The Study of Drug-Related Problems in Pediatric Inpatients Utilizing Antibiotics in Universitas Sumatera Utara Hospital Medan, Indonesia

Authors

  • Embun Suci Nasution Department of Pharmacology, Faculty of Pharmacy, Universitas Sumatera Utara, Medan, Indonesia
  • Rasmadin Muchtar Department of Pharmacology, Faculty of Pharmacy, Universitas Sumatera Utara, Medan, Indonesia image/svg+xml
  • Rony Abdi Syahputra Department of Pharmacology

DOI:

https://doi.org/10.3889/oamjms.2022.7552

Keywords:

Drug-related problems, Antibiotic, Pediatric hospitalized patient, Medical record

Abstract

BACKGROUND: Drug-related problems (DRPs) and errors occur frequently in general health and pediatric care due to several reasons.

AIM: This study aims to determine the DRPs incidence in pediatric inpatients utilizing antibiotics in Universitas Sumatera Utara Hospital, Medan, Indonesia.

MATERIALS AND METHODS: It was carried out in May–July 2019 using a retrospective cross-sectional method and the data obtained from June to December 2018.

RESULTS: In the aforementioned hospital, the medical records of patients were 575 among which 135 (23.47%) met the inclusion criteria and the males, 84 (62.22%) were higher than females. Furthermore, majority of them, 55 (40.74%) were 5–11 years old, and 86 (63.70%) had a maximum stay length of ≥5 days. There were 73 DRPs events in 37 patients, namely, 46 (63.01%) low doses, 22 (30.14%) overdoses, 2 (2.74%) side effects of drugs, and 3 (4.11%) drug interactions. The most experienced antibiotic DRPs were in cefotaxime 14 (19.17%) and the most diagnosed was in appendicitis 14 (10.37%) utilization.

CONCLUSION: There were antibiotic DRPs in pediatric inpatients in Universitas Sumatera Utara Hospital, Medan.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Emergency Department Visits for Drug-related Suicide Attempts by Adolescents: 2008. PsycEXTRA Dataset. American Psychological Association; 2010. http://doi.org/10.1037/e550832010-001 DOI: https://doi.org/10.1037/e550832010-001

Koda-Kimble MA, Young LY, editors. Applied Therapeutics. United Kingdom: Palgrave Macmillan; 1992. http://doi.org/10.1007/978-1-349-13175-4 DOI: https://doi.org/10.1007/978-1-349-13175-4

Pediatric Medication Safety in the Emergency Department. Medications in Pediatrics. Itasca, Illinois: American Academy of Pediatrics; 2020. p. 103-10. http://doi.org/10.1542/9781610024358-part04-ch13 DOI: https://doi.org/10.1542/9781610024358-part04-ch13

Lightwala O. All i want for Christmas is a New Massey Commission. Canadian Theatre Review. Vol. 187. University of Toronto Press Inc.; 2021. p. 94-5. http://doi.org/10.3138/ctr.187.028 DOI: https://doi.org/10.3138/ctr.187.028

Reddy PS, Biju V, Bhavana I. Identifying medication errors in a tertiary care teaching hospital: A prospective observational study. J Drug Deliv Ther. 2019;9(6-s):103-6. http://doi.org/10.22270/jddt.v9i6-s.3766 DOI: https://doi.org/10.22270/jddt.v9i6-s.3766

Ruhl DS, Cable BB, Martell DW. Medication associated with hearing loss. Otolaryngol Head Neck Surg. 2014;151(3):431-7. http://doi.org/10.1177/0194599814536850 DOI: https://doi.org/10.1177/0194599814536850

Lemeshow SJ, Lwanga SK, dan Klar J. Population Sample in Health Research. Jogjakarta: Gadjah Mada University Press; 1997.

