Antibiotic prescribing pattern in paediatric in patients with first time wheezing

<p>Abstract</p> <p>Background</p> <p>Acute wheezers for the first time in life are an important target group for efforts aimed at reducing unnecessary antibiotic use.</p> <p>Objective</p> <p>To evaluate the effect of clinical, laboratory and radi...

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Main Authors: Pemde Harish K, Singh Varinder, Patra Soumya, Chandra Jagdish
Format: Article
Language:English
Published: BMC 2011-09-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:http://www.ijponline.net/content/37/1/40
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author Pemde Harish K
Singh Varinder
Patra Soumya
Chandra Jagdish
author_facet Pemde Harish K
Singh Varinder
Patra Soumya
Chandra Jagdish
author_sort Pemde Harish K
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Acute wheezers for the first time in life are an important target group for efforts aimed at reducing unnecessary antibiotic use.</p> <p>Objective</p> <p>To evaluate the effect of clinical, laboratory and radiological data on the decision to prescribe antibiotics to paediatric patients with first time wheezing as well as to seek criteria that would justify antibiotic use.</p> <p>Methods</p> <p>A prospective study was made of 47 previous healthy children admitted to our hospital with first time wheezing in life between October 2008- March 2009. All the patients were treated as per the treating unit's protocol with oxygen, bronchodilators with or without antibiotics. The cases were analyzed after discharge and the characteristics of those treated with antibiotics (n = 23) were compared with those who were not (n = 24) and analyzed statistically to find the predictors for antibiotic usage.</p> <p>Results</p> <p>The mean age of the study groups was 5.8 (+/- 5.1) months. Among the clinical and investigational parameters, presence of predominant crackles and abnormalities on radiograph were the major determinants for antibiotic usage. There were no significant differences in final outcome between these groups.</p> <p>Conclusion</p> <p>Antibiotic usage in first time wheezers is still quite prevalent. Presence of crackles and radiological abnormalities often prompt the usage of antibiotics in such cases.</p>
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spelling doaj.art-834e307949d44e929d97c73135428b332022-12-22T01:44:20ZengBMCItalian Journal of Pediatrics1720-84241824-72882011-09-013714010.1186/1824-7288-37-40Antibiotic prescribing pattern in paediatric in patients with first time wheezingPemde Harish KSingh VarinderPatra SoumyaChandra Jagdish<p>Abstract</p> <p>Background</p> <p>Acute wheezers for the first time in life are an important target group for efforts aimed at reducing unnecessary antibiotic use.</p> <p>Objective</p> <p>To evaluate the effect of clinical, laboratory and radiological data on the decision to prescribe antibiotics to paediatric patients with first time wheezing as well as to seek criteria that would justify antibiotic use.</p> <p>Methods</p> <p>A prospective study was made of 47 previous healthy children admitted to our hospital with first time wheezing in life between October 2008- March 2009. All the patients were treated as per the treating unit's protocol with oxygen, bronchodilators with or without antibiotics. The cases were analyzed after discharge and the characteristics of those treated with antibiotics (n = 23) were compared with those who were not (n = 24) and analyzed statistically to find the predictors for antibiotic usage.</p> <p>Results</p> <p>The mean age of the study groups was 5.8 (+/- 5.1) months. Among the clinical and investigational parameters, presence of predominant crackles and abnormalities on radiograph were the major determinants for antibiotic usage. There were no significant differences in final outcome between these groups.</p> <p>Conclusion</p> <p>Antibiotic usage in first time wheezers is still quite prevalent. Presence of crackles and radiological abnormalities often prompt the usage of antibiotics in such cases.</p>http://www.ijponline.net/content/37/1/40Antibioticacute bronchiolitiswheezing
spellingShingle Pemde Harish K
Singh Varinder
Patra Soumya
Chandra Jagdish
Antibiotic prescribing pattern in paediatric in patients with first time wheezing
Italian Journal of Pediatrics
Antibiotic
acute bronchiolitis
wheezing
title Antibiotic prescribing pattern in paediatric in patients with first time wheezing
title_full Antibiotic prescribing pattern in paediatric in patients with first time wheezing
title_fullStr Antibiotic prescribing pattern in paediatric in patients with first time wheezing
title_full_unstemmed Antibiotic prescribing pattern in paediatric in patients with first time wheezing
title_short Antibiotic prescribing pattern in paediatric in patients with first time wheezing
title_sort antibiotic prescribing pattern in paediatric in patients with first time wheezing
topic Antibiotic
acute bronchiolitis
wheezing
url http://www.ijponline.net/content/37/1/40
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