Assessment of Prescribing Patterns by Clinicians for Management of Acute Diarrhea in Under-Five Children at Nyamagana District Hospital in Mwanza City
Material type:
TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O. Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz :www.bugando.ac.tzLanguage: English Language: Kiswahili Publication details: Mwanza, Tanzania : Catholic University of Health and Allied Sciences [CUHAS - Bugando] : ©2017Description: x; 27 Pages; Includes ReferencesSubject(s): Summary: Abstract:
Background: Diarrhea is the fourth leading cause of death in Tanzania which accounts to 6% according to WHO, 2010 and Tanzania’s STG of 2013 recommend use low osmolarity ORS, Zinc supplementation and IV fluids (Ringer lactate) for management of acute diarrhea. Several studies have reported varying degree of irrational use of antibiotics, no use of reduced osmolarity ORS and zinc supplementation in the management of acute diarrhea in under-five children. There was limited information from the literature about the current prescribing practices in Tanzania particulary Nyamagana district.
Methods: A cross-sectional retrospective study was conducted at Nyamagana district hospital on May 2017. Sample size was obtained by using Kish – Leslie (1965) formula. The P-value of <0.05 was considered significant.
Results: A total of 246 under-five children were enrolled in the study. Among 246 participants 132 participants (53.7%) were male. Majority of the patients 226 (91.9%) were managed as outpatient cases. About 191 children (77.6%) were diagnosed with acute diarrhea with no dehydration. Our study showed that rational prescribing was among 164 under-five children with acute diarrhea where (66.7%) were given ZINC tablets and ORS and 11 children (4.5%) had ORS, ZINC and I.V fluids. There was a significant association between prescriber’s education and prevalence of irrational prescribing, with majority of irrational prescribing among clinical officers (37.6%) (P=0.000).
Conclusion: Updating health training programmes to clinicians will help to reduce irrational prescribing.
| Item type | Current library | Collection | Status | Barcode | |
|---|---|---|---|---|---|
| UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 2 | UD0056 |
Abstract:
Background: Diarrhea is the fourth leading cause of death in Tanzania which accounts to 6% according to WHO, 2010 and Tanzania’s STG of 2013 recommend use low osmolarity ORS, Zinc supplementation and IV fluids (Ringer lactate) for management of acute diarrhea. Several studies have reported varying degree of irrational use of antibiotics, no use of reduced osmolarity ORS and zinc supplementation in the management of acute diarrhea in under-five children. There was limited information from the literature about the current prescribing practices in Tanzania particulary Nyamagana district.
Methods: A cross-sectional retrospective study was conducted at Nyamagana district hospital on May 2017. Sample size was obtained by using Kish – Leslie (1965) formula. The P-value of <0.05 was considered significant.
Results: A total of 246 under-five children were enrolled in the study. Among 246 participants 132 participants (53.7%) were male. Majority of the patients 226 (91.9%) were managed as outpatient cases. About 191 children (77.6%) were diagnosed with acute diarrhea with no dehydration. Our study showed that rational prescribing was among 164 under-five children with acute diarrhea where (66.7%) were given ZINC tablets and ORS and 11 children (4.5%) had ORS, ZINC and I.V fluids. There was a significant association between prescriber’s education and prevalence of irrational prescribing, with majority of irrational prescribing among clinical officers (37.6%) (P=0.000).
Conclusion: Updating health training programmes to clinicians will help to reduce irrational prescribing.
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