ASSESSMENT OF RESISTANCE AND ADVERSE EFFECTS OF REPEATED ANTIBIOTIC PRESCRIPTION AND ITS CORRELATION WITH HOSPITAL ADMISSION

Background: Infections usually are linked to multi-resistant a germ which is considered a global health problem, repeated antibiotic prescription practices give the chance to assess and establish programs for encouragement of ideal use of antibiotics that help in improvement of quality of care. The major disease which need antibiotic on admission of hospital and need health care are pneumonia, urinary tract infection, and skin and soft tissue infection which need type of antibiotic have resistance so these diseases should be the key pathologies for the programs of antimicrobial management. Material and methods: it is observational, descriptive, cross-sectional study for duration of 3 months with patients admitted to the Pediatric Specialty Hospital with diagnoses of diseases of pneumonia, urinary tract infections and skin infections Results and conclusions: 127 subjects were eligible. 16.5% of these lacked hospitalization criteria, the choice of empirical antibiotic was in accordance with that recommended by the guidelines in 78.7% of the patients, subjects received prescribed antibiotics at the appropriate doses and intervals. 66.1% were compliant criteria for sequential therapy, it was performed in 7.9% of the cases. The infectious disease recommendations they were followed by the treating physician in 68.7% of the cases. The study points out the importance of establishing programs and strategies within primary care and hospitalization criteria, as well as establishing antibiotic management policies to minimize over side effects and resistance of prescribed antibiotics Keywords: Antibiotic resistance, repeated prescription of antibiotics, hospital admission, primary care.