ArticleArchives of public health = Archives belges de sante publique2025
Community-acquired pneumonia in Indonesian children: insights into diagnosis, treatment compliance, and healthcare provider challenges.
Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity-acquired pneumonia (CAP) remains a leading cause of morbidity and mortality in children worldwide. Inappropriate antibiotic use by healthcare workers contributes significantly to the growing problem of antibiotic resistance. This study assessed the knowledge, attitudes, and practices (KAP) of Indonesian primary healthcare workers in diagnosing and treating paediatric CAP, alongside challenges in guideline adherence.
methodsThree studies were conducted in Indonesia. The first study reviewed medical records from Riau Islands and Central Java Provinces to assess adherence to CAP guidelines. The second evaluated KAP using pre- and post-tests, and online follow-up. The third used focus group discussions (FGDs) to explore the challenges in diagnosis and management.
resultsOut of 921 records, 37.6% of patients were misclassified as having CAP according to the World Health Organization (WHO) guideline, while 53.3% were misclassified based on the Ministry of Health of the Republic of Indonesia (MoH RI) guideline. Antibiotics were prescribed in 89.3% and 87.6% of these cases. Among correctly classified cases, 73.2% were prescribed amoxicillin in line with WHO guideline, but only 11.6% were dosed within the recommended 75-100 mg/kg/day range. Furthermore, 74.6% of patients were prescribed antibiotics more frequently, and only 28.3% received the appropriate treatment duration. The training significantly improved KAP among healthcare workers. Separately, nurses and midwives showed better practical application of the guidelines compared to physicians. Qualitative analysis identified themes highlighting diagnostic accuracy, antibiotic prescribing practices, and tailored training programs.
conclusionsThis study highlights significant inconsistencies in paediatric CAP management among healthcare providers in Indonesia and emphasises the need for targeted training to enhance guideline compliance and improve patient outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.