@article{10.11648/j.wjph.20220703.13,
  author = {Cecile Ingrid Djuikoue and Cedric Dylan Seugnou Nana and Ngaleu Ngouambe Audrey Pamela and Dorine Ngatcheu Ekeu and Grace Wanda and Celianthe Guegang Guegang and Wega Farid and Benjamin Longo-Mbenza and Tchokonte-Nana Venant and Dieudone Adiogo and Omer Njajou},
  title = {Prescribers’, Dispensers’ and Users’ Knowledge, Attitudes and Practices Relative to Antimicrobial Resistance in Douala, Cameroon},
  journal = {World Journal of Public Health},
  volume = {7},
  number = {3},
  pages = {111-118},
  doi = {10.11648/j.wjph.20220703.13},
  url = {https://doi.org/10.11648/j.wjph.20220703.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20220703.13},
  abstract = {Antimicrobial resistance (AMR) is one of the most serious threats to global health today. It is now expanding exponentially in all regions of the world. Every day, new resistance mechanisms are emerging and spreading globally, compromising our ability to treat the most common infectious diseases. Given the fact that on AMR is insufficient in Cameroun our country, this study aimed to identify some determinants of AMR. A descriptive cross-sectional study was conducted. Convenience non-probabilistic sampling was chosen. Participants enrolled were: prescribers, providers and users of antimicrobials in Douala III subdivisions from Cameroun. Recruitment was done using a questionnaire, while the laboratories were described via an observation grid. The Chi 2 test was done with a significance rate of 5% and a 95% confidence interval. 300 participants and 12 laboratories were identified, the female gender was the most represented with 59%, the age group the most represented was that of 26- years and nurses represent (56%) of the prescribers. The informal sector was overwhelmingly represented by pharmacy salespersons (55%), most of whom were antimicrobial dispensers (53%). The AMR problem was perceived by the vast majority of the population as a problem in practice, locally and nationally. The management of AM waste was mainly done in dustbins, returned to the source and incinerators depending on the target (users, dispensers). The only laboratory with a quality system had an adequate technical platform for diagnosis. Standardized protocols were not available in some, nor commonly used in the mostly private laboratories. Users resorted first to street vendors, then to pharmacies and finally to hospitals. Antibiotics were the most widely used, prescribed and dispensed antimicrobials. Some baseline characteristics significantly influence antimicrobial resistance. Efforts remain to be made in all sectors such as user awareness, regulation of antimicrobial prescribing and implementation of a national action plan.},
 year = {2022}
}

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TY  - JOUR
T1  - Prescribers’, Dispensers’ and Users’ Knowledge, Attitudes and Practices Relative to Antimicrobial Resistance in Douala, Cameroon
AU  - Cecile Ingrid Djuikoue
AU  - Cedric Dylan Seugnou Nana
AU  - Ngaleu Ngouambe Audrey Pamela
AU  - Dorine Ngatcheu Ekeu
AU  - Grace Wanda
AU  - Celianthe Guegang Guegang
AU  - Wega Farid
AU  - Benjamin Longo-Mbenza
AU  - Tchokonte-Nana Venant
AU  - Dieudone Adiogo
AU  - Omer Njajou
Y1  - 2022/09/05
PY  - 2022
N1  - https://doi.org/10.11648/j.wjph.20220703.13
DO  - 10.11648/j.wjph.20220703.13
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 111
EP  - 118
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20220703.13
AB  - Antimicrobial resistance (AMR) is one of the most serious threats to global health today. It is now expanding exponentially in all regions of the world. Every day, new resistance mechanisms are emerging and spreading globally, compromising our ability to treat the most common infectious diseases. Given the fact that on AMR is insufficient in Cameroun our country, this study aimed to identify some determinants of AMR. A descriptive cross-sectional study was conducted. Convenience non-probabilistic sampling was chosen. Participants enrolled were: prescribers, providers and users of antimicrobials in Douala III subdivisions from Cameroun. Recruitment was done using a questionnaire, while the laboratories were described via an observation grid. The Chi 2 test was done with a significance rate of 5% and a 95% confidence interval. 300 participants and 12 laboratories were identified, the female gender was the most represented with 59%, the age group the most represented was that of 26- years and nurses represent (56%) of the prescribers. The informal sector was overwhelmingly represented by pharmacy salespersons (55%), most of whom were antimicrobial dispensers (53%). The AMR problem was perceived by the vast majority of the population as a problem in practice, locally and nationally. The management of AM waste was mainly done in dustbins, returned to the source and incinerators depending on the target (users, dispensers). The only laboratory with a quality system had an adequate technical platform for diagnosis. Standardized protocols were not available in some, nor commonly used in the mostly private laboratories. Users resorted first to street vendors, then to pharmacies and finally to hospitals. Antibiotics were the most widely used, prescribed and dispensed antimicrobials. Some baseline characteristics significantly influence antimicrobial resistance. Efforts remain to be made in all sectors such as user awareness, regulation of antimicrobial prescribing and implementation of a national action plan.
VL  - 7
IS  - 3
ER  - 

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