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Surveillance of Antibiotic Consumption Point Prevalence Survey 2014: Antimicrobial Prescribing in Pediatrics Wards of 16 Iranian Hospitals Pubmed



Fahimzad A1 ; Eydian Z2 ; Karimi A1 ; Shiva F1 ; Sayyahfar S3 ; Kahbazi M4 ; Rahbarimanesh A5 ; Sedighi I6 ; Arjmand R7 ; Soleimani G8 ; Sanaei Dashti A9 ; Abdinia B10 ; Mostafavi N11 ; Nikfar R12 Show All Authors
Authors
  1. Fahimzad A1
  2. Eydian Z2
  3. Karimi A1
  4. Shiva F1
  5. Sayyahfar S3
  6. Kahbazi M4
  7. Rahbarimanesh A5
  8. Sedighi I6
  9. Arjmand R7
  10. Soleimani G8
  11. Sanaei Dashti A9
  12. Abdinia B10
  13. Mostafavi N11
  14. Nikfar R12
  15. Abedini M13
  16. Rezaei MS14
  17. Mohammadpour A15
  18. Hashemian H16
  19. Hidari H17
  20. Ghadiri K18
  21. Entezari Heravi R19
Show Affiliations
Authors Affiliations
  1. 1. Pediatric Infectious Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Department of Pediatrics, Zabol University of Medical Sciences, Zabol, Iran
  3. 3. Department of Pediatrics, Aliasghar Children Hospital, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Tuberculosis and Pediatrics Infectious Disease Research Center, Arak University of Medical Science, Arak, Iran
  5. 5. Department of Pediatric Infectious Diseases, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Pediatric Department, Hamadan University of Medical Sciences, Hamadan, Iran
  7. 7. Department of Pediatrics, Alborz University of Medical Sciences, Karaj, Iran
  8. 8. Children and Adolescent Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  9. 9. Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  10. 10. Department of Pediatrics, Tabriz University of Medical Sciences, Tabriz, Iran
  11. 11. Department of Pediatrics Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  12. 12. Department of Pediatric Infectious Disease, Abuzar Children Medical Center Hospital, Ahvaz Jondishapour University of Medical Sciences, Ahvaz, Iran
  13. 13. Department of Pediatric, Sanandaj University of Medical Sciences, Sanandaj, Iran
  14. 14. Antimicrobial Resistant Nosocomial Infection Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  15. 15. Non-Communicable Pediatric Diseases Research Center, Babol University of Medical Sciences, Babol, Iran
  16. 16. Department of Pediatrics, Gilan University of Medical Sciences, Rasht, Iran
  17. 17. Pediatric Medicine Research Center, Qom University of Medical Sciences, Qom, Iran
  18. 18. Nosocomial Infection Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  19. 19. Zabol University of Medical Sciences, Zabol, Iran

Source: Archives of Iranian Medicine Published:2016


Abstract

Background: Antibiotics are among the most commonly prescribed drugs in pediatrics. Due to lack of uniformity in pediatric antimicrobial prescribing and the emergence of antibiotic resistance, appropriate drug utilization studies have been found to be crucial to evaluate whether these drugs are properly used. Methods: Data were collected between January 2014 and February 2014 in 16 Iranian pediatric hospitals using a standardized method. The point prevalence survey included all inpatient beds. Results: Of 858 children, 571 (66.6%) received one or more antimicrobials. The indications were therapeutic in 60.6%. The parenteral route was used in 92.5% of therapeutic indications. Ceftriaxone was the most prescribed antimicrobials for therapeutic indications (32.4%) and combination-therapy was the most type of therapy in pediatric intelligent care unit (PICU). Conclusion: According to results of this study, antibiotics’ prescribing in pediatrics wards of Iranian hospitals is empirical. Therefore, for quality improvement of antimicrobial use in children continuous audit process and antibiotic prescriptions require further investigation. © 2016, Academy of Medical Sciences of I.R. Iran. All right resvrved.
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