ANTIBIOTICS PRESCRIBING IN PEDIATRIC PRACTICE AND OPTIMIZATION WAY THE STUDY OF THE USE OF ANTIBIOTICS IN PEDIATRIC PRACTICE AND WAYS OF OPTIMIZATION

Аннотация

Antimicrobials are the most commonly prescribed drugs in the community and hospital setting. The rational use of antibiotics in Georgia, as in the world is an important issues for health care structures. Global spread is strictly associated  with an inappropriate use of antimicrobials. There are just a few studies describing the real antibiotic consumption in Georgia Aim of our study was To describe the prevalence of antibiotic prescription for prophylaxis and treatment of infections. To evaluate antibiotic prescriptions, indications, number and type of antibiotic agents.3 pediatric or mixed adult-pediatric hospitals were studied in 2015 and 9 hospitals in 2017. In 2015 total number of patients was 95 and 66 (30.52%) of these had an on-going prescription for one or more antibiotics. In 2017 total number was 157 and 107  (31.84%) of these had an on-going prescription.  Our study presented a picture of the situation in Georgia in terms of antibiotic prescriptions in hospitalized neonates and children. Last year there was seen increased use of the third generation cephalosporins. In neonatal and surgical wards the use of broad spectrum antibiotics decreased. Also it is important that there was seen a trend of increased use of oral forms of antibiotics and targeted treatment became a priority. Implementation of disease-specific clinical pathways associated with annual PPSs could be a good way to monitor and ameliorate antibiotic prescription patterns in neonatal and pediatric inpatients over time, in order to reduce as much as possible the worrisome emergence of MDR bacteria in this vulnerable population.