Rose W, Veeraraghavan B, George B. Bloodstream infections in children with febrile neutropenia: Isolates and their antimicrobial susceptibility profile. Indian J Cancer. 2015;52(4):495-6. http://doi.org/10.4103/0019-509x.178422 PMid:26960455 DOI: https://doi.org/10.4103/0019-509X.178422

Damanik B, Fikri E, Nasution IP. Relation between fiber diet and appendicitis incidence in children at H. Adam Malik Central Hospital, Medan, North Sumatra-Indonesia. Bali Med J. 2016;5(2):84. http://doi.org/10.15562/bmj.v5i2.225 DOI: https://doi.org/10.15562/bmj.v5i2.225

Mortell AE, Coyle D. Appendicitis (general pediatric surgery of abdomen). Pediatr Surg 2019:1-19. http://doi.org/10.1007/978-3-642-38482-0_105-1 DOI: https://doi.org/10.1007/978-3-642-38482-0_105-1

Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: Clinical practice guidelines by the pediatric infectious diseases society and the infectious diseases society of America. Clin Inf Dis. 2011;53(7):e25-76. http://doi.org/10.1093/cid/cir531 PMid:21880587 DOI: https://doi.org/10.1093/cid/cir531

Ryan R, Hill S. Making rational choices about how best to support consumers’ use of medicines: A perspective review. Ther Adv Drug Saf. 2016;7(4):159-64. http://doi.org/10.1177/2042098616651198 PMid:27493719 DOI: https://doi.org/10.1177/2042098616651198

Girotto E, da Silva PV. Prescription on medicines in a municipality in the north of Parana. Rev Bras Epidemiol. 2006;9(2):226-34. http://doi.org/10.1590/s1415-790x2006000200009 DOI: https://doi.org/10.1590/S1415-790X2006000200009

Nicolini P, Nascimento JW, Greco KV, de Menezes FG. Factors related to the prescription of antibiotics in a public pharmacy in the western region of the city of São Paulo. Public Health Sci. 2008;13 Suppl:689-96. http://doi.org/10.1590/s1413-81232008000700018 DOI: https://doi.org/10.1590/S1413-81232008000700018

Sullivan HO, McColgan R, Dalton D, Sproule J. AB122. 127. Prevalence of off-label prescribing of versace patches for musculoskeletal pain in a university teaching hospital. Mesentery Peritoneum. 2018;2:AB122. http://doi.org/10.21037/map.2018.ab122 DOI: https://doi.org/10.21037/map.2018.AB122

Schelenz S, Nwaka D, Hunter PR. Longitudinal surveillance of bacteraemia in haematology and oncology patients at a UK cancer centre and the impact of ciprofloxacin use on antimicrobial resistance. J Antimicrob Chemother. 2013;68(6):1431-8. http://doi.org/10.1093/jac/dkt002 PMid:23396855 DOI: https://doi.org/10.1093/jac/dkt002

Muenchhoff M, Goulder PJ. Sex differences in pediatric infectious diseases. J Infect Dis. 2014;209(Suppl 3):S120-6. http://doi.org/10.1093/infdis/jiu232 PMid:24966192 DOI: https://doi.org/10.1093/infdis/jiu232

Kandelaki K, Lundborg CS, Marrone G. Antibiotic use and resistance: A cross-sectional study exploring knowledge and attitudes among school and institution personnel in Tbilisi, Republic of Georgia. BMC Res Notes. 2015;8(1):495. http://doi.org/10.1186/s13104-015-1477-1 DOI: https://doi.org/10.1186/s13104-015-1477-1

Maheshwari P, Divya M, Shanmugarajan TS, Ravichandiran V. A prospective study on health related quality of life among hypertensive patients. Res J Pharm Technol. 2015;8(9):1221. http://doi.org/10.5958/0974-360x.2015.00223.1 DOI: https://doi.org/10.5958/0974-360X.2015.00223.1

Levy SB, Marshall B. Antibacterial resistance worldwide: Causes, challenges and responses. Nat Med. 2004;10(S12):S122-9. http://doi.org/10.1038/nm1145 PMid:15577930 DOI: https://doi.org/10.1038/nm1145

Aslan S, Citak EC, Yis R, Degirmenci S, Arman D. Bacterial spectrum and antimicrobial susceptibility pattern of bloodstream infections in children with febrile neutropenia: Experience of single center in southeast of Turkey. Indian J Microbiol. 2012;52(2):203-8. DOI: https://doi.org/10.1007/s12088-011-0210-6

Viscoli C, Castagnola E, Giacchino M, Cesaro S, Properzi E, Tucci F, et al. Bloodstream infections in children with cancer: A multicentre surveillance study of the Italian association of paediatric haematology and oncology. Eur J Cancer. 1999;35(5):770-4. DOI: https://doi.org/10.1016/S0959-8049(99)00052-0

