Rational use of antimicrobials in infants in primary care of Bahrain

Khalid A J Al Khaja1, Thuraya M Al-Ansari, Awatif H H Damanhori

  • 1Department of Pharmacology & Therapeutics, Arabian Gulf University, Kingdom of Bahrain. khlidj@agu.edu.bh

Insights

Antimicrobial prescribing errors, including incorrect dosages, are common in infants. Healthcare providers need better strategies to ensure safe and effective antimicrobial use in pediatrics.

Area of Science:

  • Pediatric Pharmacology
  • Infectious Disease Management
  • Primary Healthcare Research

Background:

  • Antimicrobial prescribing patterns in infants are crucial for effective treatment and resistance prevention.
  • Previous studies highlight variations in pediatric antimicrobial use, necessitating localized data.

Purpose of the Study:

  • To evaluate antimicrobial prescribing practices for infants in Bahrain's primary care settings.
  • To identify and analyze prescribing errors in pediatric antimicrobial prescriptions.

Main Methods:

  • A nationwide, prescription-based study conducted in 20 primary care health centers in Bahrain.
  • Data collection by pharmacists in May 2004, focusing on infant prescriptions.
  • Analysis of antimicrobial drug classes, dosages, frequencies, and durations.

Main Results:

  • Antimicrobials were the 5th most common drug class prescribed to infants (23.8%), with beta-lactams predominating.
  • Subtherapeutic doses were administered to 22% of infants, and errors were frequent in dosage, strength, and frequency.
  • Prescribing errors were significantly correlated with infant age for certain antimicrobials, indicating inadequate dosage adjustments.

Conclusions:

  • Overt antimicrobial use and prescription errors in infants are prevalent in primary care.
  • Inadequate attention is paid to age-appropriate antimicrobial dosage adjustments for infants.
  • Urgent need for strategies to enhance prescription writing skills among healthcare providers for pediatric patients.

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