G162(P) Is antibiotic usage among children admitted for community acquired pneumonia (CAP) associated with seasonal variation?

Autor: G Margabanthu, D Saxena, KF Ng
Rok vydání: 2019
Předmět:
Zdroj: BRITISH PAEDIATRIC ALLERGY, IMMUNOLOGY AND INFECTION GROUP AND BRITISH PAEDIATRIC NEUROLOGY ASSOCIATION.
DOI: 10.1136/archdischild-2019-rcpch.157
Popis: Aims Primary objective is to analyse antibiotic usage among children admitted for CAP comparing summer and winter seasons in 2017–2018. Secondary objective is to determine other factors associated with antibiotic prescription. Methods This is a retrospective audit study conducted in a district general hospital. Chest X-rays (CXR) performed on children aged 1 month to 16 years old admitted in summer (1/6/2017–31/8/2017) and winter (1/12/2017–28/2/2018) were retrieved and reviewed along with their reports. Patients’ admission data was collected from electronic discharge notes using a standard case report form in Excel format. Children with diagnosis of CAP supported by presence of CXR changes and/or clinical features of pneumonia were included. Results 118/1410 (8.4%) children were hospitalised in summer and 321/1508 (21.3%) in winter for CAP (p Conclusion Broad spectrum antibiotic (Co-Amoxiclav, Ceftriaxone) prescription was substantially high among children admitted for CAP. Seasonal variation did not seem to have impact on antibiotic usage among in-patient childhood CAP in our centre. This may indicate that high volume of childhood CAP admissions in winter months does not affect decision making on antibiotic usage.
Databáze: OpenAIRE