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Paediatric prescribing in Karachi
S Q Nizami1, I A Khan, Z A Bhutta
1Department of Paediatrics, The Aga Khan University, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|January 1, 1997
Summary
This study observed drug prescribing for common childhood illnesses in general practices and pediatric clinics. Results indicate significant overuse of antibacterials, particularly by general practitioners.
Area of Science:
- Pediatric pharmacology
- General practice drug utilization
- Childhood infectious diseases
Background:
- Drug prescribing patterns for common childhood ailments require assessment to identify potential overuse.
- Understanding variations in prescribing between general practitioners (GPs) and pediatricians is crucial for optimizing pediatric care.
Purpose of the Study:
- To evaluate the extent of drug overuse in pediatric primary care.
- To compare drug prescribing practices for common childhood illnesses between GPs and pediatricians.
Main Methods:
- Observational study of 2433 encounters involving children under five with GPs and pediatricians.
- Data collection on presenting complaints, prescribed medications (antibacterials, analgesics, antipyretics, antiemetics, antidiarrhoeals), and encounter duration.
- Analysis of prescribing trends, focusing on antibacterial use and specific drug classes.
Main Results:
- Antibacterial agents were prescribed in 49% of encounters, with ampicillin and cotrimoxazole being most common.
- General practitioners prescribed antibacterials more frequently than pediatricians.
- Antidiarrhoeals were prescribed in 41% of encounters for children with diarrhea; antiemetics in 8%.
Conclusions:
- Significant overuse of antibacterials in pediatric primary care settings was observed.
- Prescribing practices for common childhood illnesses differ between GPs and pediatricians, warranting further investigation into appropriate drug utilization.
- Shorter encounter times with GPs may correlate with higher antibacterial prescription rates.