COST-EFFECTIVENESS ANALYSIS OF MICROSCOPY, CULTURE AND SENSITIVITY STUDY AS A DECISION TOOL IN CHOICE OF ANTIBIOTICS IN CLINICAL PRACTICE.

Authors

  • Shaibu Oricha Bello Department of Pharmacology, Usmanu Danfodiyo University, Sokoto
  • Simeon Isezuo Department of Medicine, Usmanu Danfodiyo University, Sokoto
  • A. Chika

Keywords:

Traditional MCS studies, Antibiotics, tertiary hospitals, Nigeria

Abstract

This study evaluated the clinical utility and cost effectiveness of traditional MCS studies as decision tools in choosing antibiotics to treat infections in two tertiary hospitals in Northern Nigeria by retrospective evaluation of MCS records over six consecutive months. Of the 942 MCS studies that included 385(40.9%), 296(31.4%), 144 (15.3%) 45 (4.8%) , 40 (4.3%), 26(3.1%) and 6(0.2%) urine, high vaginal swabs (HVS) , stool, sputum, pus, endocervical swabs (ECS) and urethral swabs specimens performed, respectively on 510(54%) males and 432 (46%) females, only 9 (0.6%) had results that offered demonstrable influence on patients’ treatment at a cost effectiveness ratio of 4260.6 International dollars per 1. The estimated cost of MCS studies to the Nigerian economy (public health care provider) was 39.8million International dollars per annum. Our findings suggest that the traditional algorithm for decision on choice of antibiotic is not cost-effective. We proposed that empirical treatment based on community profiling of bacterial sensitivity to antibiotics may be superior.

Author Biographies

Shaibu Oricha Bello, Department of Pharmacology, Usmanu Danfodiyo University, Sokoto

Senior Lecturer, Department of Pharmacology, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria

Simeon Isezuo, Department of Medicine, Usmanu Danfodiyo University, Sokoto

Senior Lecturer/Consultant, Department of Medicine, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria

Downloads

Published

2008-11-26

How to Cite

Bello, S. O., Isezuo, S., & Chika, A. (2008). COST-EFFECTIVENESS ANALYSIS OF MICROSCOPY, CULTURE AND SENSITIVITY STUDY AS A DECISION TOOL IN CHOICE OF ANTIBIOTICS IN CLINICAL PRACTICE. African Journal of Infectious Diseases (AJID), 2(2), 63–67. Retrieved from https://athmsi.org/journals/index.php/AJID/article/view/360

Issue

Vol. 2 No. 2 (2008)

Section

Articles

License

Copyright: Creative Commons Attribution CC BY This license lets others distribute, remix, tweak, and build upon your work, even commercially, as long as they credit you for the original creation. This is the most accommodating of licenses offered. Recommended for maximum dissemination and use of licensed materials. View License Deed | View Legal Code Authors can also self-archive their manuscripts immediately and enable public access from their institution's repository. This is the version that has been accepted for publication and which typically includes author-incorporated changes suggested during submission, peer review and in editor-author communications.