Antibiotic associated diarrhea in outpatient pediatric antibiotic therapy
Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region. The prospective multi-center study included pediatric patients who were initiated an oral anti...
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Published in | BMC pediatrics Vol. 23; no. 1; p. 121 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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England
BioMed Central Ltd
18.03.2023
BioMed Central BMC |
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Abstract | Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region.
The prospective multi-center study included pediatric patients who were initiated an oral antibiotic course in outpatient clinics and followed in a well-established surveillance system. This follow-up system constituded inclusion of patient by the primary physician, supply of family follow-up charts to the family, passing the demographics and clinical information of patient to the Primary Investigator Centre, and a close telephone follow-up of patients for a period of eight weeks by the Primary Investigator Centre.
A result of 758 cases were recruited in the analysis which had a frequency of 10.4% antibiotic-associated diarrhea. Among the cases treated with amoxicillin-clavulanate 10.4%, and cephalosporins 14.4% presented with antibiotic-associated diarrhea. In the analysis of antibiotic-associated diarrhea occurrence according to different geographical regions of Turkey, antibiotic-associated diarrhea episodes differed significantly (p = 0.014), particularly higher in The Eastern Anatolia and Southeastern Anatolia. Though most commonly encountered with cephalosporin use, antibiotic-associated diarrhea is not a frequent side effect.
This study on pediatric antibiotic-associated diarrhea displayed epidemiological data and the differences geographically in our region. |
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AbstractList | Abstract
Background
Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region.
Methods
The prospective multi-center study included pediatric patients who were initiated an oral antibiotic course in outpatient clinics and followed in a well-established surveillance system. This follow-up system constituded inclusion of patient by the primary physician, supply of family follow-up charts to the family, passing the demographics and clinical information of patient to the Primary Investigator Centre, and a close telephone follow-up of patients for a period of eight weeks by the Primary Investigator Centre.
Results
A result of 758 cases were recruited in the analysis which had a frequency of 10.4% antibiotic-associated diarrhea. Among the cases treated with amoxicillin-clavulanate 10.4%, and cephalosporins 14.4% presented with antibiotic-associated diarrhea. In the analysis of antibiotic-associated diarrhea occurrence according to different geographical regions of Turkey, antibiotic-associated diarrhea episodes differed significantly (
p
= 0.014), particularly higher in The Eastern Anatolia and Southeastern Anatolia. Though most commonly encountered with cephalosporin use, antibiotic-associated diarrhea is not a frequent side effect.
Conclusion
This study on pediatric antibiotic-associated diarrhea displayed epidemiological data and the differences geographically in our region. Background Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region. Methods The prospective multi-center study included pediatric patients who were initiated an oral antibiotic course in outpatient clinics and followed in a well-established surveillance system. This follow-up system constituded inclusion of patient by the primary physician, supply of family follow-up charts to the family, passing the demographics and clinical information of patient to the Primary Investigator Centre, and a close telephone follow-up of patients for a period of eight weeks by the Primary Investigator Centre. Results A result of 758 cases were recruited in the analysis which had a frequency of 10.4% antibiotic-associated diarrhea. Among the cases treated with amoxicillin-clavulanate 10.4%, and cephalosporins 14.4% presented with antibiotic-associated diarrhea. In the analysis of antibiotic-associated diarrhea occurrence according to different geographical regions of Turkey, antibiotic-associated diarrhea episodes differed significantly (p = 0.014), particularly higher in The Eastern Anatolia and Southeastern Anatolia. Though most commonly encountered with cephalosporin use, antibiotic-associated diarrhea is not a frequent side effect. Conclusion This study on pediatric antibiotic-associated diarrhea displayed epidemiological data and the differences geographically in our region. Keywords: Antibiotic-associated diarrhea, Outpatient clinics, Amoxicillin-clavulanate, Cephalosporins, Phenoxymethyl penicillins, Macrolides Abstract Background Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region. Methods The prospective multi-center study included pediatric patients who were initiated an oral antibiotic course in outpatient clinics and followed in a well-established surveillance system. This follow-up system constituded inclusion of patient by the primary physician, supply of family follow-up charts to the family, passing the demographics and clinical information of patient to the Primary Investigator Centre, and a close telephone follow-up of patients for a period of eight weeks by the Primary Investigator Centre. Results A result of 758 cases were recruited in the analysis which had a frequency of 10.4% antibiotic-associated diarrhea. Among the cases treated with amoxicillin-clavulanate 10.4%, and cephalosporins 14.4% presented with antibiotic-associated diarrhea. In the analysis of antibiotic-associated diarrhea occurrence according to different geographical regions of Turkey, antibiotic-associated diarrhea episodes differed significantly (p = 0.014), particularly higher in The Eastern Anatolia and Southeastern Anatolia. Though most commonly encountered with cephalosporin use, antibiotic-associated diarrhea is not a frequent side effect. Conclusion This study on pediatric antibiotic-associated diarrhea displayed epidemiological data and the differences geographically in our region. Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region. The prospective multi-center study included pediatric patients who were initiated an oral antibiotic course in outpatient clinics and followed in a well-established surveillance system. This follow-up system constituded inclusion of patient by the primary physician, supply of family follow-up charts to the family, passing the demographics and clinical information of patient to the Primary Investigator Centre, and a close telephone follow-up of patients for a period of eight weeks by the Primary Investigator Centre. A result of 758 cases were recruited in the analysis which had a frequency of 10.4% antibiotic-associated diarrhea. Among the cases treated with amoxicillin-clavulanate 10.4%, and cephalosporins 14.4% presented with antibiotic-associated diarrhea. In the analysis of antibiotic-associated diarrhea occurrence according to different geographical regions of Turkey, antibiotic-associated diarrhea episodes differed significantly (p = 0.014), particularly higher in The Eastern Anatolia and Southeastern Anatolia. Though most commonly encountered with cephalosporin use, antibiotic-associated diarrhea is not a frequent side effect. This study on pediatric antibiotic-associated diarrhea displayed epidemiological data and the differences geographically in our region. BACKGROUNDAntibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region. METHODSThe prospective multi-center study included pediatric patients who were initiated an oral antibiotic course in outpatient clinics and followed in a well-established surveillance system. This follow-up system constituded inclusion of patient by the primary physician, supply of family follow-up charts to the family, passing the demographics and clinical information of patient to the Primary Investigator Centre, and a close telephone follow-up of patients for a period of eight weeks by the Primary Investigator Centre. RESULTSA result of 758 cases were recruited in the analysis which had a frequency of 10.4% antibiotic-associated diarrhea. Among the cases treated with amoxicillin-clavulanate 10.4%, and cephalosporins 14.4% presented with antibiotic-associated diarrhea. In the analysis of antibiotic-associated diarrhea occurrence according to different geographical regions of Turkey, antibiotic-associated diarrhea episodes differed significantly (p = 0.014), particularly higher in The Eastern Anatolia and Southeastern Anatolia. Though most commonly encountered with cephalosporin use, antibiotic-associated diarrhea is not a frequent side effect. CONCLUSIONThis study on pediatric antibiotic-associated diarrhea displayed epidemiological data and the differences geographically in our region. Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region. The prospective multi-center study included pediatric patients who were initiated an oral antibiotic course in outpatient clinics and followed in a well-established surveillance system. This follow-up system constituded inclusion of patient by the primary physician, supply of family follow-up charts to the family, passing the demographics and clinical information of patient to the Primary Investigator Centre, and a close telephone follow-up of patients for a period of eight weeks by the Primary Investigator Centre. A result of 758 cases were recruited in the analysis which had a frequency of 10.4% antibiotic-associated diarrhea. Among the cases treated with amoxicillin-clavulanate 10.4%, and cephalosporins 14.4% presented with antibiotic-associated diarrhea. In the analysis of antibiotic-associated diarrhea occurrence according to different geographical regions of Turkey, antibiotic-associated diarrhea episodes differed significantly (p = 0.014), particularly higher in The Eastern Anatolia and Southeastern Anatolia. Though most commonly encountered with cephalosporin use, antibiotic-associated diarrhea is not a frequent side effect. This study on pediatric antibiotic-associated diarrhea displayed epidemiological data and the differences geographically in our region. |
ArticleNumber | 121 |
Audience | Academic |
Author | Gundogdu Aktürk, Hacer Şen Bayturan, Semra Aldemir Kocabaş, Bilge Çelebi, Solmaz Yeşil, Edanur Tanır, Gönül Aykaç, Kübra Çağlar, İlknur Günay, Fatih Kaya, Cemil Devrim, İlker Gayretli Aydın, Zeynep Gökçe Salı, Enes Çiftçi, Ergin Sütçü, Murat Karaaslan, Ayşe Tezer, Hasan Karakaşlılar, Sabahat Özkaya Parlakay, Aslınur Yazar, Ahmet Sami Özen, Metehan Tekin Yılmaz, Ayşe Kara, Manolya Arısoy, Emin Sami Kara, Ateş Güven, Şirin Kara, Soner Sertan Yaşar Durmuş, Sevgi Çay, Ümmühan Dinleyici, Ener Çağrı Karadag Oncel, Eda Somer, Ayper Kaba, Özge Yılmaz Çiftdoğan, Dilek Ozdemir, Halil Tural Kara, Tuğçe Çelik, Melda Diri, Tijen Erat, Tuğba Tanır Basaranoğlu, Sevgen |
