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An audit on the use of antibiotics in watery/mucoid diarrhoea at admission to hospital

Authors:

Sirimali Fernando ,

Dept. of Microbiology, University of Sri Jayawardenapura, LK
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S.F.N. Gajamange,

University of Sri Jayawardenapura, LK
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S.P. Sumanasena,

Colombo South Teaching Hospital, LK
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I. Suraweera,

National Hospital, Colombo, LK
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D.J.M.N.R. Jayamaha

National Hospital, Colombo, LK
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Abstract

Introduction Acute gastroenteritis causing watery
diarrhoea is a common childhood problem managed
in the majority of instances with oral rehydration
therapy. But it is common for antibiotics to have been
used in this condition prior to admission to hospital.
This study was done to document the use of
antibiotics in watery/mucoid diarrhoea.

Method The bystanders of 296 children less than 12 years
admitted with watery/mucoid diarrhoea to the
University Paediatric Unit at the Lady Ridgeway
Hospital from November 1996 to July 1998 were
interviewed regarding the treatment their children
had received during the current illness. The patients'
stools were cultured for Shigella, Salmonella and
Escherichia coli species and tested for Rotavirus

Results All patients had received either home based
remedies or antibiotics or both prior to admission.
One hundred and ninety nine patients (28.6%) had
been given antibiotics and lime juice and `Jeevani'
had been offered to 190 (64.2%) and 175 (59.1%)
children respectively. Of the 199 patients who had
received an antibiotic, the drug was positively
identified by name in 57 (28.6%). The commonest
drug used was furazolidone (in 26 (45.6%) of them.
In spite of antibiotics having been used, bacterial
pathogens were isolated from 52 (26%) samples
including 4 Shigella isolates and rotavirus was
detected from 30 (15%) samples.

Conclusions In most instances antibiotics should be
avoided in watery diarrhoea as the indiscriminate use
of these can lead to emergence of drug resistance.

Sri Lanka Journal of Child Health, 2001; 30: 28-30

(Key words: watery/mucoid diarrhoea, antibiotics, oral rehydration therapy)

 DOI : 10.4038/sljch.v30i2.824

How to Cite: Fernando, S., Gajamange, S.F.N., Sumanasena, S.P., Suraweera, I. and Jayamaha, D.J.M.N.R., 2009. An audit on the use of antibiotics in watery/mucoid diarrhoea at admission to hospital. Sri Lanka Journal of Child Health, 30(2), pp.28–30. DOI: http://doi.org/10.4038/sljch.v30i2.824
Published on 17 Jul 2009.
Peer Reviewed

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