Table 3 Multivariate analysis for factors associated with antibiotic under-prescription for diarrheal children under 5鈥墆ears old with dysentery in Western Kenya, Asembo (n鈥�=鈥�123)
From: Inappropriate use of antibiotics for childhood diarrhea case management 鈥� Kenya, 2009鈥�2016
Factors | Antibiotic prescribed (%) | Antibiotic not prescribed (%) | Crude odds ratio (95% CI) | Adjustedb odds ratio (95% CI) |
|---|---|---|---|---|
Demographics | ||||
鈥倾驳别鈥�&濒迟;鈥�1 | 29/90 (32.2%) | 12/33 (36.4%) | 1.20 (0.52鈥�2.77) | 听 |
鈥僊补濒别 | 50/90 (55.6%) | 13/33 (39.4%) | 0.52 (0.23鈥�1.17) | 听 |
Recent medical history | ||||
鈥僀linic visit within 14鈥塪ays | 8/90 (8.9%) | 3/33 (9.1%) | 1.03 (0.26鈥�4.12) | 听 |
鈥僀linic visit within 14鈥塪ays with diarrheal symptom | 4/90 (4.4%) | 1/33 (3.0%) | 0.67 (0.07鈥�6.24) | 听 |
鈥僀linic visit within 14鈥塪ays with antibiotic treatment | 5/90 (5.6%) | 0/33 (0%) | N/A | 听 |
Signs and symptoms | ||||
鈥僕别颈驳丑迟-蹿辞谤-补驳别鈥�&濒迟;鈥夆垝2 | 17/89 (19.1%) | 9/33 (27.3%) | 1.59 (0.63鈥�4.03) | 听 |
鈥仅别颈驳丑迟-蹿辞谤-补驳别鈥�&濒迟;鈥夆垝2 | 22/85 (25.9%) | 6/30 (20.0%) | 0.72 (0.26鈥�1.98) | 听 |
鈥僕别颈驳丑迟-蹿辞谤-丑别颈驳丑迟鈥�&濒迟;鈥夆垝2 | 14/85 (16.5%) | 5/30 (16.7%) | 1.02 (0.33鈥�3.10) | 听 |
鈥僊easured or reported fever | 81/90 (90.0%) | 31/33 (93.9%) | 1.72 (0.35鈥�8.42) | 听 |
鈥僀辞耻驳丑 | 54/90 (60.0%) | 22/33 (66.7%) | 1.33 (0.58鈥�3.08) | 听 |
鈥僁ifficulty breathing | 1 /90 (1.1%) | 0/33 (0%) | N/A | 听 |
鈥僑ore throat | 1/89 (0.9%) | 0/32 (0%) | N/A | 听 |
鈥僔辞尘颈迟颈苍驳 | 23/90 (25.6%) | 18/33 (54.5%) | 3.50 (1.52鈥�8.04) | 4.36 (1.98鈥�9.57) |
鈥僐unny nose | 27/90 (30.0%) | 10/33 (30.3%) | 1.02 (0.43鈥�2.42) | 听 |
鈥侨苍别别锄颈苍驳 | 13/90 (14.4%) | 6/33 (18.2%) | 1.32 (0.46鈥�3.81) | 听 |
Physical examination | ||||
鈥僐estless or irritable | 7/90 (7.8%) | 2/33 (6.1%) | 0.77 (0.15鈥�3.88) | 听 |
鈥僑unken eyes | 8/90 (8.9%) | 3/33 (12.1%) | 1.41 (0.40鈥�5.05) | 听 |
鈥僁rinks eagerly, thirsty | 4/90 (4.4%) | 1/33 (3.0%) | 0.67 (0.07鈥�6.24) | 听 |
鈥僑kin tenting | 4/90 (4.4%) | 0/33 (0%) | N/A | 听 |
鈥僑igns of anemia | 4/88 (4.6%) | 0/32 (0%) | N/A | 听 |
鈥僀谤补肠办濒别蝉/谤补濒别蝉 | 0/90 (0%) | 0/33 (0%) | N/A | 听 |
Clinical diagnoses | ||||
鈥僄补蝉迟谤辞别苍迟别谤颈迟颈蝉 | 42/90 (45.6%) | 10/33 (30.3%) | 0.52 (0.22鈥�1.22) | 听 |
鈥僊alaria diagnosis | 29/90 (32.2%) | 18/33 (54.6%) | 2.52 (1.12鈥�5.71) | 1.82 (1.05鈥�3.13) |
鈥僁别丑测诲谤补迟颈辞苍 | 3/90 (3.3%) | 3/33 (9.1%) | 2.90 (0.56鈥�15.13) | 听 |
鈥僓搁罢滨a | 20/90 (22.2%) | 8/33 (24.2%) | 1.12 (0.44鈥�2.86) | 听 |
鈥僁测蝉别苍迟别谤测 | 47/90 (52.2%) | 8/33 (24.2%) | 0.29 (0.12鈥�0.72) | 0.30 (0.07鈥�1.24) |
Treatment | ||||
鈥僀oncurrent ORSa | 59/90 (65.6%) | 14/33 (42.4%) | 0.39 (0.17鈥�0.88) | 0.34 (0.10鈥�1.19) |
鈥僀oncurrent zinc | 41/90 (45.6%) | 15/33 (45.5%) | 1.00 (0.45鈥�2.22) | 听 |