Authors :
Adamu Babayo; Muktar Ahmad Gadanya; Dr. Rayyan Garba; Kyamru James Iliya; Ahmadu Bello
Volume/Issue :
Volume 11 - 2026, Issue 1 - January
Google Scholar :
https://tinyurl.com/yztmyd3h
Scribd :
https://tinyurl.com/37jpsve5
DOI :
https://doi.org/10.38124/ijisrt/26jan161
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background:
Antibiotics are bacteriostatic or bactericidal agents that are most widely prescribe in the hospitals globally. This study
is aimed at assessing patterns of antibiotic prescriptions practices among the geriatric patients in Bauchi State, Nigeria. The
study employed a mixed methods research design. The respondents comprised 370 males and females' geriatric patients,
aged 60-89 years, accessing medical care at the Out-patient, In-patient, and other relevant departments, of selected
secondary and tertiary hospitals in the State; who were sampled using a multi-stage sampling procedure with appropriate
techniques.
Result:
There mean age was 74.0 ± 7.0 and 50.5% were females. Respondents' demographics and antibiotics prescription
pattern were collected using focused group discussion and questionnaire developed through the literature review. Pearson
chi-square test was utilized to investigate associations between outcome variables with p< 0.05 considered statistically
significant at 95% confidence level. There was a low level of antibiotics (15.9%) and among the respondents and protocols
for prescription of antibiotics were followed. Ciprofloxacin 48(96%), males 23(46%), females 25(50%) was the most
commonly prescribed antibiotics. There was no statistically significant association between gender and antibiotic
prescription pattern (X
2
cal =1.604 < X
2
0.05(3) =7.815, p-value= 0.658), among the respondents. Lack of clear communication
by healthcare workers, males 100(27.0%), females 100(27.0%); lack of support system for patients, males 98(26.5%), females
104(28.1%); antibiotics resistance, and over prescription, males 98(26.5%), females 99(26,8%), were the major specific
prescriber-related factors that could influence the antibiotic prescribing in general practice among the respondents.
Conclusion:
The study generally showed that there was no gender disparity in antibiotics prescription pattern, adherence, and
misuse among the respondents; hence interventions to improve antibiotics adherence or address its misuse should focus on
the overall geriatric patients need rather than targeting specific gender.
Keywords :
Antibiotic, Prescription, Practice, Pattern, Geriatric Patients.
References :
- Agyepong, N., Fordjour, F., Osei-Boakye, F., Danquah, M., Apenteng, J. A., & Mensah, S. S. G. (2025). Assessment of antibiotic abuse among patients visiting out-patient department in a teaching hospital in Ghana. African Journal of Microbiology Research. 19(5): 93-101.
- Al Masud, A., Walpola, R. L., Sarker, M., Kabir, A., Asaduzzaman, A., Islam, M. S., Mostafa, A. T., Akhtar, Z., & Seale, H. (2025). Assessing community antibiotic usage and adherence as per standard treatment guidelines: A potential area to enhance awareness at community pharmacy settings Exploratory Research in Clinical and Social Pharmacy. 17, 1-9. 100552
- Altaye, F, W., Thupayagale-Tshweneagae, G., & Mfidi, F. H. (2024). Qualitative enquiry on factors affecting antibiotic prescribing at primary healthcare facilities in Addis Ababa, Ethiopia. Frontiers in Medicine. 11:1308699. doi: 10.3389/fmed.2024.1308699
- Agoba, E. E, Adu, F., Agyare, C., Boamah, V. E, & Boakye, Y. D. (2017). Antibiotic resistance patterns of bacterial isolates from hatcheries and selected fish farms in the Ashanti region of Ghana. Journal of Microbiology and Antimicrobials 9:35-46.
- Agyepong N, Fordjour F, & Owusu-Ofori A (2023). Multidrug-resistant Acinetobacter baumannii in healthcare settings in Africa. Frontiers in Tropical Diseases 4:1110125.
- Charani, E.; Mendelson, M.; Pallett, S.J.C.; Ahmad, R.; Mpundu, M.; Mbamalu, O.; Bonaconsa, C.; Nampoothiri, V.; Singh, S.; &Peiffer-Smadja, N. (2023). An analysis of existing national action plans for antimicrobial resistance-gaps and opportunities in strategies optimising antibiotic use in human populations. Lancet Global Health, 11, e466–e474. [CrossRef] [PubMed].
- Donkor, G.Y., Dontoh, E., & Owusu-Ofori, A. (2019). A cross-sectional study on the prevalence of antibiotic use prior to laboratory tests at two Ghanaian hospitals. PloS one 14: e0210716.
- Ehsan, H (2025). Antibiotic Resistance in Developing Countries: Emerging Threats and Policy Responses. Public Health Challenges 4: e70034.
