Prescription des antibiotiqueschez les enfants de 0 a 14 ans au service depediatrie du Centre Medical Communal (CMC) de Ratoma

Introduction : L’administration sans delai d’un traitement antibiotique a un malade infecte peut decider de son destin. L’objectif de cette etude etait d’evaluer la prescription des antibiotiques dans le service de pediatrie du Centre Medical Communal de Ratoma.Methodologie: Il a s’agissait d’une etude prospective, realisee au service de pediatrie du Centre Medical Communal de Ratoma sur 3 mois. Elle a inclue les enfants de 0 a 14 ans admis dans le service et pour lesquels au moins un antibiotique a ete prescrit en consultation et en hospitalisation. La collecte a ete faite au fur et a mesure des consultations d’enfants repondant aux criteres de selection. L’analyse et le traitement des donnees ont permis de generer des frequences. Des consentements eclaires ont ete obtenus aupres des parents.Resultats : Les antibiotiques ont ete prescrit chez 72,08% d’enfants recus. Les enfants de 0 a 4 ans en beneficiaient le plus (72,1%).Les raisons de prescription les plus courantes etaient les infections respiratoires aigues (58,46%). La classe la plus prescrite etait celle des beta-lactamines (80,15%), particulierement l’association amoxicilline + acide clavulanique (27,88%). Les formes sirop (59,2%) et comprime (28,20%) etaient plus prescrit. La voie d’administration etait souvent orale (87,4%). A l’issu de l’antibiotherapie, on notait 387 guerisons (99,23%), 1 deces (0,3%) et 2 perdu de vue(0,5%).Conclusion: La prescription des antibiotiques semble assez banale pour les affections respiratoires courantes a etiologies tres variee. Ce comportement incite une mise a niveau par une formation des professionnels de sante. Mots cles: Prescription, Antibiotique, Enfants, Pediatrie.   English Title: Prescription of antibiotics in children 0 to 14 years at the service of paediatrics at the CMC of Ratoma Introduction: Administration without delay of antibiotic treatment for an infected patient can decide its own fate. The objective of this study was to assess the prescription of antibiotics in paediatrics of the Centre Medical Commune de Ratoma Methodology: There was a study, prospective to the paediatric service of the Centre Medical Commune de Ratoma on 3 months. She includes children 0 to 14 years admitted and for which at least one antibiotic was prescribed in consultation and hospitalization. The collection was made as consultations of children meet the criteria of selection. Analysis and treatment of the data helped generate frequencies. Informed consent was obtained from the parent. Antibiotics have been prescribed in 72.08% of children received. Children from 0 to 4 years Results: benefited the most (72.1%). The most common reasons for prescription were acute respiratory infections (58,46%). The most prescribed class was that of the betalactam (80,15%), particularly the association amoxicillin + clavulanic (27.88%) acid. The syrup forms (59.2%) and compressed (28,20%) were most prescribed. The route of administration was often oral (87.4%). At the end of the antibiotic treatment, there were387 healings (99.23%), 1 death (0.3%) and 2 lost (0.5%). Conclusion: The prescription of antibiotics seems fairly common to common respiratory conditions to very varied etiologies. This behavior makes an upgrade by training of health professionals. Keywords: Prescription, Antibiotic, Children, Pediatric