Current Trend of Antibiotic Practice in Paediatric Surgery in Bangladesh
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction: Antibiotics, major life saving agents are frequently over prescribed. The extent and pattern of inappropriate use is well documented in developed countries but such studies are few in developing countries like Bangladesh. Objective: To find out current trend of antibiotic practice in Paediatric Surgery in Bangladesh Methodology: This cross sectional descriptive study was carried out on 300 paediatric patients of 0-15 years age range, to find out the pattern of antibiotic practice in three major pediatric practicing hospitals of Dhaka, Bangladesh. All the patients were studied after categorization into i) Clean ii) Clean-contaminated iii) Contaminated and iv) Dirty wounds according to their potentiality of post operative wound infection. Total period of antibiotic practice was divided into a. Pre-operative (Up to the day before operation) b. Per-operative (during or just before operation) c. Post-operative (days after operation) and d. Post-discharge stage for the convenience of this study. Antibiotic practice in all categories during all periods mentioned were compared and evaluated. Results: More than two antibiotics were given in a single patient in 38.5% of clean and 62.8% of contaminated patients in a combination or sequentially. More than 3 antibiotics were used in a single patient in 46.9% and 80% of contaminated and dirty categories. Overall 65.7%, 72.30%, 96.3% and 88.3% patients received antibiotics in pre-operative, per-operative, post-operative and post-discharge stage respectively. Maximum (82%) preoperative antibiotics were used in dirty and minimum (53.3%) in clean category. Maximum (76.3%) per-operative antibiotics were given clean and minimum (55%) in dirty category. More than 94% of all categories received postoperative antibiotics. More than 81% patients in each category of patients were prescribed antibiotics during discharge. Mean of total duration of antibiotic use was more than 16 days in all the categories of patients. Longest mean duration of antibiotic use was (20±11.60) found in Clean-contaminated and shortest (17.40±9.44) in dirty categories. The mean duration of post discharge advice of antibiotics in different categories was more than (6.33+2.50) days. Overall 65.7% patient received preoperative antibiotics. Minimum (53.3%) use seen in clean and maximum (82.5%) in dirty category. On the average 72.30% patients received per-operative antibiotics. Maximum (76.3%) per-operative use was seen in clean and minimum (55%) in dirty category. Overall 96.30% of patients received post-operative antibiotics including all the patients of clean-contaminated category. More than 80% patients in each group received antibiotic after discharge. No significant difference is found in post-operative and post-discharge antibiotics use among the groups (P>0.1ns). Conclusion: Antibiotic overuse is generalized and not categorized according to the categories of surgical wounds.
Authors and Affiliations
Dr. AKM Shamsuddin, Dr. Malik Saifor Rahman, Dr. Nasrin Sultana, Dr. Mohammad Saiful Islam, Dr. Asit Kumar Shaha, Mohammad Reazaul Karim, Dr. Dipak Chondra Kirttaniya
Keywords
Related Articles
- EP ID EP572747
- DOI 10.9790/0853-1804082832.
- Views 64
- Downloads 0
“A Study on Accessory Muscle of Flexor Compartment of Forearm”
During routine anatomical dissections, the presence of the accessory muscle in the flexor aspect of the forearm was noted . This accessory muscle presents an intimate relationship with the median nerve. This variation ma...
A Clinical Comparative Study Between Intra Venous Dexmedetomidine And Tramadol For Control Of Post Spinal Anesthesia Shivering
Shivering is a common problem in patients undergoing surgery under spinal anesthesia. Dexmedetomidine and Tramadol have been used to reduce the shivering threshold. The aim of the study was to compare the efficacy of dex...
Efficacy of Fetal Doppler Velocimetry Waveforms in Predicting Fetal Distress and Its Correlation with Umbilical Cord Blood Ph Analysis
Background: The primary goal of all antenatal fetal surveillance tests is to identify fetuses at risk for asphyxia and death. The aim of this study is to demonstrate the effectiveness of ante partum Doppler velocimetry i...
Comparison of Different Scoring System in Predicting the Severity and Prognosis of Acute Pancreatitis
Introduction:Various prognostic scoring systems have been used, all aimed at predicting persistent organ failure, particularly respiratory, cardiac and renal. Severity stratification assessments should be performed in pa...
Update and critical appraisal of topical azithromycin ophthalmic 1%(Azasite) solution in the treatment of ocular infections
Azithromycin is an azalide that acts by binding to the 50S ribosomal subunit of susceptible microorganisms and interfering with microbial protein synthesis. Azithromycin is also noted by antiinflammatory and immunomodula...