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sequence: 11 givenname: Ümmühan surname: Çay fullname: Çay, Ümmühan organization: Department of Pediatric Infectious Diseases, Trabzon Kanuni Training and Research Hospital, Trabzon, Turkey – sequence: 12 givenname: Hacer surname: Gundogdu Aktürk fullname: Gundogdu Aktürk, Hacer organization: Department of Pediatric Infectious Diseases, Istanbul Zeynep Kamil Women and Children Training and Research Hospital, Istanbul, Turkey – sequence: 13 givenname: Melda surname: Çelik fullname: Çelik, Melda organization: Department of Pediatric Infectious Diseases, Ankara Kecioren Training and Research Hospital, Ankara, Turkey – sequence: 14 givenname: Halil surname: Ozdemir fullname: Ozdemir, Halil organization: Department of Pediatric Infectious Diseases, Ankara University, Ankara, Turkey – sequence: 15 givenname: Ayper surname: Somer fullname: Somer, Ayper organization: Department of Pediatric Infectious Diseases, Istanbul Medical School, Istanbul University, Istanbul, Turkey – sequence: 16 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Department of Pediatric Infectious Diseases, Istanbul Medical School, Istanbul University, Istanbul, Turkey – sequence: 22 givenname: Solmaz surname: Çelebi fullname: Çelebi, Solmaz organization: Department of Pediatric Infectious Diseases, Bursa Uludag University, Bursa, Turkey – sequence: 23 givenname: Aslınur surname: Özkaya Parlakay fullname: Özkaya Parlakay, Aslınur organization: Department of Pediatric Infectious Diseases, Ankara Yildirim Beyazit University, Ankara, Turkey – sequence: 24 givenname: Sabahat surname: Karakaşlılar fullname: Karakaşlılar, Sabahat organization: Department of Pediatrics, Bursa Acıbadem Hospital, Bursa, Turkey – sequence: 25 givenname: Emin Sami surname: Arısoy fullname: Arısoy, Emin Sami organization: Department of Pediatric Infectious Diseases, Kocaeli University, Kocaeli, Turkey – sequence: 26 givenname: Gönül surname: Tanır fullname: Tanır, Gönül organization: Department of Pediatric Infectious Diseases, Ankara Doktor Sami Ulus Women and Children Training and Research Hospital, Ankara, Turkey – sequence: 27 givenname: Tuğçe surname: Tural Kara fullname: Tural Kara, Tuğçe organization: Department of Pediatric Infectious Diseases, Hatay State Hospital, Hatay, Turkey – sequence: 28 givenname: İlker surname: Devrim fullname: Devrim, İlker organization: Department of Pediatric Infectious Diseases, Izmir Doktor Behcet Uz Children's Hospital, İzmir, Turkey – sequence: 29 givenname: Tuğba surname: Erat fullname: Erat, Tuğba organization: Department of Pediatric Infectious Diseases, Ankara University, Ankara, Turkey – sequence: 30 givenname: Kübra surname: Aykaç fullname: Aykaç, Kübra organization: Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, 06100, Turkey – sequence: 31 givenname: Özge surname: Kaba fullname: Kaba, Özge organization: Department of Pediatric Infectious Diseases, Istanbul Medical School, Istanbul University, Istanbul, Turkey – sequence: 32 givenname: Şirin surname: Güven fullname: Güven, Şirin organization: Department of Pediatrics, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey – sequence: 33 givenname: Edanur surname: Yeşil fullname: Yeşil, Edanur organization: Department of Pediatric Infectious Diseases, Bursa Uludag University, Bursa, Turkey – sequence: 34 givenname: Ayşe surname: Tekin Yılmaz fullname: Tekin Yılmaz, Ayşe organization: Department of Pediatric Infectious Diseases, Kocaeli University, Kocaeli, Turkey – sequence: 35 givenname: Sevgi surname: Yaşar Durmuş fullname: Yaşar Durmuş, Sevgi organization: Department of Pediatric Infectious Diseases, Ankara Doktor Sami Ulus Women and Children Training and Research Hospital, Ankara, Turkey – sequence: 36 givenname: İlknur surname: Çağlar fullname: Çağlar, İlknur organization: Department of Pediatric Infectious Diseases, Izmir Doktor Behcet Uz Children's Hospital, İzmir, Turkey – sequence: 37 givenname: Fatih surname: Günay fullname: Günay, Fatih organization: Department of 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Keywords | Cephalosporins Antibiotic-associated diarrhea Macrolides Phenoxymethyl penicillins Outpatient clinics Amoxicillin-clavulanate |
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Snippet | Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated... Abstract Background Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of... Background Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of... BackgroundAntibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of... BACKGROUNDAntibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of... Abstract Background Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of... |
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SubjectTerms | Age Amoxicillin-clavulanate Amoxicillin-Potassium Clavulanate Combination - adverse effects Anti-Bacterial Agents - adverse effects Antibiotic-associated diarrhea Antibiotics Causes of Cephalosporins Cephalosporins - adverse effects Child Complications and side effects Diagnosis Diarrhea Diarrhea - chemically induced Diarrhea - drug therapy Diarrhea - epidemiology Diarrhea in children Distribution Dosage and administration Humans Infections Macrolides Microbiota Outpatient clinics Outpatients Patients Pediatrics Penicillin Phenoxymethyl penicillins Prospective Studies Side effects Surveillance |
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Title | Antibiotic associated diarrhea in outpatient pediatric antibiotic therapy |
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