Our Successes and Failures in the Implementation of Acute Gastroenteritis Guidelines in Clinical Practice
| المصدر: | مجلة الساتل |
|---|---|
| الناشر: | جامعة مصراتة |
| المؤلف الرئيسي: | Elgasseir, Anwar T. (Author) |
| المجلد/العدد: | س9, ع12 |
| محكمة: | نعم |
| الدولة: |
ليبيا |
| التاريخ الميلادي: |
2015
|
| الشهر: | مارس |
| الصفحات: | 7 - 20 |
| رقم MD: | 766593 |
| نوع المحتوى: | بحوث ومقالات |
| اللغة: | الإنجليزية |
| قواعد المعلومات: | HumanIndex |
| مواضيع: | |
| كلمات المؤلف المفتاحية: |
Acute Gastroenteritis | Pharmacotherapy | ORS | Recommendation | Practice
|
| رابط المحتوى: |
عدد مرات التحميل
5
| المستخلص: |
Objectives: This study intended to determine the difference between recommendations to manage dehydration in Acute Gastroenteritis (AGE), compared to practical clinical judgment in using these recommendation, concerning oral rehydration solution (ORS) use, pharmacotherapy, and nutritional management. Patients and Methods: Descriptive study (Longitudinal hospital based study) during the period of one year in Pediatric Department, Misurata teaching hospital. All hospital admissions, of children under the age of five and older than two month, with clinical symptoms of acute gastroenteritis are included in the study. Dehydration severity was categorized and treated according to the level of dehydration. Results: The percentage of AGE estimated in children below 5 years is 12% from the total hospital admission (1182). 90% of patients were diagnosed clinically as mild and moderate dehydration. In our unit 124 patients (88%) were managed by intravenous fluid initially. 15 patient (10.6% from total AGE cases) were initially treated with ORS. 12% of patient used soft drinks and/or fruits drinks at home, as replacement therapy. Antibiotic and antiemetic were used at home in 16% of AGE admitted patients. Antidiarrheal treatment was received before admission just in 3 patients (2%). Conclusion: There is clear gap between recommendation and practice, and the need to disseminate recommended guidelines to different health care level about ORS use, ideal feeding practice and the role of pharmacotherapy, is very essential. |
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