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Rev Panam Salud Publica. 2011 Dec;30(6):574-9.

Physicians' responsibility for antibiotic use in infants from periurban Lima, Peru.

Author information

1
Instituto de Investigación Nutricional, Lima, Peru. lecker@iin.sld.pe

Abstract

OBJECTIVE:

To describe the use of antibiotics in Peruvian children under 1 year in a setting where they are available without a prescription.

METHODS:

Data were analyzed from a cohort study between September 2006 and December 2007 of 1 023 children < 2 months old in periurban Lima, Peru, followed until they were 1 year old.

RESULTS:

Seven hundred seventy of 1 023 (75.3%) children took 2 085 courses of antibiotics. There were two courses per child per year (range 0-12). Higher rates of antibiotic use were found in children 3-6 months old (37.2%). Antibiotics were given to children for 8.2% of common colds, 58.6% of all pharyngitis, 66.0% of bronchitis, 40.7% of diarrheas, 22.8% of dermatitis, and 12.0% of bronchial obstructions. A physician's prescription was the most common reason for antibiotic use (90.8%). Medication use without a prescription was found in 6.9% of children, and in 63.9% of them it was preceded by a physician's prescription.

CONCLUSIONS:

Infants are often exposed to antibiotics in this setting. Overuse of antibiotics is common for diagnoses such as pharyngitis, bronchitis, bronchial obstruction, and diarrhea but is typically inappropriate (83.1% of courses) based on the most common etiologies for this age group. Interventions to improve the use of antibiotics should focus on physicians, since a physician's prescription was the most common reason for antibiotic use.

PMID:
22358405
[Indexed for MEDLINE]
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