- Eggermont, D., Smit, M. A. M., Kwestroo, G. A., Verheij, R. A., Hek, K., & Kunst., A, E. (2018). The influence of gender concordance between general practitioner and patient on antibiotic prescribing for sore throat symptoms: a retrospective study. BMC Family Practice. 19:175
- Ekwoaba, D. I. (2021). Socio-Demographics of Patients and Antibiotic Prescription Pattern in a Community Health Facility in Lagos. UJMR, Volume 6 Number 1,, pp 201 - 207 ISSN: 2616 - 06 https://doi.org/10.47430/ujmr.2161.027
- Fishbein, S. R. S, Mahmud, B, & Dantas, G. (2023). Antibiotic perturbations to the gut microbiome. Nat Rev Microbiol;21(12):772–88.
- Gemson, G. S. &Kyamru, J. I. (2013) Theory and Practice of Research Methods in for the Health and Social Sciences. Jalingo: Livingstone Publishers.
- Health Ministry Health Workforce Profile (2024). Bauchi State Government of Nigeria, Ministry of Health Bauchi
- Hicks, L, A., Bartoces, M. G., Roberts, R. M., Suda, K. J., Hunkler, R. J., Taylor, T. H. & Schrag, S. J. (2025). US Outpatient Antibiotic Prescribing Variation According to Geography, Patient Population, and Provider Specialty in 2011, Clinical Infectious Diseases, 60 (9), 1308–1316. https://doi.org/10.1093/cid/civ076
- Nicholas, A., Francis, F.,, Felix, O.,, Mark, D., John, Antwi, A., & Mensah, S. S. G., (2025).
- Assessment of antibiotic abuse among patients visiting out-patient department in a Teaching Hospital in Ghana. African Journal of Microbiology Research, Vol. 19(5), pp. 93-101, DOI: 10.5897/AJMR2025.9800.
- Ogbonna, B., Ovwighose, S, Okpalanma, N., Mmaduekwe, H., Okeke, A., Anetoh, M., Adenola, U., Umeh, I., Ejieh, L., & Nduka, J. (2022). Pattern of antibiotics prescription in a tertiary hospital in delta state, Nigeria. Afrimedic Journal; 8(1): 1-11.
- Tadesse, Y. B., Kassaw, A. T, & Belachew, E. A. (2023). Evaluating selfmedication practices in Ethiopia. Journal of Pharmaceutical Policy and Practice 16:47
- Takedani Y, Nakamura T, Fukiwake N, Imada T, Mashino J, & Morimoto T. (2021). Clinical characteristics and factors related to antibiotic-associated diarrhea in elderly patients with pneumonia: a retrospective cohort study. BMC Geriatr 2021;21(1): 317.
- Zhou, X. (2023). Antibiotic culture: a history of antibiotic use in the second half of the 20th and early 21st century in the People’s Republic of China. Antibiotics 12:510.
Background:
Antibiotics are bacteriostatic or bactericidal agents that are most widely prescribe in the hospitals globally. This study
is aimed at assessing patterns of antibiotic prescriptions practices among the geriatric patients in Bauchi State, Nigeria. The
study employed a mixed methods research design. The respondents comprised 370 males and females' geriatric patients,
aged 60-89 years, accessing medical care at the Out-patient, In-patient, and other relevant departments, of selected
secondary and tertiary hospitals in the State; who were sampled using a multi-stage sampling procedure with appropriate
techniques.
Result:
There mean age was 74.0 ± 7.0 and 50.5% were females. Respondents' demographics and antibiotics prescription
pattern were collected using focused group discussion and questionnaire developed through the literature review. Pearson
chi-square test was utilized to investigate associations between outcome variables with p< 0.05 considered statistically
significant at 95% confidence level. There was a low level of antibiotics (15.9%) and among the respondents and protocols
for prescription of antibiotics were followed. Ciprofloxacin 48(96%), males 23(46%), females 25(50%) was the most
commonly prescribed antibiotics. There was no statistically significant association between gender and antibiotic
prescription pattern (X
2
cal =1.604 < X
2
0.05(3) =7.815, p-value= 0.658), among the respondents. Lack of clear communication
by healthcare workers, males 100(27.0%), females 100(27.0%); lack of support system for patients, males 98(26.5%), females
104(28.1%); antibiotics resistance, and over prescription, males 98(26.5%), females 99(26,8%), were the major specific
prescriber-related factors that could influence the antibiotic prescribing in general practice among the respondents.
Conclusion:
The study generally showed that there was no gender disparity in antibiotics prescription pattern, adherence, and
misuse among the respondents; hence interventions to improve antibiotics adherence or address its misuse should focus on
the overall geriatric patients need rather than targeting specific gender.
Keywords :
Antibiotic, Prescription, Practice, Pattern, Geriatric Patients.