A cross-sectional survey of practices and knowledge among antibiotic retailers in Nairobi, Kenya

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cg.authorship.typesCGIAR and advanced research instituteen_US
cg.contributor.affiliationInternational Livestock Research Instituteen_US
cg.contributor.affiliationUniversity of Edinburghen_US
cg.contributor.affiliationUniversity of Liverpoolen_US
cg.contributor.affiliationUniversity of Oxforden_US
cg.contributor.crpAgriculture for Nutrition and Healthen_US
cg.contributor.donorMedical Research Council, United Kingdomen_US
cg.contributor.donorBiotechnology and Biological Sciences Research Council, United Kingdomen_US
cg.contributor.donorEconomic and Social Research Council, United Kingdomen_US
cg.contributor.donorNatural Environment Research Council, United Kingdomen_US
cg.contributor.donorDarwin Trust of Edinburghen_US
cg.contributor.donorWellcome Trusten_US
cg.contributor.donorJoint Programming Initiative on Antimicrobial Resistanceen_US
cg.contributor.donorEuropean Unionen_US
cg.coverage.countryKenyaen_US
cg.coverage.iso3166-alpha2KEen_US
cg.coverage.regionAfricaen_US
cg.coverage.regionEastern Africaen_US
cg.creator.identifierEric M. Fèvre: 0000-0001-8931-4986en_US
cg.creator.identifierDishon Muloi: 0000-0002-6236-2280en_US
cg.creator.identifierJudy Bettridge: 0000-0002-3917-4660en_US
cg.creator.identifierJames Hassell: 0000-0002-4710-2827en_US
cg.creator.identifierPatrick Muinde: 0000-0003-3907-7710en_US
cg.howPublishedFormally Publisheden_US
cg.identifier.doihttps://doi.org/10.7189/jogh.09.020412en_US
cg.isijournalISI Journalen_US
cg.issn2047-2978en_US
cg.issue2en_US
cg.journalJournal of Global Healthen_US
cg.reviewStatusPeer Reviewen_US
cg.subject.ilriANIMAL HEALTHen_US
cg.subject.ilriHEALTHen_US
cg.subject.ilriAMRen_US
cg.volume9en_US
dc.contributor.authorMuloi, Dishon M.en_US
dc.contributor.authorFèvre, Eric M.en_US
dc.contributor.authorBettridge, Judy M.en_US
dc.contributor.authorRono, Roberten_US
dc.contributor.authorOng’are, Danielen_US
dc.contributor.authorHassell, James M.en_US
dc.contributor.authorKarani, Maurice K.en_US
dc.contributor.authorMuinde, Patricken_US
dc.contributor.authorBunnik, B. vanen_US
dc.contributor.authorStreet, A.en_US
dc.contributor.authorChase-Topping, M.en_US
dc.contributor.authorPedersen, A.B.en_US
dc.contributor.authorWard, M.J.en_US
dc.contributor.authorWoolhouse, Mark E.J.en_US
dc.date.accessioned2019-08-29T08:41:33Zen_US
dc.date.available2019-08-29T08:41:33Zen_US
dc.identifier.urihttps://hdl.handle.net/10568/103442en_US
dc.titleA cross-sectional survey of practices and knowledge among antibiotic retailers in Nairobi, Kenyaen_US
dcterms.abstractBackground Antimicrobial resistance (AMR) driven by antibiotic consumption is a growing global health threat. However, data on antimicrobial consumption patterns in low- and middle-income countries (LMICs) is sparse. Here, we investigate the patterns of antibiotic sales in humans and livestock in urban Nairobi, Kenya, and evaluate the level of awareness and common behaviours related to antibiotic use and AMR amongst human and veterinary pharmacists. Methods A total of 40 human and 19 veterinary drug store pharmacists were interviewed in Nairobi in 2018 using a standard questionnaire. Data recorded included demographic variables, types of antibiotics sold, antibiotic customers, antibiotic prescribing practices and knowledge of antibiotic use and AMR. Results Our study shows that at the retail level, there is a considerable overlap between antibiotic classes (10/15) sold for use in both human and veterinary medicine. Whilst in our study, clinical training significantly influenced knowledge on issues related to antibiotic use and AMR and respondents had a relatively adequate level of knowledge about AMR, several inappropriate prescribing practices were identified. For example, we found that most veterinary and human drug stores (100% and 52% respectively) sold antibiotics without a prescription and noted that customer preference was an important factor when prescribing antibiotics in half of the drug stores. Conclusion Although more research is needed to understand the drivers of antibiotic consumption in both human and animal populations, these findings highlight the need for immediate strategies to improve prescribing practices across the pharmacists in Nairobi and by extension other low- and middle-income country settings.en_US
dcterms.accessRightsOpen Accessen_US
dcterms.audienceScientistsen_US
dcterms.bibliographicCitationMuloi, D., Fèvre, E.M., Bettridge, J., Rono, R., Ong’are, D., Hassell, J.M., Karani, M.K., Muinde, P., Bunnik, B. van, Street, A., Chase-Topping, M., Pedersen, A.B., Ward, M.J. and Woolhouse, M.E.J. 2019. A cross-sectional survey of practices and knowledge among antibiotic retailers in Nairobi, Kenya. Journal of Global Health 9(2): 020412.en_US
dcterms.issued2019-12en_US
dcterms.languageenen_US
dcterms.licenseCC-BY-4.0en_US
dcterms.publisherInternational Society of Global Healthen_US
dcterms.subjecthealthen_US
dcterms.subjectanimal healthen_US
dcterms.subjectantibioticsen_US
dcterms.subjectantimicrobial resistanceen_US
dcterms.typeJournal Articleen_US

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