Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh

This article was published in the Patient Preference and Adherence [© 2017 Rashid et al.] and the definitive version is available at : https://doi.org/10.2147/PPA.S140002 The Journal's website is at: https://www.dovepress.com/antibiotic-use-for-pneumonia-among-children-under-five-at-a-pediatri...

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Autori principali:	Rashid, Md Mahbubur, CHISTI, M. J., Akter, Dilruba, Sarkar, Malabika, Chowdhury, Fahima Rabbi
Altri autori:	James P Grant School of Public Health, BRAC University
Natura:	Articolo
Lingua:	English
Pubblicazione:	© 2017 Dove Medical Press Ltd. 2018
Soggetti:	Antibiotic use Bangladesh Pediatrics Pneumonia Private hospitals WHO guidelines
Accesso online:	http://hdl.handle.net/10361/9601 https://doi.org/10.2147/PPA.S140002

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spelling	10361-96012018-03-11T04:30:04Z Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh Rashid, Md Mahbubur CHISTI, M. J. Akter, Dilruba Sarkar, Malabika Chowdhury, Fahima Rabbi James P Grant School of Public Health, BRAC University Antibiotic use Bangladesh Pediatrics Pneumonia Private hospitals WHO guidelines This article was published in the Patient Preference and Adherence [© 2017 Rashid et al.] and the definitive version is available at : https://doi.org/10.2147/PPA.S140002 The Journal's website is at: https://www.dovepress.com/antibiotic-use-for-pneumonia-among-children-under-five-at-a-pediatric--peer-reviewed-article-PPA Background: Pneumonia has been the leading cause of morbidity and mortality among children under 5 for more than 3 decades, particularly in low-income countries like Bangladesh. The World Health Organization (WHO) developed a pneumonia case management strategy which included the use of antibiotics for both primary and hospital-based care. This study aims to describe antibiotic usage for treating pneumonia in children in a private pediatric teaching hospital in Dhaka, Bangladesh. Methods: We conducted this cross-sectional study among children <5 years old who were admitted to a private pediatric hospital in Dhaka with a diagnosis of pneumonia in November 2012. Results: We enrolled 80 children during the study period. Among them, 28 (35.4%) were underweight, 14 (17.7%) were moderately underweight, and 13 (16.5%) were severely underweight. On the basis of WHO classification (2005), 43 children (54%) had severe pneumonia and 37 (46%) had very severe pneumonia, as diagnosed by the research physician. Among the prescribed antibiotics in the hospital, parenteral ceftriaxone was the most common 40 (50%), followed by cefotaxime plus amikacin 14 (17.5%), cefuroxime 7 (8.8%), ceftazidime plus amikacin 6 (7.5%), ceftriaxone plus amikacin 3 (3.8%), meropenem 2 (2.5%), cefepime 2 (2.5%), and cefotaxime 2 (2.5%). Conclusion: Despite the WHO pneumonia treatment strategy, the inappropriate use of higher-generation cephalosporin and carbapenem was high in the study hospital. The results underscore the noncompliance with the WHO guidelines of antibiotic use and the importance of enforcing regulatory policy of the rational use of antibiotics for treating hospitalized children with pneumonia. Following these guidelines may help prevent increased antimicrobial resistance. Published 2018-03-11T04:25:52Z 2018-03-11T04:25:52Z 2017-08-03 Article Rashid, M. M., Chisti, M. J., Akter, D., Sarkar, M., & Chowdhury, F. (2017). Antibiotic use for pneumonia among children under-five at a pediatric hospital in dhaka city, bangladesh. Patient Preference and Adherence, 11, 1335-1342. 10.2147/PPA.S140002 1177889X http://hdl.handle.net/10361/9601 https://doi.org/10.2147/PPA.S140002 en https://www.dovepress.com/antibiotic-use-for-pneumonia-among-children-under-five-at-a-pediatric--peer-reviewed-article-PPA © 2017 Dove Medical Press Ltd.
institution	Brac University
collection	Institutional Repository
language	English
topic	Antibiotic use Bangladesh Pediatrics Pneumonia Private hospitals WHO guidelines
spellingShingle	Antibiotic use Bangladesh Pediatrics Pneumonia Private hospitals WHO guidelines Rashid, Md Mahbubur CHISTI, M. J. Akter, Dilruba Sarkar, Malabika Chowdhury, Fahima Rabbi Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh
description	This article was published in the Patient Preference and Adherence [© 2017 Rashid et al.] and the definitive version is available at : https://doi.org/10.2147/PPA.S140002 The Journal's website is at: https://www.dovepress.com/antibiotic-use-for-pneumonia-among-children-under-five-at-a-pediatric--peer-reviewed-article-PPA
author2	James P Grant School of Public Health, BRAC University
author_facet	James P Grant School of Public Health, BRAC University Rashid, Md Mahbubur CHISTI, M. J. Akter, Dilruba Sarkar, Malabika Chowdhury, Fahima Rabbi
format	Article
author	Rashid, Md Mahbubur CHISTI, M. J. Akter, Dilruba Sarkar, Malabika Chowdhury, Fahima Rabbi
author_sort	Rashid, Md Mahbubur
title	Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh
title_short	Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh
title_full	Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh
title_fullStr	Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh
title_full_unstemmed	Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh
title_sort	antibiotic use for pneumonia among children under-five at a pediatric hospital in dhaka city, bangladesh
publisher	© 2017 Dove Medical Press Ltd.
publishDate	2018
url	http://hdl.handle.net/10361/9601 https://doi.org/10.2147/PPA.S140002
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Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh

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