Evaluating the Choice of Prophylactic Antibiotics for Stockpiling against Pertussis

Chuan-Yin Kao, Ju-Hsin Chen, Yen-Nan Chao, Kun-Bin Wu

2010 Vol.26 NO.7

Correspondence Author: Chuan-Yin Kao

Abstract:

Abstract

This article discussed the current policy of the use of prophylactic antibiotics against pertussis in Taiwan. It is recommended that all close contacts of patients with pertussis receive antibiotics for prophylaxis. However, the choice of antibiotics should not only consider the cost and effectiveness of prophylaxis, but also compliance towards medication. If the preventive effect and patient compliance of the selected antibiotics are poor, not only medical resources may be wasted, the bacteria may also develop resistance against antibiotics due to abuse. As a result, in addition to regulate the type of antibiotics to be prescribed and how they should be administered, it is also necessary to choose an appropriate antimicrobial agent for preventive stockpiling in order to improve the quality of infection control and medical care.