EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

STUDY TO EVALUATE IMPACT OF REVISED(2012) WHO GUIDELINES ON PRIMARY CARE PHYSICIANS WORKING IN GOVERNMENT AND PRIVATE SECTOR ON THEIR MANAGEMENT STRATEGIES AND CHOICES OF ANTIBIOTICS IN COMMUNITY ACQUIRED PNEUMONIA IN CHILDREN AGED 2-59 MONTHS

Archana Vyas*, Javed Ahamed, Kamal K. Batar, Anusuya Gehlot, Monika Sharma, Rajesh Jangid and Akhtar Ali

ABSTRACT

Background: community acquired pneumonia continues to be the most common infectious disease and biggest killer worldwide of children under five years of age. case management is the cornerstone of pneumonia control. In 1980’s the global burden of childhood mortality due to pneumonia led WHO to develop a pneumonia control strategy suitable for countries with limited resources. The recommendations for the management of pneumonia in health facilities have recently been modified in 2012, which includes both change in classification and also change in choices of antibiotics as per recent researches. We have planned this study to evaluate how well health care professionals comply with IMCI guidelines in routine practise. Methodology: A total of 80 primary care physicians were interviewed. Data was collected through predesigned questionnaire with open ended questions prepared to sought information on knowledge, attitude and practise of participants on management of pneumonia. Results: Analysis of knowledge showed that only 16.25% participants were aware of new classification, 28.75% knew correct respiratory rate in infants, 15% identified signs of pneumonia. On analysis of attitude, 81.25% believed that all cases of ARI in children do not require antibiotics,25% believed oral antibiotics should be started on appearance of signs of pneumonia, while 16.25% would wait for danger signs to appear. Analysis of prescribing practices showed that only 35% participants were aware of recent recommended first line antibiotics according to WHO guidelines, 38.75% knew correct duration of treatment with oral antibiotics, none of the participant was aware of correct recommended dose.6.25% knew recommended first line parenteral antibiotics according to recent guidelines,32.75% used steroids for treatment of pneumonia. Conclusion: WHO policies for management of pneumonia have still not reached the grass root level and more training of health professionals is required for prompt management, timely referral and proper utilization of antibiotics and other medications.

Keywords: community acquired pneumonia, antibiotics, management.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )