@article{fdi:010092083,
  title = {{A}ntibiotic prescribing practices according to the {AW}a{R}e classification among children under 5 of age attending public primary care centres in four {W}est {A}frican countries : a cross-sectional study ({AIRE} project, 2021-2022)},
  author = {{G}res, {E}. and {D}iallo, {I}. {S}. and {B}esnier, {C}. and {D}iakit{\'e}, {A}. {A}. and {Z}air, {Z}. and {Y}ugbar{\'e}, {S}. {O}. and {H}edible, {G}. {B}. and {S}awadogo, {A}. {G}. and {K}argougou, {D}. and {K}oli{\'e}, {J}. {S}. and {M}eda, {B}. and {B}usi{\`e}re, {S}. and {L}amontagne, {F}. and {R}idde, {V}al{\'e}ry and {L}eroy, {V}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective {T}o describe antibiotic prescribing practices using the {WHO} {AW}a{R}e ({A}ccess, {W}atch, {R}eserve) classification in {W}est {A}frican children under 5 years of age attending public primary health centres ({PHC}s). {D}esign {C}ross-sectional study. {S}etting {T}he {AIRE} project implemented the systematic use of pulse oximetry into integrated management of childhood illness consultations in {W}est {A}frican countries ({B}urkina {F}aso, {G}uinea, {M}ali and {N}iger). {W}e described antibiotic prescriptions for outpatient children at 16 {PHC}s and for severe cases referred at district hospitals.{P}atients {B}etween 14 {J}une 2021 and 19 {J}une 2022, 15 854 outpatients were included: 968 neonates and young infants (0-28 days) and 14 886 children (2-59 months). {A}mong them, 78 (8.1%) neonates and young infants and 385 (2.6%) children were hospitalised. {W}e evaluated 58 hospitalised neonates and young infants and 275 hospitalised children, respectively.{M}ain outcome measures {F}requency of antibiotic prescriptions according to the {AW}a{R}e classification recommended by {WHO}. {R}esults {A}t the {PHC} level, proportions of neonates and young infants with >= 1 antibiotic prescription were 83%, 62%, 71% and 59% in {B}urkina {F}aso, {G}uinea, {M}ali and {N}iger, respectively. {A} total of 805 antibiotics were prescribed (85% {A}ccess and 13% {W}atch). {T}he proportions of children with >= 1 antibiotic prescription reached 71%, 66%, 63% and 36% in {B}urkina {F}aso, {G}uinea, {M}ali and {N}iger, respectively. {O}ut of the 9630 antibiotics prescribed, 93% were {A}ccess (mainly amoxicillin), and 7% {W}atch. {A}t the hospital level, {W}atch antibiotics were mainly prescribed for severe cases referred. {N}o {R}eserve antibiotics were prescribed. {C}onclusions {H}igh proportions of antibiotics were prescribed to outpatient children included, the appropriateness of which needs further study. {N}evertheless, in every country, the proportion prescribed in the {A}ccess group reached the minimum threshold of 60% of all antibiotic prescriptions, as recommended by {WHO}.{T}rial registration number {PACTR}202206525204526.},
  keywords = {child health ; epidemiology ; low and middle income countries ; therapeutics ; {AFRIQUE} {DE} {L}'{OUEST} ; {BURKINA} {FASO} ; {GUINEE} ; {MALI} ; {NIGER}},
  booktitle = {},
  journal = {{BMJ} {P}aediatrics {O}pen},
  volume = {8},
  numero = {1},
  pages = {e002833 [13 p.]},
  year = {2024},
  DOI = {10.1136/bmjpo-2024-002833},
  URL = {https://www.documentation.ird.fr/hor/fdi:010092083},
}