Antibiotics Prescriptions in the Otolaryngology Department of the Departmental and Teaching Hospital of Borgou-Alibori in 2020

C. Attinsounon, Elmida Kouton, Carine Yehouenou, B. Ametonou, F. Bouraïma, Marius Flatin
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Abstract

Aims: The aim of this study was to assess the quality of antibiotic prescriptions in the ENT department of the Departmental and Teaching Hospital of Borgou-Alibori (DTH-BA). Study design:  This was a prospective descriptive study. Place and Duration of Study: Departmental and Teaching Hospital of Borgou-Alibori (DTH-BA), from June 15 to September 15, 2020. Methodology: All patients admitted to the department during the study period who had received a on for an antibiotic and had given informed consent were recruited exhaustively. A team of experts consisting of an infectious diseases physician and an ENT physician was responsible for analyzing and assessing the quality of antibiotic prescriptions. Results: Of the 455 consultations recorded over the period, 141 patients were included, 132 of them treated on an outpatient basis and nine hospitalized. The most frequently diagnosed conditions were acute otitis media (AOM) in 36 patients (25%), chronic otitis media (COM) in 24 patients (16.7%) and sinusitis in 14 patients (9.7%). The most commonly prescribed antibiotics were penicillins (84 patients or 59.6%), followed by macrolides (30 patients or 21.3%) and cephalosporins (21 patients or 14.9%). Antibiotic therapy was justified in 54.6% of cases, and dosage and duration were correct in 73.9% and 37.7% respectively. Conclusion: This study suggests that ENT doctors should be given more training in the basics and procedures for the proper use of antibiotics.
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2020 年博尔古-阿里博里省教学医院耳鼻喉科抗生素处方情况
研究目的:本研究旨在评估博尔古-阿里博里教学医院(DTH-BA)耳鼻喉科抗生素处方的质量。研究设计: 这是一项前瞻性描述性研究。研究地点和时间:博尔古-阿里博里教学医院(DTH-BA),2020年6月15日至9月15日。研究方法:全面招募研究期间在该科室住院的所有患者,这些患者均接受过抗生素治疗,并在知情同意的情况下接受治疗。由一名传染病医生和一名耳鼻喉科医生组成的专家小组负责分析和评估抗生素处方的质量。结果:在此期间记录的 455 次就诊中,有 141 名患者被纳入其中,其中 132 人在门诊接受治疗,9 人住院治疗。最常诊断的疾病是急性中耳炎(AOM)36 例(25%)、慢性中耳炎(COM)24 例(16.7%)和鼻窦炎 14 例(9.7%)。最常处方的抗生素是青霉素类(84 名患者,占 59.6%),其次是大环内酯类(30 名患者,占 21.3%)和头孢菌素类(21 名患者,占 14.9%)。54.6%的病例抗生素治疗是合理的,73.9%和 37.7%的病例剂量和疗程是正确的。结论这项研究表明,耳鼻喉科医生应接受更多关于正确使用抗生素的基础知识和程序的培训。
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