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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 7
First page : ( 716) Last page : ( 722)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.01659.0

Antibiotics Usage and Their Cost in the Pediatric Wards of Salah Aldin Teaching Hospital

Al-Kumait Thikra M.1, Thakir Emad Maaroof2, Ibrahim Hind Mutar2, Alwan Alaa H.2

1Department of Family & Community Medicine, College of Medicine, Tikrit University

2Department of Pediatrics, College of Medicine, Tikrit University, Salah Aldin, Iraq

Online published on 19 August, 2019.

Abstract

Background

Antimicrobials are among the most commonly used and misused of all drugs. The inevitable results of their common and widespread use has been the emergence of antibiotic-resistant pathogens, fueling an ever-increasing need for new drugs at a time when the velocity of antimicrobial drug development has slowed significantly, therefore aim of this study is reducing inappropriate antibiotic use which thought to be the best way to control resistance and reserve money spent for buying.

Material and Method

This descriptive study was held in the wards of Salah Aldin Teaching Hospital (STH), from (1–31) January 2017, the total number of collected sample is 1700 cases of inpatient were treated with antibiotics from a total of 2150 inpatient and only 647 cases in the pediatric wards who treated with antibiotics were included in the study. The study involved with determining the definite diagnosis, cause of admission, rational cost for using antibiotics and the duration of the treatment.

Results

Total numbers of cases who treated with antibiotics were 647 cases in pediatric wards only and the number of antibiotics which had been spent during that month as follow: 482 cephalosporins vials, 199 penicillins vials, 235 metronidazole bottols, 54 amino-glycosides, 35 glycopeptide, 31 Flouroquinolone, and 17 macrolides vials respectively as registered in the pharmacy books and wards (more than one antibiotic might be prescribed to one case). The total cost was 6194$ only in pediatric wards from a total 23929$ cost of antibiotics used in the whole wards of Salahaldin Teaching Hospital (STH).

Conclusion

The antibacterial agents are used in the wards of the hospital roughly, without differential tests and without any respect to the guidelines of judicious AB use to decrease the resistant. Cephalosporins are the most commonly used AB in all the five wards of STH, As well as the total cost of using AB in STH for only one month is about 23929 $, 6194$ in pediatrics. enormous amounts of AB used in STH can easily lead to serious problems of resistant infections, also huge amounts of AB dispensed for chest infections and GE (usually are viral in nature).

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Keywords

Antibiotics usage, Cost, Pediatric wads, Salahaldin Teaching Hospital.

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