Antibiotic use on paediatric inpatients in a teaching hospital in the Gambia, a retrospective study.
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Authors
Chaw, Pa SaidouSchlinkmann, Kristin Maria
Raupach-Rosin, Heike
Karch, André
Pletz, Mathias W
Huebner, Johannes
Nyan, Ousman
Mikolajczyk, Rafael
Issue Date
2018-01-01
Metadata
Show full item recordAbstract
Antibiotics are useful but increasing resistance is a major problem. Our objectives were to assess antibiotic use and microbiology testing in hospitalized children in the Gambia. We conducted a retrospective analysis of paediatric inpatient data at The Edward Francis Small Teaching Hospital in Banjul, The Gambia. We extracted relevant data from the admission folders of all patients (aged > 28 days to 15 years) admitted in 2015 (January-December), who received at least one antibiotic for 24 h. We also reviewed the microbiology laboratory record book to obtain separate data for the bacterial isolates and resistance test results of all the paediatric inpatients during the study period. Over half of the admitted patients received at least one antibiotic during admission (496/917) with a total consumption of 670.7 Days of Antibiotic Therapy/1000 Patient-Days. The clinical diagnoses included an infectious disease for 398/496, 80.2% of the patients on antibiotics, pneumonia being the most common (184/496, 37.1%). There were 51 clinically relevant bacterial isolates, More than half of the admitted patients received antibiotics. The reported antibiotic resistance was highest to the most commonly used antibiotics such as ampicillin. Efforts to maximize definitive antibiotic indication such as microbiological testing prior to start of antibiotics should be encouraged where possible for a more rational antibiotic use.Affiliation
Helmholtz-Zentrum für Infektionsforschung GmbH, Inhoffenstr. 7, 38124 Braunschweig, Germany.PubMed ID
30026940Type
ArticleLanguage
enISSN
2047-2994ae974a485f413a2113503eed53cd6c53
10.1186/s13756-018-0380-7
Scopus Count
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