griffith.authorLepp, Margret


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