بررسی فراوانی تجویز زودهنگام آنتی بیوتیک در بخش اورژانس کودکان بیمارستان شهید رحیمی شهر خرمآباد در سال 1402 و ارتباط آن با فاکتورهای مرتبط با تجویز زودهنگام
کد: G-1101
نویسندگان: Sherkatolabbasieh Hamid Reza1 ℗, Fariba Tarhani ©, Erfan Lavasani, Shafiezadeh Shiva
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Introduction: Early administration of antibiotics in the emergency department is a common approach in the initial management of infections and critical conditions in children. This practice can help reduce complications resulting from severe bacterial infections. However, the unnecessary and excessive use of antibiotics is associated with consequences such as bacterial resistance, increased healthcare costs, and adverse drug reactions. The present study aims to investigate the frequency of early antibiotic administration in the pediatric emergency department of Shahid Rahimi Hospital in Khorramabad in the year 2023, and to analyze its association with factors related to early administration. Materials and Methods: This research was a cross-sectional descriptive-analytical study. The study population included all children who visited the pediatric emergency department of Shahid Rahimi Hospital in Khorramabad in 2023. Sampling was conducted using a convenient method. The required data were collected through a checklist. After data collection, the data were entered into SPSS software version 27 and subjected to statistical analysis. Descriptive statistics (frequency and percentage) were used for data description, and analytical statistics (t-test and chi-square) were used for assessing correlations and the impact of variables. The results were presented in the form of charts and statistical tables. A p-value of less than 0.05 was considered statistically significant. Results: In this study, a total of 356 children were examined. Of these, 225 (63.2%) were boys and 131 (36.8%) were girls. The mean age and standard deviation of the children in the study were 43.41±39.26 months, ranging from 1 to 164 months. The 93 average duration of hospitalization in the emergency department was 4.97±3.28 days, ranging from 1 to 21 days. Overall, 129 (36.2%) children received early antibiotic therapy, while 227 (63.8%) did not. Statistical analysis revealed a significant association between early antibiotic prescription and the following variables: a history of antibiotic use (P=0.001), the prescribing physician (P=0.028), length of hospitalization (P=0.001), respiratory rate (P=0.023), soft tissue swelling (P=0.001), poor general condition (P=0.036), dehydration (P=0.024), respiratory distress (P=0.005), pharyngeal erythema (P=0.030), strawberry tongue (P=0.047), lymphadenopathy (P=0.030), crackles in lung auscultation (P=0.003), tympanic membrane erythema (P=0.007), chills (P=0.004), fever (P=0.001), seizures (P=0.001), productive cough
کلمات کلیدی
Early antibiotic prescription, pediatric emergency department, risk factors, Lorestan.
