Prescribing patterns of antibiotics for children before admission to a paediatric ward in Jaffna Teaching Hospital
2009; Sri Lanka College of Paediatricians; Volume: 38; Issue: 4 Linguagem: Inglês
10.4038/sljch.v38i4.1390
ISSN2386-110X
AutoresS. K. Arulmoli, S Sivachandiran, BJC Perera,
Tópico(s)Antibiotics Pharmacokinetics and Efficacy
ResumoNormal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} Sri Lanka Journal of Child Health, 2009; 38: 121-123 (Key words: Prescribing pattern of antibiotics, children) Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} doi: 10.4038/sljch.v38i4.1390 Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} Abstract Antibiotics are commonly prescribed drugs in paediatrics. However, the threat of antibiotic resistance among children is a cause for concern. A study of the administration patterns of antibiotics prior to admission was carried out on children admitted to a paediatric ward of Teaching Hospital, Jaffna from June to August 2008, using a pre-tested structured questionnaire. Descriptive and basic statistical tests were used to analyse the data. The total number of admissions to the ward was 420 out of which 227 (54%) had been given antibiotics prior to admission. Of this, 53 (23%) were infants. Of the entire cohort, oral antibiotics were given to 214 (94%) and 47 (22%) of them were given two or more antibiotics. Amoxicillin (48%), erythromycin (20%) and cephalexin (16%) were the antibiotics commonly prescribed. Sixty three percent were prescribed antibiotics by general practitioners and 16% were given antibiotics without consulting a doctor. Only 53 (23%) of the parents knew the name and the side-effects of the antibiotics used on the children. Hospital stay was significantly more for children given prior antibiotics than for those who did not have prior antibiotics (14% against 8% p less than 0.05). Other medications had been administered to 298 (71%). In order to reduce the risk of antibiotic resistance of microbes, an antibiotic policy should be carefully instituted and implemented.
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