Compliance of paediatricians to the guidelines on the use of antimicrobials in respiratory infections

Clinical Microbiology and Antimicrobial Chemotherapy. 2017; 19(1):63-66

Journal article


To monitor the level of compliance of paediatricians regarding antimicrobial therapy of acute respiratory infections in children.

Materials and Methods.

Аnonymous survey of paediatricians of Rostov region was conducted using a questionnaire developed by the authors during 2009-10 and 2014-15. The analysis was performed to assess the compliance with the national recommendations developed by the Union of paediatricians of Russia among the 3 groups of doctors (practicing ≤5 years; 6-20 years; ≥21 years). The results were presented with the use of descriptive statistics.


Post-graduate courses and lectures in the workplace organized by the representatives of pharmaceutical companies are the main sources of information on the treatment of children with acute respiratory infections among paediatricians practicing for ≥6 years. Despite the availability of national guidelines, doctors are experiencing difficulties in assessing the indications for antibiotics, the choice of a particular drug, changing it in case of failure, determining the optimal duration of treatment. Inappropriate use of antibiotics was most frequent in cases of acute bronchitis, tonsillitis, and community-acquired pneumonia.


Despite some improvements in paediatricians’ competence regarding antibiotic therapy, the level of knowledge remains insufficient. The results provide a basis for optimization of educational process in antimicrobial chemotherapy for paediatricians.

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