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Am. J. Trop. Med. Hyg., 81(1), 2009, pp. 129-131
Copyright © 2009 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


Antibiotic Use in Pediatric Patients Admitted to a Referral Hospital in Botswana

Brian T. Fisher*, Peter A. Meaney, Samir S. Shah, Stacy A. Irwin, Carol A. Grady, Shobha Kurup, Kolaatamo C. S. Malefho, Haruna Jibril, AND Andrew P. Steenhoff
Division of Infectious Diseases and Departments of Pediatrics and Anesthesia and Critical Care, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Pediatrics, Thomas Jefferson, Philadelphia, Pennsylvania; Princess Marina Hospital, Gaborone, Botswana; Botswana-UPenn Partnership and the University of Pennsylvania Center for AIDS Research, Philadelphia, Pennsylvania

 

ABSTRACT

Inappropriate antimicrobial drug use is well described for hospitalized patients in the United States. Antibiotic use in hospitals in developing countries is less well documented. We evaluated the antibiotics prescribed to 91 pediatric inpatients in Botswana. The results showed that the duration of prescribed therapy can be excessive. Recommendations for potential interventions to reduce antibiotic overuse in this setting are necessary.

Received December 4, 2008. Accepted for publication February 11, 2009.

Acknowledgments: We thank the Botswana Ministry of Health, Harvey Friedman, Oathokwa Nkomazana, Gill Jones, Mark Helfaer, the Botswana-UPenn Partnership, The Children’s Hospital of Philadelphia Alliance for International Medicine, and the Children’s Hospital of Philadelphia CLEAR Initiative for assistance with this pilot study.

Disclosure: All authors report no conflicts of interest for this study.

* Address correspondence to Brian T. Fisher, The Children’s Hospital of Philadelphia, 12th Floor, Abramson Research Building, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104. E-mail: fisher bria{at}email.chop.edu

Authors’ addresses: Brian T. Fisher, Peter A. Meaney, Samir A. Shah, and Carol A. Grady, The Children’s Hospital of Philadelphia, 12th Floor Abramson Research Building, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, E-mail: fisherbria{at}email.chop.edu. Stacy A. Irwin, Department of Pediatrics, Thomas Jefferson University, 833 Chestnut East, 3rd Floor, Philadelphia, PA 19107. Shobha Kurup, Kolaatamo C. S. Malefho, Haruna Jibril, and Andrew P. Steenhoff, Private Bag 324, Suite 157, Riverwalk, Gaborone, Botswana.






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Copyright © 2009 by the American Society of Tropical Medicine and Hygiene.