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Table 3 Antibacterial and antimalarial prescriptions and adherence with guidelines in febrile children attending HUCSH, 2018–2019

From: Clinical management and outcomes of acute febrile illness in children attending a tertiary hospital in southern Ethiopia

Prescriptions and adherence with guidelines Antibacterial treatment
n (%) N = 425
Antimalarial treatment
n (%) N = 425
Total children prescribed 360 (84.7) 47 (11.1)
 With indication and prescribed on initial management1 319 (75.0) 14 (3.3)
 Overprescribed on initial management2 36 (8.5) 30 (7.1)
 Overprescribed among children without indication 36 (34.0)a 30 (7.3)b
 Treated on follow-up3 5 (1.2) -
Overprescribed on follow-up4 - 3 (0.7)
Total children not prescribed 65 (15.3) 378 (88.9)
 Without indication and not prescribed 5 56 (13.2) -
 With indication and not prescribed 6 9 (2.1) -
  1. a(N = 106), b(N = 411)
  2. 1Prescribed on initial management as suggested by the national management guideline, irrespective of culture findings on follow-up
  3. 2Prescribed on initial management without enough clinical and/or initial laboratory indications according to the guideline and no pathogen was identified on culture as well
  4. 3Not prescribed on initial management (irrespective of initial indications) but treated after confirmation of bacterial infection on culture
  5. 4Prescribed to cases with persisting fever despite malaria negative result on follow-up
  6. 5Not prescribed on initial management as suggested by the guideline and no pathogen was identified on culture as well
  7. 6Not prescribed on initial management or follow-up at the hospital despite enough indications due to clinician discretion or lost to follow-up