Introduction & Objective: Application of antibiotics in prevention and treatment of infectious diseases is a double bladed razor. On one side, it spoils pathogens and on the other hand, it has numerous complications. The most serious among them is selection of resistant agents. Prescription of antibiotics is a complex and scientific process that requires accurate clinical judgment, awareness of the pharmacologic and microbiologic principles on diagnosis, treatment and consideration of the patient's condition and his illness.
Materials & Methods: In this study, we assessed 441 prescriptions (prescribed for <14 y /o outpatients children) of 58 GP in Yasj city in Kohgyloyeh and Boyerahmad province in 2004.
Results: The average number of drugs in each prescription was 3.6 and 64.4% of the prescriptions included antibiotics that consisted of penicillin group (51.6%), macrolids (24.5%) and cephalosporins (11.2%). Overall 32.2% had diagnosis which included pneumonia (31.7%), URI (21.9%) and pharyngitis (19%).
Conclusion: The average number of drug in each prescription was much higher than the world average. Antibiotics have been prescriped a little more than in most of the countries and cities which might be due to age of the patients, unawareness of disease nature and epidemiology of infectious diseases. This pattern of antibiotic prescription causes a decrease in rate of bacterial infections in comparison with the past. However, this form of management, where antibiotic was prescriped for prophylaxis because of fear of future bacterial infection, led to several major outcomes including resistance of microorganisms that itself causes appearance of new agents with serious infection and complication of antibiotic therapy and their side effects that can cause morbidity and mortality.
Alikhani A, Shahamat M, Ghaffarian Shirazi H. Survey on Antibiotic Prescription for under 14 Years Old Outpatient Children in General Practitioner Prescriptions in Yasuj . armaghanj 2006; 10 (4) :83-91 URL: http://armaghanj.yums.ac.ir/article-1-763-en.html