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Antibiotics are commonly prescribed drugs in paediatrics. However, the threat of antibiotic resistance among children is a cause for concern. A study of the administration patterns of antibiotics prior to admission was carried out on children admitted to a paediatric ward of Teaching Hospital, Jaffna from June to August 2008, using a pre-tested structured questionnaire. Descriptive and basic statistical tests were used to analyse the data. The total number of admissions to the ward was 420 out of which 227 (54%) had been given antibiotics prior to admission. Of this, 53 (23%) were infants. Of the entire cohort, oral antibiotics were given to 214 (94%) and 47 (22%) of them were given two or more antibiotics. Amoxicillin (48%), erythromycin (20%) and cephalexin (16%) were the antibiotics commonly prescribed. Sixty three percent were prescribed antibiotics by general practitioners and 16% were given antibiotics without consulting a doctor. Only 53 (23%) of the parents knew the name and the sideeffects of the antibiotics used on the children. Hospital stay was significantly more for children given prior antibiotics than for those who did not have prior antibiotics (14% against 8% p<0.05). Other medications had been administered to 298 (71%). In order to reduce the risk of antibiotic resistance of microbes, an antibiotic policy should be carefully instituted and implemented.

Prescribing patterns of antibiotics for children before admission to a paediatric ward in Jaffna Teaching Hospital