Adherence to guidelines on the use of amoxicillin for treatment of ambulatory pneumonia in children younger than 5 years, Colombia, 2017–2019

Bibliographic Data

ID14966841
AuthorsLuisa Moyano Ariza (Ministry of Health and Social Protection, Bogotá, Colombia., corresponding author), Brindis Ochoa (Pan American Health Organization, Washington DC, United States of America.), Hemant Deepak Shewade (0000-0002-8242-1911, National Institute of Epidemiology), Jeffrey K Edwards (University of Washington, Seattle, United States of America.), Julián Trujillo Trujillo (Ministry of Health and Social Protection, Bogotá, Colombia.), Julián Trujillo-Trujillo (0000-0003-0739-5781, Ministry of Health and Social Protection), Claudia M Cuellar (Ministry of Health and Social Protection, Bogotá, Colombia.), Jaime Rodríguez (0000-0002-8174-9886, Pedagogical and Technological University of Colombia, Bogotá, Colombia.), J Muñoz Rodríguez, Katrina Hann (0000-0002-4913-6270, Sustainable Health Systems, Freetown, Sierra Leone.), Mauro Niskier Sanchez (0000-0002-0472-1804, Universidade de Brasília), Mauro Sanchez (University of Brasilia, Brasilia, Brazil.)
Year2023
Volume47
Pages1
Publication date2023-04-19
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2023.52
PMID37082539
OpenAlexW4365814620
LanguageEN
Citations received1
References cited18

Objectives. To determine the level of adherence to clinical guidelines in prescribing amoxicillin to children younger than 5 years with pneumonia in outpatient settings in Colombia from 2017 to 2019, and assess the factors associated with adherence Methods. This was a cross-sectional study of secondary data from the Colombian Integrated Social Protection Information System database. Adherence was defined as prescription of oral amoxicillin for bacterial and unspecified pneumonia and non-prescription for viral pneumonia. Variables examined included: age ( Results. Of 215 925 cases of community-acquired pneumonia reported during 2017–2019, 64.8% were from the Andean region, 73.9% were bacterial pneumonia and 1.8% were viral pneumonia. Adherence to guidelines was observed in 5.8% of cases: this was highest for children diagnosed with viral (86.0%) compared with bacterial (2.0%) pneumonia. For children diagnosed with bacterial pneumonia, 9.4% were prescribed any antibiotic. A greater proportion of children covered by capitated payments (22.3%) were given treatment consistent with the guidelines compared with payment for event (1.3%). Conclusion. In this first study from Colombia, adherence to guidelines for outpatient treatment of children with bacterial pneumonia was low and was better for viral pneumonia. Further qualitative studies are needed to explore the reasons for this lack of adherence and why bacterial pneumonia was the most commonly reported etiology

Ambulatory · Amoxicillin · Antibiotics · Bacterial pneumonia · Coronavirus disease 2019 (COVID-19 · Disease · Infectious disease (medical specialty · Intensive care medicine · Medical prescription · Pneumonia · Viral pneumonia · Child and Adolescent Health · Medicine · Pneumonia and Respiratory Infections · Respiratory viral infections research · Internal Medicine · Pediatrics

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