SciELO - Scientific Electronic Library Online

vol.92 issue1Hospitalizations due to acute respiratory infections during SARS-CoV-2 Pandemic. British Hospital, UruguayEpidemiologic and clinical characteristics of hemophilic patients of under 18 years of age assisted at the Pereira Rossell Hospital Center. 2016-2018 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links


Archivos de Pediatría del Uruguay

Print version ISSN 0004-0584On-line version ISSN 1688-1249


GUERRERO, Ana Laura et al. Antibiotic prescription in the moderate care ward of the uruguayan Pereira Rossell Children's Hospital. Arch. Pediatr. Urug. [online]. 2021, vol.92, n.1, e204.  Epub June 01, 2021. ISSN 0004-0584.


inappropriate prescription of antibiotics (ATB) is a public health problem.


to describe the frequency and reasons for the inappropriate use of ATB in children hospitalized in the Moderate Care Ward of the Pereira Rossell’s Pediatric Hospital Center between 06/15/2019 and 07/15/2019.

Materials and Methods:

descriptive, cross-sectional study. Children under 15 years of age were included in systemic ATB treatment regardless of the reason for the prescription. Variables: age, comorbidities, diagnosis at discharge, ATB (type, dose, route, interval, duration). Inappropriate use was categorized into: type A (selection of inappropriate ATB) and type B (ATB not indicated).


100 children were included, 53% female, median age 2.2 years (range 0-14), 52% had comorbidities. Inappropriate prescription was detected in 43%, category A 30% and category B 13% (p <0.05). The main cause of inappropriate prescription was respiratory infections (33%). Prevalence of appropriate prescription was observed for the case of children under one year of age and inadequate in those over 5 years of age (p <0.05). In category A (n = 30), the most frequent cause of inadequate prescription was the use of ATB with a greater spectrum than required (14/30) followed by intravenous administration (5/30). The most frequently inappropriately prescribed ATBs were ampicillin (17/43) and ceftriaxone (14/43).


the inappropriate prescription of ATB in this center is a frequent problem. The main pattern is the prescription of intravenous ATBs of a broader range than that required for respiratory infections. It is necessary to monitor compliance with national recommendations.

Keywords : Inappropriate prescribing; Anti-bacterial agents; Hospitalized child.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )