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Upper respiratory tract infection occurs commonly in both children and adults and is a major cause of morbidity worldwide. Inappropriate antibiotic prescription for upper respiratory tract infections is associated with increasing antibiotic resistance, healthcare costs, adverse events, and poor patient outcomes. The objective of this study was to determine physician prescription practices of antibiotics for upper respiratory tract infections at Kilimanjaro Christian Medical Center hospital in Moshi, Tanzania. This was a retrospective hospital-based cross sectional study which systematically sampled files of patients with diagnosis of upper respiratory tract infection. Information from a total of 300 patients’ prescriptions were collected, reviewed and analyzed. The most common infections diagnosis was non-specific upper respiratory tract infections accounting for 102 (34.0%) followed by rhinitis and tonsillitis both accounting for 52 (17.3%) with the least being common cold 22 (7.3%). Antibiotics were prescribed to 200 (66.7%) patients with upper respiratory tract infections. Amoxicillin alone was the most preferred drug for all upper respiratory tract infections 91 (31.5%). In the multivariable logistic regression analysis, patients with cough and running nose (AOR=16.41, 95% CI: 1.95-138.19) had higher odds of being prescribed with antibiotic as compared to those without such symptoms (AOR=1.98, 95% CI: 1.04-3.77), respectively. Antibiotics are being over-prescribed among patients with upper respiratory tract infection. Interventions to reduce the over-prescription and hence overuse of antibiotics for upper respiratory tract infections are urgently needed.   Key words: Antibiotics prescribing, upper respiratory tract infection,Tanzania.

Physician prescription practice of antibiotics for upper respiratory tract infection at Kilimanjaro Christian Medical Centre Moshi, Tanzania