Trend And Pattern Of Antibiotic Practice In Paediatric Surgery In Bangladesh

Abstract

Introduction: Antibiotics are frequently over prescribed, misused or inappropriately used both in developed or developing countries. The extent and pattern of inappropriate use is well documented in developed countries but such studies are few in developing countries like Bangladesh. Objective: To find out trend and pattern of antibiotic practice in paediatric surgery in Bangladesh Methodology: This cross sectional descriptive study was carried out on 260 paediatric patients of 0-15 years age range, to find out the pattern of antibiotic practice in pediatric practicing hospital and different clinic of Cumilla, Bangladesh. All the patients were studied after categorization into i) Clean ii) Cleancontaminated iii) Contaminated and iv) Dirty wounds according to their potentiality of post-operative wound infection. Total period of antibiotic practice was divided into a. Pre-operative (Up to the day before operation) b. Per-operative (during or just before operation) c. Post-operative (days after operation) and d. Post-discharge stage for the convenience of this study. Antibiotic practice in all categories during all periods mentioned were compared and evaluated. Results: More than two antibiotics were given in a single patient in 48.1% of clean and 51.9% of contaminated patients in a combination or sequentially. More than 3 antibiotics were used in a single patient. On the average total number (mean) of antibiotic use was more than two (2.64 +1.09). The highest number (mean) of antibiotics was used in contaminated category (3.29) with range of (0-7). Overall total duration (mean) of antibiotic used was 17.40 days.