Clinical, laboratory profile & antibiotic use in first time Wheezers in the tertiary care centre in the rural area
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2016, Vol 3, Issue 11
Abstract
Background: Acute bronchiolitis is primarily due to acute viral infection. There is need for the clinicians to adopt judicious use of antibiotics with understanding of the aetiopathogenesis clinical course, complications and the outcome. It is possible to use the antimicrobials rationally. Objective: To evaluate the antibiotic requirement from the data collected from the first time wheezers among the hospitalized patients in the pediatric tertiary care centre cum teaching hospital in the rural area. The data was analyzed to justify the antimicrobial use in clinical practice in children with acute bronchiolitis. Method: This is retrospective study with cross sectional analysis. Data was collected from the patients admitted during the year 2015 January to December, Admission complaints, positive clinical signs, symptoms, and lab investigations were collected to correlate with antibiotic usage in the patients diagnosed as acute bronchiolitis. New symptoms during treatment, duration of stay and outcome were recorded to compare antibiotic group with non antibiotic group. The data was analyzed and compared with other studies. Results: Out of total 70 cases 7 cases were excluded as per exclusion criteria. 63 cases were included in our study. 63 percent of cases are less than 6 months in our study. 71% of cases are males. 47% of cases have received either oral or intravenous antibiotics. The mean duration of stay in antibiotic group is 6.3 days when compared to 4.2 days in non antibiotic group. Conclusion: with good correlation of clinical and laboratory parameters antibiotic use can be restricted in acute bronchiolitis which is due to acute viral disease.
Authors and Affiliations
M. Bala Gopal, N. Shiva Ramakrishnan Babji, Vinayagamoorthy Venugopal, Venkata Naveen Kumar
Keywords
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- EP ID EP227365
- DOI 10.17511
- Views 154
- Downloads 0
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