The situation of antibiotic use for diarrhea treatment on pediatric inpatient at Pediatrics - Kien Giang General Hospital in 2019-2020

Abstract

Background: To survey for evaluation the use of antibiotic for diarrhea treatment on pediatric inpatient in compliance with MOH, WHO or treatment regimen. Objectives: (1) To describe the situation of antibiotic use for diarrhea treatment and (2) to determine factors that affected on indication of antibiotic for pediatric inpatient under 15 years at Kien Giang General Hospital in 2019. Subjects and methods: A cross-sectional study on 251 medical records of pediatric inpatients who treated by one of any drug from 01/2019 to 12/2019. Results: one antibiotic was prescribed in 71.7% in comparison with 17.1% on two antibiotics. The antibiotic prescription was based on the results of blood test including examinations of white blood cells (WBC), the percentage of neutrophils (Neu%) and/or C-reactive protein (CRP) (59.4%), stool with white blood cells and/or red blood cells (1.6%), high fever without causes (27.9%), watery stool (86.3%), loose stool with blood (100%), loose stool (97.9%). The most used antibiotics are ceftriaxone (53.4%), ciprofloxacin (12.4%). Duration of antibiotic use is 5 days in median. Conclusion: The rate of antibiotic prescription that met MOH and WHO guidelines was 88.3% in comparison with 11.7% of non-conformance. The compliance prescriptions based on antibiogram were 77.8%, non-compliance were 22.5%. The compliance dosage refered to guideline was 86.4%, non-conpliance was 2.4%. The duration of hospitalization and neutrophil are factors that affected the use of antibiotics (p < 0.05). Keywords: diarrhea, pediatric inpatient, antibiotic, Pediatrics-Kien Giang General Hospital

13. The Result and Factors Affect to Glycemia Management in Type 2 Diabetes Patients and Kidney Disorder Treated in Vinh Phuc General Hospital, Vietnam in 2023

“…In our study, at the baseline the proportion of patients with fasting blood glucose levels reached 35.8%, similar to that of authors Dam Thi Huong Lien (32.4%) [3], higher than the study of author Le Van Mo (24%) [4]. From this, it can be seen that, although fasting glucose control is very important to limit complications, the target rate of achievement in type 2 diabetes patients has very low kidney damage.…”

“…Research by Ahmed Medina et al kidney complications in type 2 diabetes patients found that the median duration of CKD is 5 years after diabetes detection, with an average annual incidence of 193/10,000 [8]. 76.4% of patients treated with Insuli alone, a ratio similar to Le Van Mo in 96 diabetic nephropathy patients in Kien Giang in 2021 (85%) [4].…”

“…Decreased kidney function will aggravate other complications of diabetes, increase events and mortality. Diabetic nephropathy is one of the microvascular complications occurring at a rate of 20 -40% [4], [5]. Therefore, early diagnosis of kidney complications due to diabetes is extremely necessary to help detect kidney damage early and provide timely treatment to prevent progression of kidney damage.…”