Management of Acute Respiratory Infections in Children under Five by Self-medication and Prescription of Antibiotics in Bukavu

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dc.contributor.authorSalama, Beatriceen_US
dc.contributor.authorBenjamin Z. Bavurheen_US
dc.contributor.authorJustin N. Kadimaen_US
dc.date.accessioned2020-10-16T08:43:59Z
dc.date.available2020-10-16T08:43:59Z
dc.date.issued2020-02
dc.description.abstractAcute respiratory infections (ARI) are one of the top 10 killer diseases in children. In developing countries, the treatment is often initiated by self-medication (SM) before going to the hospital in case of a complication. This study assessed the level ofself-medication and the adequacy of hospital prescribing patterns of antibiotics for the management of acute respiratory infections in children under five. It was a cross-sectional survey conducted in 2018, including a face-to-face interview with 227 children’s mothers for self-medication and a review of 1162 medical files available at the pediatrics wards of Panzi General Hospital and University Clinic in Bukavu. Of 227 mothers interviewed, 168(74%) self-medicated children with six antibiotics, mainly amoxicillin (67%), and Cotrimoxazole (60%), principally to avoid medical consultation fees and to mitigate the early signs of the disease. However, among them, 49.8% rushed to the hospital after a complication. Of the 1162 medical files reviewed, 248(21.34%)are ARI cases of which 53% males and 47% females. Under 2 years constitute 85%. Dominant ARIs were acute pharyngitis (19.1%), acute otitis media (15.3%), bronchial superinfection (23.3%), and pneumonia (16.3%). The mortality rate attributable to ARIs was 17.5% (14/80). The antibiotics used in hospital include gentamicin (67%) in combination with cefotaxime, ampicillin, and azithromycin. The unprofessional dispensing of antibiotics in community pharmacies encouraged the high level of self-medication.en_US
dc.identifier.affiliationsDepartment of Pharmacy, Faculty of Medicine and Pharmacy, Official University of Bukavu,DR Congoen_US
dc.identifier.affiliationsDepartment of Pharmacology, School of Medicine and Pharmacy, CMHS, University of Rwanda, Rwandaen_US
dc.identifier.affiliationsDepartment of Mathematics and Physical Sciences, Maasai Mara University, P.O. Box 861-20500, Narok, Kenyaen_US
dc.identifier.affiliationsThe Centre for Innovation, New and Renewable Energy (CINRE), Maasai Mara University, P.O. Box 861-20500, Narok, Kenyaen_US
dc.identifier.citationSalama Beatrice, Benjamin Z. Bavurhe, Justin N. Kadima. Management of Acute Respiratory Infections in Children under Five by Self-medication and Prescription of Antibiotics in Bukavu. International Journal of TROPICAL DISEASE & Health. 2020 Feb; 40(4): 1-10en_US
dc.identifier.issn2278–1005
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/209526
dc.languageenen_US
dc.publisherSCIENCEDOMAIN internationalen_US
dc.relation.issuenumber4en_US
dc.relation.volume40en_US
dc.source.urihttps://dx.doi.org//10.9734/IJTDH/2019/v40i130234en_US
dc.subjectAcute respiratory infectionsen_US
dc.subjectchildren under fiveen_US
dc.subjectprescription antibioticsen_US
dc.subjectself-medicationen_US
dc.subjectBukavuen_US
dc.titleManagement of Acute Respiratory Infections in Children under Five by Self-medication and Prescription of Antibiotics in Bukavuen_US
dc.typeJournal Articleen_US
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