Inappropriate antibiotic prescription to children with acute respiratory infection in Brazil.
Indian Pediatr
;
2003 Jan; 40(1): 7-12
Artigo
em Inglês
| IMSEAR
| ID: sea-7505
ABSTRACT
OBJECTIVE:
To determine the rate of inappropriate antibiotic prescription and to describe the types of antibiotics prescribed by health workers to children with acute respiratory infection (ARI).DESIGN:
Cross-sectional survey conducted in 6 state capitals of Brazil.METHODS:
A representative sample of facilities was selected in each state using a cluster sampling method based on the mean number of visits of children less than 5 years of age. In each facility, consultations were observed and children were reassessed following standard guidelines. Health worker s diagnosis and treatment were compared with a gold standard and inappropriate antibiotic prescriptions noted.RESULTS:
1565 children with ARI from 156 health facilities (73% health centers) were included in study. Most children had a common cold (77.5%). Antibiotics were inappropriately prescribed in 9.2% (95% CI 7.8, 10.7) of ARI cases (range 2.8% to 25%). Most frequently prescribed antibiotics were those recommended by the ARI Program. Seventy-six percent of health workers explained to guardians how to use antibiotics at home and 3.9% demonstrated the first dose. Antibiotics were available in 84% of health facilities.CONCLUSION:
Inappropriate prescription of antibiotics varied geographically in Brazil. More training and supervision is needed to decrease it.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Pneumonia
/
Infecções Respiratórias
/
Padrões de Prática Médica
/
Brasil
/
Humanos
/
Análise por Conglomerados
/
Pré-Escolar
/
Doença Aguda
/
Estudos Transversais
/
Resfriado Comum
Tipo de estudo:
Ensaio Clínico Controlado
/
Guia de Prática Clínica
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Fatores de risco
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Indian Pediatr
Ano de publicação:
2003
Tipo de documento:
Artigo
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