Nepal Paediatric Society Guideline for use of Antibiotics in Critically ill Children in the Pediatric Intensive Care Unit

Authors

  • Dhruba Shrestha Departmen of Paediatrics, Siddhi Memorial Hospital (for Women and Children), Bhaktapur, Nepal
  • Puja Amatya Department of Paediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal
  • Arun Sharma Department of Paediatrics, Tribhuvan University Teaching Hospital and Secretary of NEPAS, Kathmandu, Nepal
  • Shrijana Shrestha Department of Paediatrics and Dean of PAHS, Patan Academy of Health Sciences (PAHS), Lalitpur, Nepal
  • Yograj Sharma Department of Paediatrics, Bharatpur Hospital, Chitwan, Nepal
  • Santosh Pathak Department of Paediatrics, Chitwan Medical College, Chitwan, Nepal
  • Prakash Jyoti Pokharel Department of Paediatrics, Civil Service Hospital, Kathmandu, Nepal
  • Nipun Shrestha Department of Paediatrics, Siddhi Memorial Hospital (for Women and Children), Bhaktapur, Nepal
  • Santosh Pokhrel Department of Paediatrics, Siddhartha Children and Women Hospital, AMDA, Butwal, Nepal
  • Srijana Dongol Department of Paediatrics, Kathmandu University, Dhulikhel Hospital, Nepal
  • Ganendra Bhakta Raya Departmen of Paediatrics, Siddhi Memorial Hospital (for Women and Children), Bhaktapur, Nepal
  • Amrit Ghimire Department of Paediatrics, Grande International Hospital, Kathmandu, Nepal
  • Janak Koirala Department of Internal Medicine, Southern Illinois University School of Medicine, Consultant Nepal Health Research Council, Nepal
  • Sangita Basnet Department of Paediatrics, SIU School of Medicine, USA

DOI:

https://doi.org/10.3126/jnps.v41i3.35051

Keywords:

Antibiotics, antibiotic sensitivity, antimicrobial resistance, critically ill child, Pediatric Intensive Care Unit

Abstract

Justification: Overuse and administration of unnecessary and inappropriate antibiotics are the leading causes for the increased antimicrobial resistance worldwide. Judicious use of antimicrobials can prevent this phenomenon. 

Objective: Create a collaborative outline for the use of antibiotics in the paediatric intensive care unit for various infections, based on evidence, taking into consideration local antimicrobial susceptibility patterns. 

Process / Methods: Under the aegis of Nepal Paediatric Society, this guideline has been developed after several meetings of paediatricians working in various hospitals in different parts of Nepal, looking into the prevalent diseases and local sensitivity patterns of antibiotics.  

Recommendations: This guideline will help standardize the treatment protocol in paediatric intensive care units in Nepal and help paediatricians decide the appropriate use of antibiotics promptly while managing critically ill children. 

Keywords: Antibiotics; antibiotic sensitivity; antimicrobial resistance; critically ill child; Paediatric Intensive Care Unit 

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Author Biography

Dhruba Shrestha, Departmen of Paediatrics, Siddhi Memorial Hospital (for Women and Children), Bhaktapur, Nepal

Consultant and Head of Pediatric Department

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Published

2021-12-31

How to Cite

Shrestha, D., Amatya, P., Sharma, A., Shrestha, S., Sharma, Y., Pathak, S., Pokharel, P. J., Shrestha, N., Pokhrel, S., Dongol, S., Raya, G. B., Ghimire, A., Koirala, J., & Basnet, S. (2021). Nepal Paediatric Society Guideline for use of Antibiotics in Critically ill Children in the Pediatric Intensive Care Unit. Journal of Nepal Paediatric Society, 41(3), 307–314. https://doi.org/10.3126/jnps.v41i3.35051

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Original Articles