Antibiotic Prescribing in Connection to Childbirth: An Observational Study in Two Districts in Lao PDR

Overuse and misuse of antibiotics has frequently been reported for obstetric conditions and procedures, which may impact both the mother and the unborn baby and increase antibiotic resistance. This study aimed to investigate the antibiotic prescribing pattern in connection to childbirth in two distr...

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Main Authors: Weirong Yan (Author), Anna Machowska (Author), Amphoy Sihavong (Author), Vanphanom Sychareun (Author), Kongmany Chaleunvong (Author), Bounxou Keohavong (Author), Jaran Eriksen (Author), Claudia Hanson (Author), Manivanh Vongsouvath (Author), Annelie Brauner (Author), Mayfong Mayxay (Author), Sengchanh Kounnavong (Author), Cecilia Stålsby Lundborg (Author)
Format: Book
Published: MDPI AG, 2022-03-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Weirong Yan  |e author 
700 1 0 |a Anna Machowska  |e author 
700 1 0 |a Amphoy Sihavong  |e author 
700 1 0 |a Vanphanom Sychareun  |e author 
700 1 0 |a Kongmany Chaleunvong  |e author 
700 1 0 |a Bounxou Keohavong  |e author 
700 1 0 |a Jaran Eriksen  |e author 
700 1 0 |a Claudia Hanson  |e author 
700 1 0 |a Manivanh Vongsouvath  |e author 
700 1 0 |a Annelie Brauner  |e author 
700 1 0 |a Mayfong Mayxay  |e author 
700 1 0 |a Sengchanh Kounnavong  |e author 
700 1 0 |a Cecilia Stålsby Lundborg  |e author 
245 0 0 |a Antibiotic Prescribing in Connection to Childbirth: An Observational Study in Two Districts in Lao PDR 
260 |b MDPI AG,   |c 2022-03-01T00:00:00Z. 
500 |a 10.3390/antibiotics11040448 
500 |a 2079-6382 
520 |a Overuse and misuse of antibiotics has frequently been reported for obstetric conditions and procedures, which may impact both the mother and the unborn baby and increase antibiotic resistance. This study aimed to investigate the antibiotic prescribing pattern in connection to childbirth in two districts in Lao PDR. It is a cross-sectional observational study. Antibiotic prescription data related to childbirth was collected via reviews of medical records in two district hospitals and five health centers in Lao PDR from September 2019 to November 2020. In total, antibiotic prescription data for 1777 women were extracted from their medical records. It was found that all women received antibiotics during in-patient care irrespective of delivery mode. When in hospital, 85.5% of the women who underwent a caesarean section got antibiotic treatment for 5 days and women who had a vaginal delivery usually had antibiotic treatment for one day or less. All the women got oral antibiotics for an additional 4-5 days upon discharge. Antibiotic prescription rate in connection to childbirth was very high in comparison with the WHO guidelines, and antibiotics were used extensively in the participating health facilities. Interventions to guide appropriate prescribing behavior in relation to childbirth are urgently needed in Lao PDR. 
546 |a EN 
690 |a antibiotic 
690 |a prescription 
690 |a childbirth 
690 |a Lao PDR 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Antibiotics, Vol 11, Iss 4, p 448 (2022) 
787 0 |n https://www.mdpi.com/2079-6382/11/4/448 
787 0 |n https://doaj.org/toc/2079-6382 
856 4 1 |u https://doaj.org/article/bdede7b75b384e4fb2839373f4e7abaa  |z Connect to this object online.