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Prevalence and factors associated with the use of antibiotics in non-bloody diarrhoea in children under 5 years of age in sub-Saharan Africa
Authors: Auta A, Ogbonna BO, Adewuyi EO, Adeloye D, and Strickland-Hodge B
Source: Archives of Disease in Childhood , 104(6): 518-521; DOI: 10.1136/archdischild-2017-314228
Topic(s): Child health
Children under five
Diarrhea
Country: Africa
   Multiple African Countries
Published: JUN 2019
Abstract: OBJECTIVES: To estimate the prevalence and determine the factors associated with the use of antibiotics in the management of non-bloody diarrhoea in children under 5 years of age in sub-Saharan Africa (SSA). METHODS: We conducted a meta-analysis of demographic and health survey data sets from 30 countries in SSA. Pooled prevalence estimates were calculated using random effects model. ?2 tests were employed to determine the factors associated with the antibiotic use. RESULTS: The pooled prevalence of antibiotic use among cases of non-bloody diarrhoea in children under 5 years of age was 23.1% (95% CI 19.5 to 26.7). The use of antibiotics in children with non-bloody diarrhoea in SSA was associated with (p<0.05) the source of care, place of residence, wealth index, maternal education and breastfeeding status. CONCLUSION: We found an unacceptably high use of antibiotics to treat episodes of non-bloody diarrhoea in children under the age of 5 in SSA. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019. All rights reserved. No commercial use is permitted unless otherwise expressly granted. KEYWORDS: infectious diseases; tropical paediatrics
Web: https://adc.bmj.com/content/104/6/518.long