婴儿肠绞痛:巴基斯坦医生调查。

IF 1.3 Q3 PEDIATRICS
Muhammad Saif Jalal, Syed Zafar Mehdi, Jalal Uddin Akber, Murtaza Ali Gowa, Carlos Lifschitz
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引用次数: 0

摘要

目的:婴儿肠绞痛的诊断标准是由罗马四制定的。但普遍接受的治疗方法仍有待确定。我们旨在评估巴基斯坦婴儿肠绞痛的诊断标准、管理策略、地区流行率以及对医生和家长的影响:方法:我们向 1256 名医生发放了调查问卷:结果:我们收到了 800 份回复。大多数医生采用韦塞尔和罗马 IV 诊断标准进行诊断;然而,老年医生(60 岁以上占 48%)、农村地区医生(32%)、私人诊所医生(27%)和普通医生(30%)选择了 "任何经常哭闹的婴儿 "这一回答。婴儿肠绞痛的发病率估计在 21-40% 之间。安抚是最广泛推荐的治疗策略,其次是草药茶(51%)、换用其他配方奶粉(49%)、益生菌(28%)和抗生素(26%)、停止母乳喂养(14%)、从母乳喂养母亲的饮食中剔除乳制品(6%)和使用肠绞痛滴剂(1%)。大多数医生认为肠绞痛对其个人生活和父母的负面影响为轻度至中度。值得注意的是,38% 的医生会对产妇抑郁症进行常规筛查,45% 的医生了解婴儿肠绞痛与婴儿摇晃综合征之间的关联:结论:巴基斯坦的大多数医生都会根据既定指南诊断和处理婴儿肠绞痛。结论:巴基斯坦的大多数医生都会根据既定指南诊断和处理婴儿肠绞痛,但却没有遵循有关治疗计划的指南。必须对全科医生以及在农村地区和诊所执业的医生开展教育工作,以避免不必要的检查和治疗负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infantile Colic: A Survey of Physicians in Pakistan.

Purpose: Infantile colic diagnostic criteria were established by Rome IV. A universally accepted management remains to be established. We aimed to evaluate diagnostic criteria, management strategies, and perceived regional prevalence of infantile colic in Pakistan, as well as its effect on physicians and parents.

Methods: A questionnaire was distributed amongst 1,256 physicians.

Results: We received 800 replies. Wessel and Rome IV criteria were used by most physicians for diagnosis; however, the response "any infant who cries a lot" was selected by older physicians (48% of those over 60 years), physicians in rural areas (32%), physicians practicing in private clinics (27%), and general physicians (30%). Estimated prevalence of infantile colic ranges from 21-40%. Reassurance was the most widely recommended management strategy followed by herbal teas (51%), switching to a different formula (49%), probiotics (28%) and antibiotics (26%), discontinuation of breastfeeding (14%), elimination of dairy products from the breastfeeding mothers' diet (6%), and the administration of colic drops (1%). Most physicians considered the negative impact of colic on their personal lives and the parents as mild-to-moderate. Notably, 38% of percent of physicians routinely screened for maternal depression, and 45% of physicians were aware of the association between infantile colic and shaken baby syndrome.

Conclusion: Most physicians in Pakistan diagnose and manage infantile colic according to the established guidelines. However, the guidelines pertaining to treatment planning are not followed. Educational efforts directed toward general physicians and doctors practicing in rural areas and clinics must be implemented to avoid unnecessary testing and treatment burden.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
43
期刊介绍: Pediatric Gastroenterology, Hepatology and Nutrition (Pediatr Gastroenterol Hepatol Nutr), an official journal of The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition, is issued bimonthly and published in English. The aim of Pediatr Gastroenterol Hepatol Nutr is to advance scientific knowledge and promote child healthcare by publishing high-quality empirical and theoretical studies and providing a recently updated knowledge to those practitioners and scholars in the field of pediatric gastroenterology, hepatology and nutrition. Pediatr Gastroenterol Hepatol Nutr publishes review articles, original articles, and case reports. All of the submitted papers are peer-reviewed. The journal covers basic and clinical researches on molecular and cellular biology, pathophysiology, epidemiology, diagnosis, and treatment of all aspects of pediatric gastrointestinal diseases and nutritional health problems.
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