Adherence of Family Physicians to Antibiotic Prescription Guidelines for Children Under Five Years in Alexandria

  • Bothaina S. Deghedi Primary Healthcare Specialty, High Institute of Public Health, Alexandria University, Alexandria
  • Noha S. Moustafa Primary Healthcare Specialty, High Institute of Public Health, Alexandria University, Alexandria
  • Manal M. Meky Primary Health Care Specialty, High Institute of Public Health, Alexandria University, Alexandria

Abstract

Background: Antibiotic use has been beneficial and, when prescribed and taken correctly, their value in patient care is enormous. Over prescription and abuse of antibiotics in the treatment is a worldwide problem. More than 40% of children with acute diarrhea receive unnecessary antibiotics and up to 60% of children with acute upper respiratory tract infections receive antibiotics inappropriately.Objectives: To assess adherence of family physicians to guidelines for antibiotic prescription in acute upper respiratory tract infections and diarrhea in children under 5 years.Methods: A cross-sectional study was conducted in 4 randomly selected family health facilities in Alexandria governorate. An observation checklist was designed based on Integrated Management of Childhood Illness (IMCI) guidelines and used on a sample of 300 consultation sessions.Results: The study revealed that antibiotics were prescribed in 49.7% of the observed sessions and prescribed appropriately in 55.4% of the sessions according to IMCI guidelines. The type of prescribed antibiotic was appropriate in 91.8% of the sessions.Conclusion: Family physicians’ antibiotics prescription is inappropriate in nearly half of the studied children.Keywords: Antibiotics, adherence, family physicians, under 5 children
Published
2017-04-20
How to Cite
Deghedi, B., Moustafa, N., & Meky, M. (2017). Adherence of Family Physicians to Antibiotic Prescription Guidelines for Children Under Five Years in Alexandria. Journal of High Institute of Public Health, 45(2), 62-70. Retrieved from http://jhiph.alexu.edu.eg/index.php/jhiph/article/view/364
Section
Articles