Injectable route seems to be the most frequently used in health facilities in a resource-limited setting.

In order to better understand this under investigated issue, we conducted a longitudinal study of DAR use in the general pediatric ward of the Gabriel Touré Hospital to Bamako during 6 months.

We are interested in the routes of administration applied to a population of 300 children with a sex ratio (M / F) = 1.3. Their average age was 2 years ± 1. Presumed diagnoses underwent a change from admission to discharge, both in frequency and formulation. Malaria (37.4% vs 39.7% at 72 hours), pneumonia (19% vs 20% at 72 hours), and the nephrotic syndrome (2.2% vs. 5.1% in 72 hours) were most commonly mentioned. Treatments prescribed for the presumed diagnosis were administered parenterally in 76.6% of cases at admission, in 70% 72h hours after admission and in 36.3% at discharge. The following complications were noted: inflammation of the catheter puncture sites (21.8% at admission, 18% after 5 days of hospitalization), abscess at the site of intramuscular injection (2.1%). The mean duration of hospitalization was 7.6 ± 3.7 days and mortality was 11%.

Injection is the most widely used in the pediatric unit III for the most common pathologies. A detailed study would be needed to assess the adequacy of the diagnostic hypotheses and routes of administration. The high number of injections exposes staff and patients to risks.

None declared