title: Reducing Antibiotic Use for Young Children with Intussusception following Successful Air Enema Reduction.
abstract: China introduced a new policy regarding the management of antibiotic use. We evaluated the reasonableness of antibiotic use among children suffering from intussusception before and after policy. A retrospective study was conducted involving 234 young children with intussusception who were treated between January 1, 2011 and December 30, 2013. Demographics and detailed antibiotics regimens were collected. χ2 test was used to evaluate differences between the phase I (preintervention, n = 68) and phase II (postintervention, n = 166). We determined that the overall antibiotic use rate following successful air enema reduction was 41% (97/234), which decreased from 99% (67/68) in phase I to 18% (30/166) in phase II. In phase I, prophylactic antibiotic usage reached up to 84% (56/67). The quantity of aztreonam for injection accounted for 63% (45/71), and cefamandole nafate for injection accounted for 25% (18/71). In phases II, prophylactic antibiotic usage were reduced to 13% (4/30). The quantity of aztreonam for injection was decreased to 12% (4/33) and cefamandole nafate for injection was 3% (1/33). Antibiotics' options were more diverse. In conclusion, policy intervention was effective in addressing some aspects of antibacterial drug usage among young children with intussusception. However, excessive drug use remains a public health problem. The guidelines for the antibiotic management of intussusception for children must be established in China.
authors.affiliation: Center of Evidence-based Medicine, Second Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Pharmacy, Second Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Wen
authors.initials: W
authors.lastname: Zou
authors.affiliation: Department of Medical Records, Second Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Yinghui
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Stockholm, Sweden.
authors.forename: Weimin
authors.initials: W
authors.lastname: Ye
authors.affiliation: Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Stockholm, Sweden.
authors.forename: Xingdong
authors.initials: X
authors.lastname: Chen
authors.affiliation: Department of Pediatric Surgery, Second Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Liu
authors.affiliation: Information Center, Second Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Huandi
authors.initials: H
authors.lastname: Liu
authors.affiliation: Information Center, Second Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Chunfeng
authors.initials: C
authors.lastname: Si
authors.affiliation: Center of Evidence-based Medicine, Second Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Hongying
authors.initials: H
authors.lastname: Jia
mesh_terms: D000388:Air; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D004733:Enema; D005260:Female; D006801:Humans; D007223:Infant; D007443:Intussusception / Q000188:drug therapy*; D008297:Male; D055553:Prescription Drugs / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D055553:Prescription Drugs