Study of Inappropriate prescribing of antibiotics in pediatric Gastroenteritis in Imam Reza Hospital-Bojnurd

Authors

1 Pediatrician, Assistant Professor of Pediatrics , Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd,Iran.

2 Assistant Professor of Urology , North Khorasan University of Medical Sciences, Bojnurd,Iran.

3 Students Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction:
Increasing microbial resistance to antibiotic medications are a common phenomenon in developing countries and development country. In this study, administration of correct, incorrect and inappropriate antibiotic in children under 7 years of age with
Gastroenteritis in the pediatric ward of Imam Reza (AS) in the years 2012-2013 was performed Bojnurd-Iran.
Materials and Methods:
This cross-sectional study on 400 children under 7 years of age with gastroenteritis in the pediatric in Imam Reza  Hospital-Bojnurd in 2012-2013 was performed. Data were analyzed with  SPSS 11 software and chi-square and Mann-Whitney tests.
 
Results:
56% of children were boys and 44% were girls. Chi-square test showed there is a significant relationship between administration  antibiotics and Stool(p<0.05(.So that in the group with prescribed  antibiotics,  78% of them Stool samples were negative. Kappa coefficient ( -0.125). There was reverseagreement between the antibiotic and the stool.
Conclusion:
Selection antibiotic regimen based on culture and diagnostic tests, is a complex process involving several differentfactors. Due to majority of gastroenteritis in children are viral, it is necessary to prevent resistance microbial antibiotic diarrhea based on experimental results (stool culture and stool analysis) in the case of appropriate antibiotics may be prescribed.
Keywords: Antibiotics Inappropriately, Microbial Resistance, Non-Inflammatory Diarrhea.

Keywords