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post in: News, Video Date:08 Oct 2017, 12:17 views:3607
Use of Global initiative for asthma (gina) guidelines in asthma management among paediatric residents in a Sub Saharan African country: a cross-sectional descriptive study. Abstract, introduction: clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.
Despite abundance of asthma guidelines, prevalence has continued to increase globally. There is need to assess how the contents of asthma guidelines are put to clinical use by doctors in the management of children with asthma. This study aims at evaluating the clinical practice of paediatric residents in applying gina guidelines.
Methods: cross-sectional descriptive study of paediatric residents from 23 university teaching hospitals in Nigeria using structured questionnaire. Data yses were with Statistical Package for Social Sciences (spss) version 19 (Chicago IL).
Chi square was used to assess for any significant associations between categorical variables. A.05 was regarded to be statistically significant. Results: sixty-six paediatric residents aged 27- 40 years were enrolled into the study (37 females and 29 males).
One-third had spent more than three years in residency training.
Fifty-eight residents (87.9) were aware of the gina guidelines while 46 (69.7) were familiar with its contents. Only 39 (59.1) residents adhered to the gina guidelines. Twenty of the 35 junior residents (57.1) compared to 26 of 31 (83.9) senior residents were familiar with the gina guidelines (p0.031) while 15 of 35 junior residents (42.9) compared to 24 of 31 senior residents (77.4) consistently follow the gina guidelines (p0.006).
Adherence to gina guidelines was not influenced significantly by years of graduation or training (p.05). Conclusion: the use of the gina guidelines was poor among paediatric residents. Application of contents rather than just availability of asthma guidelines may partly account for increasing asthma prevalence globally.
Introduction, the control of asthma especially in children has continued to be a challenge and non-adherence to guidelines for asthma management by practitioners is noted as a cause 1,. Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.
Use of asthma guidelines by physicians who care for children could reduce paediatric emergency department visits and hospitalizations thus saving an estimated.3 billion annually. Despite the availability of guidelines, asthma burden and prevalence have asthma not improved significantly. The lack of published literature on the in-depth study of how these guidelines have been applied by those who should be using it may reveal where the true gaps are.
There are several asthma guidelines, which are usually adapted to specific country needs.