Trends of Empiric Antibiotic Usage in a Secondary Care Hospital, Karachi, Pakistan
Joint Authors
Lohana, Heeramani
Ali, Syed Rehan
Ahmed, Shakeel
Source
International Journal of Pediatrics
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-25
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objectives.
(1) To determine the indications, frequency, and types of antibiotics used in hospitalized paediatric patients at tertiary care hospital and (2) to evaluate whether the prescribed antibiotics were based on the isolation of organism and their sensitivity.
Study Design.
Descriptive observational hospital based study.
Results.
A total of 131 patients were included over 6 months of study period, in whom antibiotics were prescribed at the time of admission.
The majority were between 1 and 5 years of age.
M : F ratio was 1 : 1.
Fever was the commonest symptom (in 84% of cases) followed by gastroenteritis.
Blood culture was done in 114 cases (87%) and was positive only in 10 (8.8%).
The commonest organism isolated from blood was Salmonella Typhi.
Ceftriaxone was found to be the most frequently prescribed antibiotic as an empirical therapy.
102 (77.86%) patients received Ceftriaxone, followed by ampicillin.
The antibiotics were probably used on the basis of clinical condition rather than the result of blood culture, as yield of blood culture was quite low.
Conclusion.
Our study showed an unjustified use of antibiotics regardless of the admission and discharge diagnosis in acute febrile illnesses.
Further on, inappropriate practice of using Ceftriaxone was noted in LRTI and pneumonia.
Efforts are needed to educate physicians about the rational use of antibiotics.
American Psychological Association (APA)
Ali, Syed Rehan& Ahmed, Shakeel& Lohana, Heeramani. 2013. Trends of Empiric Antibiotic Usage in a Secondary Care Hospital, Karachi, Pakistan. International Journal of Pediatrics،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-501790
Modern Language Association (MLA)
Ali, Syed Rehan…[et al.]. Trends of Empiric Antibiotic Usage in a Secondary Care Hospital, Karachi, Pakistan. International Journal of Pediatrics No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-501790
American Medical Association (AMA)
Ali, Syed Rehan& Ahmed, Shakeel& Lohana, Heeramani. Trends of Empiric Antibiotic Usage in a Secondary Care Hospital, Karachi, Pakistan. International Journal of Pediatrics. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-501790
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-501790