Treatment of Diarrhoeal Disease with Different Types of Antibiotic in Patients Admitted to Institute of Child Health & Shishu Sasthya Foundation Hospital

Abstract

Dian-heal disease remains an important cause of childhood morbidity and mortality in developing countries, although diarrheal deaths have significantly declined in recent years, mostly due to successes in the implementation of oral rehydration therapy (ORT), which is the principle treatment for the diarrheal diseases. Diarrhea may occur for vanous reasons; however, most episodes of diarrhea in developing countries are infectious in origin. Three clinical forms of diarrhea (acute watery diarrhea, invasive diarrhea, and persistent diarrhea) have been identified to formulate a management plan. Acute diarrhea is usually caused by infection. Dian-hea is an illness caused by the bacteria, virus and parasites. It is a common disease in the developing countries like Bangladesh, where it affects about 2l.5 million people every year. The information about the treatment of children with dian-hea (below 10 years) admitted to Institute of Child Health and Shishu Sasthya Foundation Hospital, Mirpur, Dhaka was collected for this study. In addition to Oral Rehydration Solution some common antibiotics were llsed for the treatment of diarrhea. The antibiotics included Ciprofioxacin, Azithromycin and Ceftriaxone. The patients received antibiotics such as lmipencm, Gentamycin, Ampicillin for their associated illness like severe pneumonia, sepsis etc. About 73% hospitalized patients (n=41) received antibiotic whereas 27% (n=15) did not receive any antibiotics. Out of 41 male and female children 20 received ciprofloxacin, 9 received gentamicin, 5 received ampicillin and rest of the patients received other antibiotics. The average duration of hospital stay of antibiotic group was 1.02 days and that of non-antibiotic group was 1.33 days. The results show that the duration of hospital stay of antibiotic group is less compared to non antibiotic group.