Audit of Children Admitted to a Quaternary Hospital in South India with Fever Who Did Not Receive Antibiotics throughout Hospital Stay

Antibiotic audit is an essential element of a hospital antibiotic stewardship program.We report an audit done in one unit of our hospital, in which we analyzed the cases admitted in the month of July 2024 with fever, that were treated without antibiotics.Out of 77 children admitted during the month, 41 were admitted with fever and 30 of these children were treated without antibiotics.The children who were managed without antibiotics were 28 with viral illnesses, five of whom had been started on antibiotics elsewhere, and two others who had multiple antibiotic courses before admission to our hospital were evaluated after stopping antibiotics.One child was diagnosed as systemic-onset juvenile idiopathic arthritis (SOJIA), and the other was a case of Kawasaki disease.