Due to self-limiting course of disease, use of antimicrobials in childhood diarrhea should be limited; however, irrational use is widely reported and is considered as a potential challenge for controlling its rational use. Thus, the present study aimed to describe urban-rural differentials with regard to socio-demographic characteristics, clinical features, and etiologic distribution in antimicrobial use and identify predictors of its use at home before coming to the hospital. From the database (January, 2010 to December, 2012) of Diarrheal Disease Surveillance System (DDSS) of urban Dhaka Hospital and rural Matlab Hospital of icddr,b, we extracted relevant information of 4,245 under-5 children from Dhaka Hospital and 2,161 children from Matlab Hospital. In multivariate analysis, children from urban area were 1.53 times, children aged under 2 years were 1.31 times, better socio-economic status (monthly income >100 US$) were 1.34 times, distance to health facility >5 miles from home 1.63 times, use of oral rehydration solution at home 2.95 times, duration of diarrhea >24 hours 4.25 times, frequency of stool >10 times/24 hrs. 1.47 times, abdominal pain 1.30 times and rotavirus infection were 1.54 times more likely to use antimicrobials at home before coming to the hospital (all p<0.05). On the other hand, maternal illiteracy (OR-0.74), cough (0.83) and Vibrio cholerae infection (0.70) were less likely to influence antimicrobials use at home in study children (all p<0.05). Socio-economic characteristics, clinical features, and etiologic agents of under-5 children determine use of antimicrobials at home before presenting to health facility.
| Published in | Science Journal of Clinical Medicine (Volume 2, Issue 3) |
| DOI | 10.11648/j.sjcm.20130203.14 |
| Page(s) | 81-86 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2013. Published by Science Publishing Group |
Antimicrobials, Diarrhea, Rural, Under-5 Children, Urban
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APA Style
Shahnawaz Ahmed, Fahmida Dil Farzana, Farzana Ferdous, Mohammod Jobayer Chisti, Mohammad Abdul Malek, et al. (2013). Urban-Rural Differentials in Using Antimicrobials at Home among Under-5 Children with Diarrhea. Science Journal of Clinical Medicine, 2(3), 81-86. https://doi.org/10.11648/j.sjcm.20130203.14
ACS Style
Shahnawaz Ahmed; Fahmida Dil Farzana; Farzana Ferdous; Mohammod Jobayer Chisti; Mohammad Abdul Malek, et al. Urban-Rural Differentials in Using Antimicrobials at Home among Under-5 Children with Diarrhea. Sci. J. Clin. Med. 2013, 2(3), 81-86. doi: 10.11648/j.sjcm.20130203.14
AMA Style
Shahnawaz Ahmed, Fahmida Dil Farzana, Farzana Ferdous, Mohammod Jobayer Chisti, Mohammad Abdul Malek, et al. Urban-Rural Differentials in Using Antimicrobials at Home among Under-5 Children with Diarrhea. Sci J Clin Med. 2013;2(3):81-86. doi: 10.11648/j.sjcm.20130203.14
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Download@article{10.11648/j.sjcm.20130203.14,
author = {Shahnawaz Ahmed and Fahmida Dil Farzana and Farzana Ferdous and Mohammod Jobayer Chisti and Mohammad Abdul Malek and Abu Syed Golam Faruque and Sumon Kumar Das},
title = {Urban-Rural Differentials in Using Antimicrobials at Home among Under-5 Children with Diarrhea},
journal = {Science Journal of Clinical Medicine},
volume = {2},
number = {3},
pages = {81-86},
doi = {10.11648/j.sjcm.20130203.14},
url = {https://doi.org/10.11648/j.sjcm.20130203.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20130203.14},
abstract = {Due to self-limiting course of disease, use of antimicrobials in childhood diarrhea should be limited; however, irrational use is widely reported and is considered as a potential challenge for controlling its rational use. Thus, the present study aimed to describe urban-rural differentials with regard to socio-demographic characteristics, clinical features, and etiologic distribution in antimicrobial use and identify predictors of its use at home before coming to the hospital. From the database (January, 2010 to December, 2012) of Diarrheal Disease Surveillance System (DDSS) of urban Dhaka Hospital and rural Matlab Hospital of icddr,b, we extracted relevant information of 4,245 under-5 children from Dhaka Hospital and 2,161 children from Matlab Hospital. In multivariate analysis, children from urban area were 1.53 times, children aged under 2 years were 1.31 times, better socio-economic status (monthly income >100 US$) were 1.34 times, distance to health facility >5 miles from home 1.63 times, use of oral rehydration solution at home 2.95 times, duration of diarrhea >24 hours 4.25 times, frequency of stool >10 times/24 hrs. 1.47 times, abdominal pain 1.30 times and rotavirus infection were 1.54 times more likely to use antimicrobials at home before coming to the hospital (all p<0.05). On the other hand, maternal illiteracy (OR-0.74), cough (0.83) and Vibrio cholerae infection (0.70) were less likely to influence antimicrobials use at home in study children (all p<0.05). Socio-economic characteristics, clinical features, and etiologic agents of under-5 children determine use of antimicrobials at home before presenting to health facility.},
year = {2013}
}
TY - JOUR T1 - Urban-Rural Differentials in Using Antimicrobials at Home among Under-5 Children with Diarrhea AU - Shahnawaz Ahmed AU - Fahmida Dil Farzana AU - Farzana Ferdous AU - Mohammod Jobayer Chisti AU - Mohammad Abdul Malek AU - Abu Syed Golam Faruque AU - Sumon Kumar Das Y1 - 2013/06/10 PY - 2013 N1 - https://doi.org/10.11648/j.sjcm.20130203.14 DO - 10.11648/j.sjcm.20130203.14 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 81 EP - 86 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.20130203.14 AB - Due to self-limiting course of disease, use of antimicrobials in childhood diarrhea should be limited; however, irrational use is widely reported and is considered as a potential challenge for controlling its rational use. Thus, the present study aimed to describe urban-rural differentials with regard to socio-demographic characteristics, clinical features, and etiologic distribution in antimicrobial use and identify predictors of its use at home before coming to the hospital. From the database (January, 2010 to December, 2012) of Diarrheal Disease Surveillance System (DDSS) of urban Dhaka Hospital and rural Matlab Hospital of icddr,b, we extracted relevant information of 4,245 under-5 children from Dhaka Hospital and 2,161 children from Matlab Hospital. In multivariate analysis, children from urban area were 1.53 times, children aged under 2 years were 1.31 times, better socio-economic status (monthly income >100 US$) were 1.34 times, distance to health facility >5 miles from home 1.63 times, use of oral rehydration solution at home 2.95 times, duration of diarrhea >24 hours 4.25 times, frequency of stool >10 times/24 hrs. 1.47 times, abdominal pain 1.30 times and rotavirus infection were 1.54 times more likely to use antimicrobials at home before coming to the hospital (all p<0.05). On the other hand, maternal illiteracy (OR-0.74), cough (0.83) and Vibrio cholerae infection (0.70) were less likely to influence antimicrobials use at home in study children (all p<0.05). Socio-economic characteristics, clinical features, and etiologic agents of under-5 children determine use of antimicrobials at home before presenting to health facility. VL - 2 IS - 3 ER -
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