Related Experiment Video
Updated: Jul 4, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
[Antibiotic use in the pediatric population: factors to consider]
V Olmo Quintana1, E Santana Deniz, F Domínguez Ortega
1Gobierno de Canarias, Farmaceutico, Grupo Urano (Uso Racional de los Antibiotico Orales), Farmaceutico de Atencion Primaria, Canarias, Spain. volmqui@gobiernodecanarias.org
Insights
Antibiotic use in Canary Islands pediatrics decreased significantly between 2001-2005. Prescribing practices varied between provinces, with Las Palmas showing improvements possibly due to educational initiatives.
Area of Science:
- Pediatric Pharmacology
- Infectious Disease Epidemiology
- Public Health Policy
Context:
- Antibiotic consumption in pediatric populations is a significant public health concern, influencing resistance patterns and healthcare costs.
- Regional variations in antibiotic prescribing practices can highlight differences in healthcare delivery and educational interventions.
- The Canary Islands experienced shifts in antibiotic utilization patterns between 2001 and 2005, necessitating analysis.
Purpose:
- To retrospectively analyze pediatric antibiotic utilization in the Canary Islands from 2001 to 2005.
- To compare antibiotic prescribing trends and costs between Tenerife and Las Palmas provinces.
- To identify variations in the use of different antibiotic classes and their potential drivers.
Summary:
- Total pediatric antibiotic prescriptions in the Canary Islands decreased annually from 2001 to 2005, with significant reductions in defined daily doses per 1000 inhabitants per day (DHD).
- Broad-spectrum penicillins, tetracyclines, and macrolides showed decreased consumption, while cephalosporin use varied, and fluoroquinolone prescriptions were notable in both provinces.
- Significant differences in antibiotic prescribing practices were observed between Tenerife and Las Palmas, with Las Palmas demonstrating a more evidence-based approach potentially linked to antibiotherapy education courses initiated in 2003.
Impact:
- The study highlights regional disparities in pediatric antibiotic prescribing, underscoring the need for standardized, evidence-based guidelines.
- Findings suggest that targeted educational programs can positively influence prescribing behaviors and potentially optimize antibiotic use.
- This analysis provides valuable data for public health interventions aimed at improving antibiotic stewardship in pediatric care.
Abstract:
The aim of this retrospective study was to analyze the use of antibiotics in pediatrics in the Canary Islands during the period 2001-2005. We used the defined daily dose (DDD) as a technical unit of measurement as well as the DDD/1000 habitants/day (DHD), following the ATC classification system. The demographic data were obtained from individual patient health cards assigned to the primary care pediatricians. During the period 2001-2005, the total number of prescriptions for antibiotics in pediatrics was 1,207,726 at a cost of 6,119,679 Euros to the Canarian Health Service in Tenerife and 4,808,654 Euros in Las Palmas. The annual number of DHD in the Canary Islands decreased from 103,044 in 2001 to 68,168 in 2005. The cost for 1000 inhabitants/day (CHD) was 27,686 Euros and 19,183 Euros in Tenerife and Las Palmas, respectively. In analyzing the therapeutic classes of antibiotics, we found that the consumption of broad-spectrum penicillins (amoxicillin) in Tenerife decreased, while in Las Palmas it remained stable. There was also a significant decrease in the use of tetracyclines in both provinces. The DHD of beta-lactamase inhibitors was more significantly reduced in Tenerife than in LPA. The consumption of cephalosporins, mainly cefixime, was high in Tenerife, while in Las Palmas the second-generation cephalosporins (cefuroxime and cefaclor) were widely consumed. The use of macrolide antibiotics gradually decreased. Interestingly, there were 7,939 prescriptions for fluoroquinolones (mainly ciprofloxacin) in Tenerife and 4,846 in Las Palmas (mainly norfloxacin and ciprofloxacin). There were differences in the prescribing practices between Tenerife and Gran Canaria that don't coincide with changes in the microbiological spectrum. Prescribing practices in Las Palmas are based on scientific data, probably because of the continuing education courses on antibiotherapy that began in 2003.
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Pharmacokinetics in Pediatric Patients: Drug Distribution
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Antibiotic Selection