Objective: To investigate the application status of antibiotics before outpatient visit in pediatrics of our hospital from Mar. to Apr. 2018. Methods: The questionnaire was issued by the clinicians

and the family members voluntarily filled in the truth. Statistical analysis was conducted on children’s age

gender

symptoms

administration of antibiotics before visit

duration of the first dose of antibiotics and the onset of symptoms

duration of the treatment

categories and source of antibiotics. Results: A total of 187 children were enrolled

155 cases (82.89%) were given antibiotics

and 32 cases (17.11%) received no antibiotics. The application rates of antibiotics in the bacterial group and viral group were respectively 81.43% and 84.07% (P>0.05). The application rates of antibiotics in the toddler

preschool and school-age group were respectively 88.46%

86.42% and 84.61%

higher than those in the infant group (P<0.05). The proportion of single application of antibiotics accounted for 85.16% and drug combination accounted for 14.84%. The single application rate of antibiotics were 58.71% for cephalosporins

21.93% for penicillins and 4.52% for macrolide (P<0.05). The sources of antibiotics were respectively pharmacy purchases (28.38%)

prescriptions by community clinicians (27.10%)

home reserves (20.65%)

and the remaining drugs (23.87%

P>0.05). The application rate of the first dose of antibiotics in the <12 h group was 44.52%

significantly higher than that in the 12 to 24 h group (29.68%) and the >24 h group (25.81%

P<0.05). Conclusion: The application of antibiotics in children before outpatient visit is abusive

non-standard and irrational. Therefore

the propaganda

education and supervision should be strengthened.