THE MAGNITUDE OF PRESCRIBED ANTIBIOTICS IN PEDIATRIC EMERGENCY DEPARTMENT IN BASRA HOSPITAL FOR MATERNITY AND CHILDREN

Introduction: Antimicrobial agents are common employ in paediatric patients. Emergency department make good place for known prescribing pattern of antibiotics with frequent use for disease that interfere in treatment between private pharmacy & hospital. The irrational and overuse of antibiotic in last decades did not follow the international guidelines and infectious strategy which if not controlled or minimize will lead to higher rates of mortality in human societies. The aim was to find the magnitude of antibiotics prescribing in children internal emergency department at Basra hospital for Maternity and Children & showing relationship with misuse of it Methods: The study was performed on 560 paediatrics patients aged (1 month -13 years) that seen in the (Basra Hospital for Maternity and Children) emergency department during 4 months from December 2017 to March 2018. These cases were dividing according to containment antibiotic and several parameters such as patient diagnosis and number of antibiotics prescribed. Results: A total of 61% (n=342) patients were males. The average number of antibiotics per patient was 1.45 Prescription did not contain antibiotics 28.57% (n=160) Prescription contain antibiotics 71.42% (n =400) of all patient from total prescribed. Most cases diagnosis for prescribing antibiotics are (24%) Gastroenteritis (16.25%) bronchiolitis and (11.75%) pneumonia. Conclusion: The dispensing of antibiotics is not following constant or international guidelines which will cause problems like resistance and economic side also. Nearly almost the admitted patients received antibiotics regardless the culture results.

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REPORTED USE OF ANTIMICROBIAL AGENTS IN CHILDREN ATTENDING A PEDIATRIC EMERGENCY DEPARTMENT

Pediatric Infectious Disease ◽

10.1097/00006454-199112000-00014 ◽

1991 ◽

Vol 10 (12) ◽

pp. 949-950 ◽

Cited By ~ 3

Author(s):

Elizabeth D. Barnett ◽

Stephen I. Pelton ◽

Robert J. Vinci ◽

Kurt D. Stottmeier

Keyword(s):

Emergency Department ◽

Antimicrobial Agents ◽

Pediatric Emergency ◽

Pediatric Emergency Department

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MP11: Evaluation of a pharmacist-led antimicrobial stewardship service in a pediatric emergency department

CJEM ◽

10.1017/cem.2019.146 ◽

2019 ◽

Vol 21 (S1) ◽

pp. S46

Author(s):

M. MacInnis ◽

K. MacMillan ◽

E. Fitzpatrick ◽

K. Hurley ◽

S. MacPhee ◽

...

Keyword(s):

Emergency Department ◽

Antimicrobial Agents ◽

Pediatric Emergency ◽

Collaborative Practice ◽

Rate Of Return ◽

Pediatric Emergency Department ◽

Implementation Phase ◽

Collaborative Practice Agreement ◽

Return Visits

Introduction: We implemented a pharmacist-led antimicrobial stewardship (AMS) service for patients discharged from the pediatric emergency department (PED). This service, supported by a collaborative practice agreement, allows pharmacists to follow up with patients and independently stop, start, or adjust antimicrobial agents based on culture results. The primary objective of our study was to evaluate the impact of this service on the rate of return visits to the PED within 96 hours. The secondary objective was to evaluate the appropriateness of the prescribed antimicrobial agent at follow up. Methods: This study was completed as a retrospective chart review 6 months pre-implementation (January 1st, 2016 to June 31st, 2016) and 6 months post-implementation (February 1st, 2017 to July 31st, 2017) of a pharmacist-led AMS service. A research assistant extracted data from electronic medical records using a standardized data collection form. All patients discharged from the PED with a suspected infection whose cultures fell within the parameters of the collaborative practice agreement were included in this study. Data were reported descriptively and compared using a two-sided chi-square test. Results: This study included 1070 patient encounters pre-implementation and 1040 patient encounters post-implementation of the AMS service. The most commonly reviewed culture was urine (38% pre-implementation and 41% post-implementation). The rate of return visits to the PED within 96 hours was 12.0% (129/1070) pre-implementation vs 10.0% (100/1049) post-implementation phase (p = 0.07). A significantly higher percentage of inappropriate antimicrobial therapy was identified at the time of follow up in the pre-implementation phase (7.0%, 68/975) compared to the post-implementation phase (5.0%, 46/952), p = 0.047. Conclusion: Although this pharmacist-led AMS service did not affect the rate of return visits within 96 hours, it may have led to more judicious use of antimicrobial agents.

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