The Use of Antibiotics in the Pediatric Cardiology Unit, Assiut University | ||
| Journal of Current Medical Research and Practice | ||
| Volume 9, Issue 3, July 2024, Pages 59-68 PDF (410.06 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/jcmrp.2024.268273.1008 | ||
| Authors | ||
| Rehab Abdelazeem Abdelmohsen* ; Ghada Omar Elsedfy; Amira Mohammad Shalaby | ||
| Department of Pediatrics, Assiut University | ||
| Abstract | ||
| Introduction: Inappropriate prescription of antibiotics, dosage, and administration can lead to an increase in morbidity and mortality among pediatric patients. There are different indications for the use of antibiotics in the management of congenital and acquired heart diseases, such as rheumatic fever (RF), infective endocarditis (IE), pericarditis, and pneumonia in patients with congenital heart disease (CHD). Aim and Objectives: To audit the use of antibiotics in the Pediatric Cardiology Unit, Assiut University Children's Hospital, and to evaluate their adherence to the guidelines of their use in patients with rheumatic fever, infective endocarditis, pericarditis, and pneumonia in patients with CHD. Patients and Methods: This retrospective observational study included 200 patients admitted to the Pediatric Cardiology Unit at Assiut University Children's Hospital. They received antibiotics as a part of their management plan for rheumatic fever, infective endocarditis, pericarditis, or pneumonia with CHD for one year, from October 2019 to September 2020. Results: Our study included 200 patients,118 male and 82 female, with an age range of 31 days to 15 years with a median age of 8 months. Antibiotic use was adherent to guidelines in 100% of patients when used as a prophylaxis against rheumatic fever, 50% of patients for eradication of streptococcal infection, 68.5% of the patients prepared to cardiac catheterization as a prophylaxis against infective endocarditis, 100% of the patients with infective endocarditis, 75% of patients with pericarditis and 68.8% of patients with pneumonia and CHD. Conclusion: The antibiotic therapy used adhered to the guidelines in 69% of patients. | ||
| Keywords | ||
| Antibiotics; Pediatrics; Cardiology. | ||
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