Determinants of antibiotic prescription in paediatric patients: The case of two hospitals in Maputo, Mozambique
| Autor: | L G S Monteiro, A Chauque, M P Barros, T R Ira |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | South African Journal of Child Health, Vol 11, Iss 3, Pp 109-111 (2017) |
| Druh dokumentu: | article |
| ISSN: | 1994-3032 1999-7671 |
| DOI: | 10.7196/SAJCH.2017.v11i3.1224 |
| Popis: | Background. The need for healthcare in paediatric patients is often due to respiratory diseases, acute diarrhoea and viral fever, which suggests a limited need for the use of antibiotics. Objectives. To identify the determinants of antibiotic prescription in hospitalised paediatric patients in Mozambique. Methods. A cross-sectional study was conducted between January and June 2015. A total of 454 medical prescriptions and clinical records of children aged 0 - 14 years from Hospital Central de Maputo (HCM) and Hospital Geral de Mavalane (HGM) were analysed. Results. Antibiotics were used in 97.6% of the patients, with no significant differences (p>0.05) in the prescription rates of the hospitals. The most commonly used antibiotics were beta-lactams (57.3%), aminoglycosides (28.3%) and co-trimoxazole (9.4%). Antibiotics were prescribed in all cases of bronchopneumonia, fever, sepsis and acute gastroenteritis. For malaria and undefined diagnoses, antibiotics were prescribed 97.8% and 99.3% of cases, respectively. It was clear that most severe clinical conditions (odds ratio (OR) 9.06; 1.13 - 12.14) and age |
| Databáze: | Directory of Open Access Journals |
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