Objectives
Injectable route seems to be the most frequently used in health facilities in a resource-limited setting.
Antimicrobial Resistance and Infection Control volume 2, Article number: P323 (2013)
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
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Daouda, M., Kaya, A., Traoré, B. et al. P323: Epidemiological study of drug administration routes (dar) in the department of pediatrics, Gabriel Touré hospital. Mali. Antimicrob Resist Infect Control 2 (Suppl 1), P323 (2013). https://doi.org/10.1186/2047-2994-2-S1-P323
Published:
DOI: https://doi.org/10.1186/2047-2994-2-S1-P323