Педиатрическая фармакология (Oct 2015)
The Frequency of Using Antibiotic Therapy for Acute Nasopharyngitis (J00) Among Preschool Children in Outpatient Conditions in Yakutsk
Abstract
Background. Acute respiratory infections (ARI) are leaders in the structure of general diseases of the population. In Russia, each year about 70 thousand ARI cases occur per 100 thousand child population. The maximum frequency of acute respiratory infections is noted at the age from 6 months to 6 years. Among this group, the highest incidence of acute respiratory infections is observed for children of preschool age. Viral infections are leading among the causes of acute respiratory disease (90%) and only a minor part of them consist of bacterial pathogens. Despite this, almost 25–85% of pediatricians prescribe to their patients antibiotics for acute respiratory infections.The Aim. Analysis of the spectrum of antibacterial drugs used in acute nasopharyngitis in preschool children in an outpatient setting.Methods. The study was formed by a representative group in the amount of 1248 outpatients preschool children. The article presents the nosological forms of acute respiratory infections to study the spectrum of applied systemic antibiotics in acute nasopharyngitis in preschool children in an outpatient setting.Results. In the structure of ARI for the period 2009–2010, the incidence of acute nasopharyngitis dominates and is more than 60%. During pharmacoepidemiological analysis the frequency of using systemic antibiotics in children with acute nasopharyngitis on an outpatient basis was established. It was found that antibiotic therapy was applied in 43 (2009) and 37% (2010) ARI cases. Most often it were aminopenicillins, combined penicillins, macrolides, cephalosporins of the III-rd generation.Conclusion. Given the prevalence of acute nasopharyngitis among ARI nosological forms, it should be emphasized that most of them are uncomplicated, which may serve as important basis for the rational use of systemic antibiotics on empirical choice in the conditions of outpatient care.
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