Evidence map›Paper›PMID 39399365›Full record

ArticleActa medica Philippina2024

Adherence to Clinical Practice Guidelines on the Management of Acute Infectious Gastroenteritis in Children as a Measure of Quality of Care Delivered by a Primary Care Facility in Rural Philippines: A Descriptive Retrospective Study.

Paul Johnny C Diaz, Leonila F Dans, April P Zamora, Josephine T Sanchez, Cara Lois T Galingana, Maria Rhodora D Aquino, Nanette B Sundiang, Herbert S Zabala, Jesusa T Catabui, Mia P Rey and 1 more

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Article in Acta medica Philippina, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Paul Johnny C DiazDepartment of Pediatrics, Philippine General Hospital, University of the Philippines Manila.
Leonila F DansDepartment of Pediatrics, Philippine General Hospital, University of the Philippines Manila.
April P ZamoraDepartment of Pediatrics, Philippine General Hospital, University of the Philippines Manila.
Josephine T SanchezPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Cara Lois T GalinganaPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Maria Rhodora D AquinoPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Nanette B SundiangPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Herbert S ZabalaPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Jesusa T CatabuiPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Mia P ReyDepartment of Accounting and Finance, Cesar E.A. Virata School of Business, University of the Philippines Diliman.
Antonio L DansPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to describe the pattern of prescription and laboratory use in the management of infectious acute gastroenteritis (AGE) in children seen in a rural service delivery network (SDN) and to determine their adherence to the 2019 Clinical Practice Guidelines on the Management of Acute Infectious Diarrhea in Children and Adults from the Department of Health (DOH). Methods: A descriptive retrospective study was done using the electronic medical records (EMR) of patients less than 19 years old seen by the rural SDN from April 2019-2021 and diagnosed with infectious AGE. Data were extracted on diagnostic and therapeutic management. Adherence to strong CPG recommendations focusing on rehydration, zinc supplementation, rational laboratory use, and antibiotic prescription was chosen as indicator of quality of care. Adherence of less than 70% was defined as low. Results: There were 227 infectious AGE cases, with 72% diagnosed under non-specific infectious AGE. Fifty two percent (52%) were prescribed with low-osmolarity oral rehydration solutions (ORS), while 74% were given zinc. Stool analysis was done in 25% of cases while CBC was done in 20%. Top antibiotics given were metronidazole at 44% and cotrimoxazole at 33%. There was low adherence to prescribing low-osmolarity ORS for rehydration (52%) and to deferring routine antibiotic prescription for non-specific infectious AGE cases (24%). Adherence to deferring routine stool analysis and CBC were relatively high at 73% and 70%, respectively while adherence to antibiotic use for indicated cases was high at 95%. Conclusion: Frequency of diagnostics ordered were low resulting to high adherence rates to recommendations concerning judicious laboratory use. Prescription frequency of appropriate antibiotics and interventions for AGE were low, leading to low adherence rates to recommendations concerning rational antibiotic use and prescription of cornerstone therapies for infectious AGE.

Indexed as

diarrheainfectious gastroenteritisprimary care

Identifiers

PMID39399365
PMCPMC11467581

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