Related Experiment Videos
[Antibiotic prescribing patterns for pediatric inpatients with acute respiratory tract infection]
R Escorihuela Esteban1, J A Fernández Merchán, A Millán Jiménez
1Servicio de Pediatría, Fundación Jiménez Díaz, Universidad Autónoma, Madrid.
Insights
This study found that while bacterial infections are rare in pediatric acute respiratory tract infections (ARTI), clinical and diagnostic data can guide appropriate antibiotic use. Laboratory and radiological findings aid in rational antibiotic prescription for children with ARTI.
Area of Science:
- Pediatrics
- Infectious Diseases
- Clinical Microbiology
Background:
- Acute respiratory tract infections (ARTI) in children are a common reason for antibiotic prescriptions.
- Reducing unnecessary antibiotic use in pediatric ARTI is a public health priority.
Purpose of the Study:
- To analyze epidemiological data of pediatric ARTI.
- To evaluate the influence of clinical, laboratory, radiological, and microbiological data on antibiotic prescribing decisions.
- To identify criteria for justified antibiotic use in pediatric ARTI.
Main Methods:
- Retrospective review of 147 pediatric ARTI cases over one year.
- Comparison of patients treated with antibiotics (n=55) versus those not treated (n=92).
- Statistical analysis of clinical, laboratory, radiological, and microbiological data.
Main Results:
- Viral infections predominated (66%), with bacterial infections being rare (1%).
- Factors associated with no antibiotic treatment included longer symptom duration, lymphocytosis, bronchiolitis diagnosis, and normal chest X-ray.
- Factors associated with antibiotic treatment included fever, leukocytosis, neutrophilia, and pneumonia diagnosis.
Conclusions:
- Bacteriological data alone are insufficient for guiding antibiotic prescriptions in pediatric ARTI.
- Clinical, laboratory, and radiological data are valuable tools for the rational use of antibiotics in pediatric ARTI.
Background:
Children with acute respiratory tract infection (ARTI) represent an important target group for efforts aimed at reducing unnecessary antibiotic use.
Objective:
To present the epidemiological data and evaluate the effect of clinical, laboratory, radiological and microbiological data on the decision to prescribe antibiotics to pediatric patients with ARTI as well as to seek criteria that would justify antibiotic use.
Patients And Methods:
A retrospective review was made of the clinical histories of 147 previously healthy children, consecutively admitted to our hospital with ARTI for 1 year (May 1996-April 1997). Patients were divided in two groups: those not treated with antibiotics (n = 92) and those treated (n = 55). Data from the two groups were compared with a statistical computer program (R-Sigma).
Results:
Of the 147 patients studied, mean age was 2.5 years (range 0-14 years) and 85 (58%) males. One-hundred-and-five patients (72%) had previously been attended to in the emergency room, and 45 patients (30%) had been treated with antibiotics. Upper respiratory tract infection was diagnosed in 81 patients (54%), bronchitis in 28 (18%), bronchiolitis in 23 (15%) and pneumonia in 15 (10%). Ninety-seven patients (66%) had viral infection and only two (1%) had bacterial infection. Syncytial respiratory virus was isolated in 41 patients (28%) and adenovirus in 30 (20%). In the untreated group, the longer duration of symptoms before admission, lymphocytosis, clinical diagnosis of bronchiolitis and normal thorax X-ray, were statistically significant. In the treated group, fever, leukocytosis, neutrophilia and a diagnosis of pneumonia were statistically significant. Length of stay was longer in this group than in the untreated group.
Conclusions:
It is difficult to prescribe antibiotics on the basis of bacteriologic data. Laboratory, analytic and radiological data can be helpful in the rational use of antibiotics.