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Vol. 24 - Num. 94

Original Papers

Use of antibiotics in the population aged less than 14 years

Juan Ríos Laordena, Carlos Marcilla Vázquezb, Ángeles Lloret Callejoc, Francisco Tejada Cifuentesc, M.ª José Tirado Peláezc

aPediatra. CS Zona VI. Gerencia de Atención Integrada de Albacete. Albacete. España.
bServicio de Pediatría. Complejo Hospitalario Universitario. Gerencia de Atención Integrada de Albacete. Albacete. España.
cFarmacéutico de Atención Primaria. Gerencia de Atención Integrada de Albacete. Albacete. España.

Reference of this article: Ríos Laorden J, Marcilla Vázquez C, Lloret Callejo A, Tejada Cifuentes F, Tirado Peláez MJ. Use of antibiotics in the population aged less than 14 years. Rev Pediatr Aten Primaria. 2022;24:137-47.

Published in Internet: 15-06-2022 - Visits: 671

Abstract

Objective: to map antibiotic prescription for management of infections by age group in children aged less than 14 years at the primary care level.

Patients and methods: observational descriptive study of medication use focused on antibiotic prescription. The study population corresponded to all children in our health care area that received antibiotic prescriptions during the study period (January 2017 to December 2019). We assessed the usefulness of the indicators described in the antibiotic use optimization programme.

Results: in 2017, the total number of prescribed antibiotics was 28 030, 12% and 14% more than in 2018 and 2019, respectively. In 2018, 31.4% of the population under study received a prescription for at least one antibiotic per year, while in 2019 the percentage was 35.8%. When it came to children who received 2 prescriptions per year, the percentage was 15.4% in 2018 and 14.4 % in 2019. The prescription of beta-lactamase sensitive penicillins increased from 1.7 % in 2017 to 7.7% in 2019, while prescription of macrolides exhibited the opposite trend, decreasing from 19.6% in 2017 to 14.9% in 2019.

Conclusion: this study is the first to obtain quantitative and qualitative indicators of antibiotic use in paediatric age for management of common infectious diseases. It confirmed the high consumption of antibiotics, especially in children under 4 years of age, in addition to the inappropriate use of certain groups of antibiotics, such as macrolides and cephalosporins, for diseases for which they are not the first-line treatment.

Keywords

Antibiotics Indicators Pediatric population Rational use

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