Preview

Bashkortostan Medical Journal

Advanced search

PROBLEMS OF ANTIBACTERIAL THERAPY IN OUTPATIENT PEDIATRIC PRACTICE

Abstract

Worldwide, one of the most important problems in therapy with systemic antimicrobials is antimicrobial resistance. In addition, when prescribing antibacterial therapy to pediatric patients, it is necessary to pay special attention to the selection of the optimal dosage and dosage regimen.
The purpose of this work was to assess the rationality of prescribing antibacterial drugs in outpatient pediatric practice.
Materials and methods. To conduct the study, a methodology was developed that included a structural analysis of drug prescriptions in outpatient pediatric practice, identifying cases of off-label prescriptions of antibacterial drugs and formulating proposals for rational use.
Results. It was found that of the prescribed systemic antibacterial drugs, the combination of amoxicillin with clavulanic acid was most often prescribed (56.3% of the number of prescriptions in group J01). None of the prescribed drugs in this group has “children’s” status. Of the total number of prescriptions for drugs from group J01, 14.0% were classified as off-label. Thus, despite the wide range of antibacterial drugs currently available on the pharmaceutical market, there are cases of these drugs being prescribed outside the instructions.

About the Authors

L. I. Sotnikova
ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы»
Russian Federation


E. E. Loskutova
ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы»
Russian Federation


M. M. Kurashov
ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы»
Russian Federation


References

1. Zyryanov S.K., Baibulatova E.A. The use of new dosage forms of antibiotics as a way to improve the effectiveness and safety of antibiotic therapy. Antibiotiki i khimioterapiya. 2019; 64(3-4):81-91. (in Russ.) DOI: 10.24411/0235-2990-2019-100020

2. Kruszyna T., Rogala J., Jędrychowski T. [et al.] Kidney Transplantation in Abernethy Malformation: A Case Report. Transplantation Proceedings. 2022; 54(4):1155-1157. (in Engl) DOI: 10.1016/j.transproceed.2022.02.013

3. Anaba A., Adenuga A.B. Antibiotic use in paediatrics. Exploratory Research in Clinical and Social Pharmacy. 2021; 1. (in Engl) DOI: 10.1016/j.rcsop.2021.100003

4. Savchenkova L.V., Saidova M.N. Pharmacoepidemiological monitoring of self-treatment by anti-microbial preparations in the republic of Tajikistan. Bashkortostan Medical Journal. 2021; 16(3):65-71. (in Russ.)

5. Park S.Y., Moon S.M., Kim B. [et al.] Appropriateness of antibiotic prescriptions during hospitalization and ambulatory care: a multicentre prevalence survey in Korea. Journal of Global Antimicrobial Resistance. 2022; 29:253-258. (in Engl) DOI: 10.1016/j.jgar.2022.03.021

6. Mustafa F., Koekemoer L.A., Green R.J. [et al.] Successful antibiotic stewardship in hospitalised children in a developing nation. Journal of Global Antimicrobial Resistance. 2020. 23:217-220. (in Engl) DOI: 10.1016/j.jgar.2020.09.014

7. Rasporyazhenie Pravitel'stva Rossiiskoi Federatsii «Ob utverzhdenii Strategii preduprezhdeniya rasprostraneniya antimikrobnoi rezistentnosti v Rossiiskoi Federatsii» №2045-r ot 25.09.2017 (Decree of the Government of the Russian Federation "On approval of the Strategy for Preventing the Spread of Antimicrobial Resistance in the Russian Federation") // [Elektronnyi resurs]. URL: https://www.consultant.ru/document/cons_doc_LAW_279129/ (in Russ.)

8. Khalimova А.А. Review of the antibiotics market and evaluation of its development prospects. Medical & pharmaceutical journal “Pulse”. 2023; 25(1):77-83. (in Russ.) DOI: 10.26787/nydha-2686-6838-2023-25-2-77-83.

9. Zakharenkov I.A., Rachina S.A., Kozlov R.S. [et al.] Consumption of systemic antibiotics in the Russian Federation in 2017-2021. Clinical microbiology and antimicrobial chemotherapy. 2022; 24(3):220-225. (in Russ.) DOI: 10.36488/cmac.2022.3.220225

10. Analiticheskii otchet: Farmatsevticheskii rynok Rossii itogi 2022 g. / DSM Group. Moskva. 2023. P. 130

11. Titova A.R., Asetskaya I.L., Polivanov V.A. [et al.] Pharmacoepidemiological study of the safety of drug use in children by analyzing the Russian database of spontaneous reports. Good clinical practice. 2017; (3):43-52. (in Russ.)

12. Kharitonova L. A., Grigoriev K. I. On the issue of efficacy and safety of prescription of pharmacological agents in pediatric practice. Experimental and Clinical Gastroenterology. 2022; 197(1): 5–13. (In Russ.) DOI: 10.31146/1682-8658-ecg-197-1-5-13

13. Khayrutdinova A.G., Kulagina L.Yu., Valiullina I.R. Clinical pharmacology of antibacterial drugs in Pediatrics. Practical medicine. 2021; 19(4): 26-31. (In Russ.) DOI: 10.32000/2072-1757-2021-4-26-31

14. Bunn H.T, Gobburu J.V.S., Floryance L.M. Bayesian model-guided antimicrobial therapy in pediatrics. Frontiers Pharmacology. 2023. 14:1118771. (in Engl) DOI: 10.3389/fphar.2023.1118771


Review

For citations:


Sotnikova L.I., Loskutova E.E., Kurashov M.M. PROBLEMS OF ANTIBACTERIAL THERAPY IN OUTPATIENT PEDIATRIC PRACTICE. Bashkortostan Medical Journal. 2024;19(1):45-48. (In Russ.)

Views: 23


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1999-6209 (Print)