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
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.