A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital

Background: Antibiotics are one of the most widely misused group of medicines. The aim of this study was to investigate the use of antibiotics in one of the paediatric emergency departments in China. Methods: We performed a prospective, cross-sectional study of antibiotic use in the paediatric em...

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Main Authors: Zeng, Linan, Hu, Die, Choonara, Imti, Mu, Dezhi, Zhang, Lingli, Li, Xihong, Zhang, Zuojie, Hu, Zhiqiang, Quan, Shuyan
Format: Article
Published: Wiley 2017
Online Access:https://eprints.nottingham.ac.uk/40352/
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author Zeng, Linan
Hu, Die
Choonara, Imti
Mu, Dezhi
Zhang, Lingli
Li, Xihong
Zhang, Zuojie
Hu, Zhiqiang
Quan, Shuyan
author_facet Zeng, Linan
Hu, Die
Choonara, Imti
Mu, Dezhi
Zhang, Lingli
Li, Xihong
Zhang, Zuojie
Hu, Zhiqiang
Quan, Shuyan
author_sort Zeng, Linan
building Nottingham Research Data Repository
collection Online Access
description Background: Antibiotics are one of the most widely misused group of medicines. The aim of this study was to investigate the use of antibiotics in one of the paediatric emergency departments in China. Methods: We performed a prospective, cross-sectional study of antibiotic use in the paediatric emergency room of West China Second University Hospital. A total of 500 consecutive patients from March 25 to April 3 2013 were included. Clinical details of the patients were also collected in order to analyse antibiotic use. Key findings: The median age of patients was 2 years 2 months. The five most common conditions seen in the emergency department were wheezy bronchitis, upper respiratory tract infections, tonsillitis, pneumonia and diarrhoea. A total of 311 children (62%) received antibiotics. The antibiotics prescribed were predominantly cephalosporins and penicillins. More than one antibiotic was used in 51 patients. In total, 75% of the antibiotics prescribed were cephalosporins. More than three-quarters of the young children with wheezy bronchitis received antibiotics. Antibiotic use for children with an upper respiratory tract infections or tonsillitis was greater than the 20% maximum recommended by the European Surveillance of Antimicrobial Consumption. Conclusions: The majority of children attending the emergency department received antibiotics. For many of the conditions, the use of antibiotics was inappropriate.
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spelling nottingham-403522020-05-04T19:58:52Z https://eprints.nottingham.ac.uk/40352/ A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital Zeng, Linan Hu, Die Choonara, Imti Mu, Dezhi Zhang, Lingli Li, Xihong Zhang, Zuojie Hu, Zhiqiang Quan, Shuyan Background: Antibiotics are one of the most widely misused group of medicines. The aim of this study was to investigate the use of antibiotics in one of the paediatric emergency departments in China. Methods: We performed a prospective, cross-sectional study of antibiotic use in the paediatric emergency room of West China Second University Hospital. A total of 500 consecutive patients from March 25 to April 3 2013 were included. Clinical details of the patients were also collected in order to analyse antibiotic use. Key findings: The median age of patients was 2 years 2 months. The five most common conditions seen in the emergency department were wheezy bronchitis, upper respiratory tract infections, tonsillitis, pneumonia and diarrhoea. A total of 311 children (62%) received antibiotics. The antibiotics prescribed were predominantly cephalosporins and penicillins. More than one antibiotic was used in 51 patients. In total, 75% of the antibiotics prescribed were cephalosporins. More than three-quarters of the young children with wheezy bronchitis received antibiotics. Antibiotic use for children with an upper respiratory tract infections or tonsillitis was greater than the 20% maximum recommended by the European Surveillance of Antimicrobial Consumption. Conclusions: The majority of children attending the emergency department received antibiotics. For many of the conditions, the use of antibiotics was inappropriate. Wiley 2017-02 Article PeerReviewed Zeng, Linan, Hu, Die, Choonara, Imti, Mu, Dezhi, Zhang, Lingli, Li, Xihong, Zhang, Zuojie, Hu, Zhiqiang and Quan, Shuyan (2017) A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital. International Journal of Pharmacy Practice, 25 (1). pp. 89-92. ISSN 2042-7174 http://onlinelibrary.wiley.com/doi/10.1111/ijpp.12335/abstract doi:10.1111/ijpp.12335 doi:10.1111/ijpp.12335
spellingShingle Zeng, Linan
Hu, Die
Choonara, Imti
Mu, Dezhi
Zhang, Lingli
Li, Xihong
Zhang, Zuojie
Hu, Zhiqiang
Quan, Shuyan
A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital
title A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital
title_full A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital
title_fullStr A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital
title_full_unstemmed A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital
title_short A prospective study of the use of antibiotics in the Emergency Department of a Chinese University Hospital
title_sort prospective study of the use of antibiotics in the emergency department of a chinese university hospital
url https://eprints.nottingham.ac.uk/40352/
https://eprints.nottingham.ac.uk/40352/
https://eprints.nottingham.ac.uk/40352/