USE OF ANTIBIOTICS IN UPPER AND LOWER RESPIRATORY TRACT INFECTIONS

Nexhibe Nuhii, Sulltana Asani, Sani Bajrami, Sefedin Bilalli

Abstract

Introduction: Inflammatory respiratory diseases in childhood are frequent occurrences and account for about 70% of the general morbidity in childhood. Differentiating bacterial and viral infections as well as their early detection is very important in pediatric practice. OBJECTIVE: Observe the use of antibiotics in upper and lower respiratory tract infections at pediatric age. Material and method: The study is prospective, randomized, conducted in Tetovo Clinical Hospital, Pediatric Department and Clinical Biochemistry laboratory, during the period from January-March 2017. It includes 468 children. Verification of diagnosis included calculation, objective examination, anamnesis, CRP-cut-off> 40mg / l, morphological blood (leukocytes), peripheral blood smear, lung x-rays. Results: With upper respiratory tract infections (tonsilopharyngeal) 254 cases (54.27%) out of which 176 (69.2%) cases have been viral infections and 78 (30.7%) have had bacterial infections according to the criteria. With respiratory tract infections (bronchopneumonia) of 214 or (45.72%) cases in 116 (54.2%) of cases resulted in viral infections and 98 (45.79%) resulted in bacterial infections. It has been observed that in 72% of cases in both respiratory tract levels antibiotic therapy has been ordained. Discussion: The current problem is the use of inexperienced antibiotics by the family members as well as the maternal physician who does not use diagnostic methods until the end Conclusion Although diagnostic methods have difficulties, the benefits for children are great: • Diagnosis can help reduce hospitalization • Rational use of antibiotics.

Pages: 116 - 122