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Evaluation of the rate, pattern and appropriateness of antibiotic prescription in a cohort of pilgrims suffering from upper respiratory tract infection during the 2018 Hajj season.
Bokhary, Hamid; Research Team, Hajj; Barasheed, Osamah; Othman, Hala B; Saha, Burhanudin; Rashid, Harunor; Hill-Cawthorne, Grant A; Abd El Ghany, Moataz.
Afiliação
  • Bokhary H; School of Public Health, The University of Sydney, Sydney, NSW, Australia.
  • Research Team H; The Westmead Institute for Medical Research, Westmead, NSW, Australia.
  • Barasheed O; Sydney Institute for Infectious Diseases, The University of Sydney, Westmead, NSW, Australia.
  • Othman HB; University Medical Centre, Umm Al-Qura University, Makkah, Saudi Arabia.
  • Saha B; King Abdullah Medical City, Makkah, Saudi Arabia.
  • Rashid H; King Abdullah Medical City, Makkah, Saudi Arabia.
  • Hill-Cawthorne GA; King Abdullah Medical City, Makkah, Saudi Arabia.
  • Abd El Ghany M; Clinical Pathology Department, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Access Microbiol ; 4(4): 000338, 2022.
Article em En | MEDLINE | ID: mdl-35812707
Hajj is associated with an increased risk of the transmission of infectious diseases including upper respiratory tract infections (URTIs). It can be a focal point for the emergence, persistence and dissemination of antimicrobial-resistant (AMR) bacteria. The overuse of antibiotics during Hajj can promote the development of antimicrobial resistance. Little information is known regarding the true appropriateness of prescribing antibiotics for treating URTIs during Hajj. Here we studied the rate, patterns and appropriateness of antibiotic prescription among a cohort of pilgrims who were treated for URTIs during the 2018 Hajj season. Adult pilgrims who sought medical services for URTIs [presenting with coryza, runny nose, nasal irritation, nasal congestion, cough, sore throat, headache or fever (even if subjective)] within the Holy sites were enrolled in this study and consented to provide swabs and medical information. A total of 121 pilgrims were enrolled, with the majority (60.3 %) originating from North African Arab countries. Most were male (89.3 %) with a median age of 45 years. Bacterial infections were detected in 7.3 % (n=9) of the URTI cases. The identified bacteria included Haemophilus influenzae (n=6, all resistant to ampicillin), Streptococcus pneumoniae (n=2), Staphylococcus aureus (n=1, resistant to oxacillin) and Moraxella catarrhalis (n=1, resistant to ampicillin and trimethoprim/sulfamethoxazole). The antibiotic prescription rate was 52.1%, most of which was amoxicillin (81 %). The data demonstrated that the proportion of appropriate practices in treating bacterial URTIs in this cohort was 45.5 %. This study highlights the need for implementing laboratory identification of the aetiological agents and related AMR profiles when treating URTIs in Hajj, rather than relying on clinical assessment alone.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Access Microbiol Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Austrália País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Access Microbiol Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Austrália País de publicação: Reino Unido