Koura K. G., Garcia André, Todoegnon B., Deloron Philippe, Cot Michel, Faucher J. F. (2013). Prevalence and factors related to antibiotic prescription in Benin : a school-based study. Acta Tropica, 127 (2), p. 87-90. ISSN 0001-706X.
Titre du document
Prevalence and factors related to antibiotic prescription in Benin : a school-based study
Koura K. G., Garcia André, Todoegnon B., Deloron Philippe, Cot Michel, Faucher J. F.
Source
Acta Tropica, 2013,
127 (2), p. 87-90 ISSN 0001-706X
Rational use of antibiotics in poor-resource settings countries is challenging. In order to assess the factors related to antibiotic prescription, a cross sectional study was carried out in four school infirmaries from February to June 2008 in the district of Allada in Benin. For each patient, socio-demographic characteristics, symptoms motivating medical visits, diagnosis and therapeutic prescriptions were collected. A malaria rapid diagnostic test was used in case of fever. Data were entered and validated with Epidata (R) software, and analysed with STATA 11 (R) software. One thousand six hundred and thirty medical visits occurred during the study period. Fever was reported by 57% of children. Malaria was the leading diagnosis (32%), followed by respiratory infection (17.5%). Antibiotic was prescribed to 40% of the children. Respiratory infection and skin disorders were positively related to antibiotic usage [OR = 59.5 (33.4-105.7); P < 10(-3) and OR = 6.4 (4.6-8.8); P < 10(-3) respectively]. Malaria [OR = 0.11 (0.03-0.11); P < 10(-3)] and fever of unknown origin [OR = 0.05 (0.03-0.11); P < 10(-3)] were negatively related to antibiotic usage. Further clinical surveys and trials aimed at rationalizing antibiotics usage in this area should focus on the management of acute respiratory illnesses.
Plan de classement
Santé : aspects socioculturels, économiques et politiques [056]
