Pediatricians’ Compliance to the Clinical Management Guidelines for Community-Acquired Pneumonia in Infants and Young Children in Pakistan

Community-acquired pneumonia (CAP) is among the most commonly prevailing acute infections in children that may require hospitalization. Inconsistencies among suggested care and actual management practices are usually observed, which raises the need to assess local clinical practices. The current stu...

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Bibliographic Details
Published in:Healthcare (Basel) 2021-06, Vol.9 (6), p.701
Main Authors: Shakeel, Sadia, Iffat, Wajiha, Qamar, Ambreen, Ghuman, Faiza, Yamin, Rabia, Ahmad, Nausheen, Ishaq, Saqib Muhammad, Gajdács, Márió, Patel, Isha, Jamshed, Shazia
Format: Article
Language:English
Subjects:
Antibiotics
Children & youth
clinical management guidelines
Clinical medicine
community-acquired pneumonia
Drug resistance
Family physicians
Health facilities
Hospitals
Infectious diseases
Intensive care
lower respiratory tract infections
Mortality
Pakistan
Pathogens
pediatricians
Pediatrics
Physicians
Pneumonia
Questionnaires
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Summary:Community-acquired pneumonia (CAP) is among the most commonly prevailing acute infections in children that may require hospitalization. Inconsistencies among suggested care and actual management practices are usually observed, which raises the need to assess local clinical practices. The current study was conducted to evaluate pediatricians’ compliance with the standard clinical practice guidelines and their antibiotic-prescribing behavior for the management of CAP in children. Methods: A descriptive cross-sectional study was conducted using a self-administered questionnaire; which was provided to pediatricians by the researchers. Statistical analysis was performed with SPSS 25 Statistics; χ2 tests (or Fisher-exact tests) with the p-value set at < 0.05 as the threshold for statistical significance. Results: The overall response rate was 59.2%. Male respondents were (n = 101; 42.6%), and the respondents (n = 163; 68.7%) were under 30 years of age. Amoxicillin (n = 122; 51.5%) was considered as the most commonly used first-line treatment for non-severe pneumonia, whereas a smaller proportion (n = 81; 34.2%) of respondents selected amoxicillin–clavulanate. Likewise, amoxicillin (n = 100; 42.2%) was the most popular choice for non-severe pneumonia in hospitalized children; however, if children had used antibiotics earlier to admission, respondents showed an inclination to prescribe a macrolide (n = 95; 40.0%) or second-generation cephalosporin (n = 90; 37.9%). More than 90% responded that children
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare9060701