Antibiotic associated diarrhoea in paediatric outpatient practice


  • Srimukhi Anumolu Department of Paediatrics, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India
  • Gowri Edagotti Department of Paediatrics, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India
  • M. A. Rahman Department of Paediatrics, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India



Antibiotic associated diarrhoea, Amoxicillin clavulanate, Children


Background: To document the profile of antibiotic associated diarrhoea (AAD) in children aged 6 months to 15 years receiving oral antibiotics.

Methods: Prospective study of children attending the out-patient department, who were started on oral antibiotic for indications other than gastrointestinal infections. Data collection was done with a questionnaire and follow up was done by telephone.

Results: Of the 1022 children, seven developed AAD (0.68%). Twenty-nine other children had loose stools but did not fulfil the criteria of AAD. Of 436 children who received Amoxicillin clavulanate, 4 developed AAD. One each from 361 on amoxicillin, 9 on ciprofloxacin and 8 on erythromycin developed AAD. Five of the seven children who had diarrhoea were less than two years (71.4%).

Conclusions: Incidence of AAD is very low in an out-patient setting. In all cases, diarrhoea subsided on stopping the antibiotic. Children below two years of age and those on Amoxicillin clavulanate have a significantly higher risk.



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Original Research Articles