Dixit SM, Shrestha B. Antibiotic prescribing pattern in different clinical departments at Kathmandu Medical College Teaching Hospital. J Kathmandu Med Coll. 2018;7(1):18-25. http://doi.org/10.3126/jkmc.v7i1.20624 DOI: https://doi.org/10.3126/jkmc.v7i1.20624

Ufer M, Radosević N, Vogt A, Palčevski G, Francetić I, Reinalter SC, et al. Antimicrobial drug use in hospitalised paediatric patients: A cross-national comparison between Germany and Croatia. Pharmacoepidemiol Drug Saf. 2005;14(10):735-9. http://doi.org/10.1002/pds.1108 PMid:15880392 DOI: https://doi.org/10.1002/pds.1108

McDonald L, Sammon CJ, Samnaliev M, Ramagopalan S. Under-recording of hospital bleeding events in UK primary care: A linked clinical practice research datalink and hospital episode statistics study. Clin Epidemiol. 2018;10:1155-68. http://doi.org/10.2147/clep.s170304 PMid:30233250 DOI: https://doi.org/10.2147/CLEP.S170304

Mdhpht JB. Two thousand operations for appendicitis, with deductions from his personal experience. Am J Med Sci. 1904;128:187-210. http://doi.org/10.1097/00000441-190408000-00001 DOI: https://doi.org/10.1097/00000441-190408000-00001

Newton DW. Crux of drug compatibility and incompatibility. Am J Health Syst Pharm. 2010;67(2):108-12. http://doi.org/10.2146/ajhp090092 DOI: https://doi.org/10.2146/ajhp090092

Benjamin L, Frush K, Shaw K, Shook JE, Snow SK, American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Emergency Medicine Committee; Emergency Nurses Association Pediatric Emergency Medicine Committee. Pediatric medication safety in the emergency department. Pediatrics. 2018;141(3):e20174066. http://doi.org/10.1542/peds.2017-4066 PMid:30352389 DOI: https://doi.org/10.1542/peds.2017-4066

Brown M. Medication safety issues in the emergency department. Crit Care Nurs Clin. 2005;17(1):65-9. DOI: https://doi.org/10.1016/j.ccell.2004.09.009

Paul RI. American academy of pediatrics, section on emergency medicine, scientific abstract presentations, AAP national conference and exhibition October 1, 2010 San Francisco, CA. Pediatr Emerg Care. 2010;26(9):697-707. http://doi.org/10.1097/pec.0b013e3181f3469c DOI: https://doi.org/10.1097/PEC.0b013e3181f3469c

Zazuli Z, Rohaya A, Adyana IK. Drug-related problems in Type 2 diabetic patients with hypertention in Cimahi, West Java, Indonesia: A prospective study. Int J Green Pharm 2017;11(2):S298-304. http://doi.org/10.22377/ijgp.v11i02.1038 DOI: https://doi.org/10.22377/ijgp.v11i02.1038

Zazuli Z, Hendrayana T, Rahmawati FS, Fitriah PS. Identification of drug-related problems on beta lactam antibiotics used for pediatric at a secondary-care hospital in Cimahi, Indonesia. Acta Pharm Indonesia. 2017;42(2):69-75.

Fullilove RE. Race and sexually transmitted diseases again? Sex Trans Dis. 2020;47(11):724-5. http://doi.org/10.1097/olq.0000000000001293 DOI: https://doi.org/10.1097/OLQ.0000000000001293

Sader HS, Castanheira M, Mendes RE, Flamm RK. 1523. Antimicrobial activity of ceftazidime-avibactam and comparator agents tested against gram-negative organisms isolated from complicated urinary tract infections: Results from the international network for optimal resistance monitoring (INFORM) program. Open Forum Infect Dis. 2018;5(Suppl 1):S472-3. http://doi.org/10.1093/ofid/ofy210.1352 DOI: https://doi.org/10.1093/ofid/ofy210.1352

Downloads

Published

2022-01-03

How to Cite

1.
Nasution ES, Muchtar R, Syahputra RA. The Study of Drug-Related Problems in Pediatric Inpatients Utilizing Antibiotics in Universitas Sumatera Utara Hospital Medan, Indonesia. Open Access Maced J Med Sci [Internet]. 2022 Jan. 3 [cited 2024 Apr. 19];10(A):187-91. Available from: https://oamjms.eu/index.php/mjms/article/view/7552

Funding data