Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   MARCH 2016 , Volume 19 , Number 3; Page(s) 204 To 209.
 
Paper: 

SURVEILLANCE OF ANTIBIOTIC CONSUMPTION POINT PREVALENCE SURVEY 2014: ANTIMICROBIAL PRESCRIBING IN PEDIATRICS WARDS OF 16 IRANIAN HOSPITALS

 
DOI: 

0161903/AIM.009

 
Author(s):  FAHIMZAD ALIREZA, EYDIAN ZAHRA*, KARIMI ABDOLLAH, SHIVA FARIDEH, SAYYAHFAR SHIRIN, KAHBAZI MANIJEH, RAHBARIMANESH ALIAKBAR, SEDIGHI IRAJ, ARJMAND REZA, SOLEIMANI GHOLAMREZA, SANAEI DASHTI ANAHITA, ABDINIA BABAK, MOSTAFAVI NASSER, NIKFAR ROYA, ABEDINI MASOUMEH, REZAEI MOHAMMAD SADEGH, MOHAMMADPOUR ALI, HASHEMIAN HOUMAN, HEYDARI HOSSEIN, GHADIRI KEYGHOBAD, ENTEZARI HERAVI REZA
 
* DEPARTMENT OF PEDIATRICS, ZABOL UNIVERSITY OF MEDICAL SCIENCES, ZABOL, IRAN
 
Abstract: 

BACKGROUND: Antibiotics are among the most commonly prescribed drugs in pediatrics. Due to lack of uniformity in pediatric antimicrobial prescribing and the emergence of antibiotic resistance, appropriate drug utilization studies have been found to be crucial to evaluate whether these drugs are properly used.
METHODS: Data were collected between January 2014 and February 2014 in 16 Iranian pediatric hospitals using a standardized method. The point prevalence survey included all inpatient beds.
RESULTS: Of 858 children, 571 (66.6%) received one or more antimicrobials. The indications were therapeutic in 60.6%. The parenteral route was used in 92.5% of therapeutic indications. Ceftriaxone was the most prescribed antimicrobials for therapeutic indications (32.4%) and combination-therapy was the most type of therapy in pediatric intelligent care unit (PICU).
CONCLUSION: According to results of this study, antibiotics’ prescribing in pediatrics wards of Iranian hospitals is empirical. Therefore, for quality improvement of antimicrobial use in children continuous audit process and antibiotic prescriptions require further investigation.

 
Keyword(s): ANTIBIOTIC, EMPIRIC THERAPY, POINT PREVALENCE, PROPHYLAXIS, TARGETED THERAPY
 
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