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Evaluation of antibiotic prescriptions and use in under-five children in Ibadan, SouthWestern Nigeria
Background: Irrational antibiotic prescriptions for children is a global concern requiring periodic evaluation and monitoring. Objectives: To assess appropriateness of antibiotic prescribing for under-five children, as well as evaluating mothers’ usage of antibiotics for their under-five and reason(...
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| Format: | Article |
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2018
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/9725 | ||
| 042 | |a dc | ||
| 720 | |a Adisa, R. |e author | ||
| 720 | |a Orherhe, O. M. |e author | ||
| 720 | |a Fakeye, T. O. |e author | ||
| 260 | |c 2018 | ||
| 520 | |a Background: Irrational antibiotic prescriptions for children is a global concern requiring periodic evaluation and monitoring. Objectives: To assess appropriateness of antibiotic prescribing for under-five children, as well as evaluating mothers’ usage of antibiotics for their under-five and reason(s) for use. Method: Cross-sectional review of out-patient case-notes of under-five using principles of antibiotic prescribing and a questionnaire-guided interaction with under-five mothers. Results: Nearly all (445;98.9%) antibiotic prescriptions were based on signs and symptoms indicative of bacterial infection. Only 3(0.7%) had the initial antibiotic regimen modified. Nine (2.0%) had documented evidence of sensitivity test requested before antibiotic prescribing. Presence of infection or need for antibiotic therapy was established in 190(42.2%). Majority (324;72.0%) of mothers had administered antibiotics to their under-five. Of these, 157(48.5%) were prescribed by physicians and 79(24.4%) were self-recommended. Educational status of mothers significantly influenced antibiotic usage. Conclusion: Antibiotic prescriptions for under-fives was largely based on symptoms indicative of bacterial infections, thereby corroborating the widespread empirical antibiotic prescribing. Considerable number of mothers engaged in self-recommendation of antibiotics for their under-fives. Thus, there is a need for continuous enlightenment of prescribers and mothers on rational use of antibiotics, while microbiological confirmation of clinical diagnosis is encouraged for evidence-based antibiotic prescribing. | ||
| 024 | 8 | |a Afri Health Sci. 2018;18(4): Pp 1189-1201. | |
| 024 | 8 | |a https://repository.ui.edu.ng/handle/123456789/9725 | |
| 653 | |a Antibiotic prescription || Under-five children || Mothers/caregivers | ||
| 245 | 0 | 0 | |a Evaluation of antibiotic prescriptions and use in under-five children in Ibadan, SouthWestern Nigeria |