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Ann Biol Sci, 2017
ISSN: 2348-1927
August 23-24, 2017 | Toronto, Canada
Annual Conference on
MICROBIAL PATHOGENESIS, INFECTIOUS DISEASE,
ANTIMICROBIALS AND DRUG RESISTANCE
Arch Clin Microbiol, 8:5
DOI: 10.4172/1989-8436-C1-003
Background:
Pneumonia is the leading cause of morbidity
and mortality among under-five children for more than
three decades, particularly in low income countries like
Bangladesh. World Health Organization (WHO) developed
pneumonia case management strategy which included use
of antibiotics for both primary and hospital based care.
This study aims to describe antibiotic practice for treating
pneumonia among children in a private pediatric teaching
hospital in Dhaka city, Bangladesh.
Methodology:
We conducted this cross-sectional study
during November, 2012 in a private pediatric hospital in
Dhaka city and the study participants were <5 children
admitted with pneumonia.
Findings:
We enrolled 80 children during the study
period. Among them 28 (35.4%) were underweight, 14
(17.7%) moderately underweight and 13 (16.5%) severely
underweight. Based on WHO classification (2005), 43 (54%)
had severe and 37 (46%) had very severe pneumonia,
diagnosed by 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 WHO pneumonia treatment strategy,
use of higher generation cephalosporin and carbapenemwas
high in the study hospital. The results underscore the non
adherent use of antibiotic to WHO guidelines the importance
of antibiotic surveillance and enforced regulatory policy
implication for the rational use of antibiotics in treating
hospitalized children with pneumonia.
e:
mahbubur.rashid@icddrb.orgAntibiotic practice for pneumonia among under-five children in inpatient department at a private
pediatric teaching hospital in Dhaka city, Bangladesh
Md. Mahbubur Rashid
1
, Mohammod Jobayer Chisti
1
, Dr. Dilruba Akter
2
, Professor Malabika Sarker
3
and
Dr. Fahmida Chowdhury
1
1
Infectious Disease Division, icddr,b, Bangladesh
2
DGHS, Bangladesh
3
James P. Grant School of Public Health, BRAC University, Bangladesh