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

Brian T. FisherDivision 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

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Peter A. MeaneyDivision 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

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Samir S. ShahDivision 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

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Stacy A. IrwinDivision 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

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Carol A. GradyDivision 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

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Shobha KurupDivision 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

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Kolaatamo C. S. MalefhoDivision 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

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Haruna JibrilDivision 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

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Andrew P. SteenhoffDivision 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

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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.

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