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381 3 |
Ultima descărcare din IBN: 2022-08-04 13:24 |
Căutarea după subiecte similare conform CZU |
616.24-002-053.2(478) (2) |
Patologia sistemului respirator. Tulburări ale organelor de respiraţie (747) |
SM ISO690:2012 SAVOSCHIN, Dorina, HORODIŞTEANU-BANUH, Adela, OSTER, Marina, GRIN, Olesea. Managementul pneumoniei comunitare la copiii sub 5 ani in Republica Moldova: realizări şi obiective. In: Buletin de Perinatologie, 2020, nr. 4(89), pp. 99-103. ISSN 1810-5289. |
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Buletin de Perinatologie | |||||
Numărul 4(89) / 2020 / ISSN 1810-5289 | |||||
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CZU: 616.24-002-053.2(478) | |||||
Pag. 99-103 | |||||
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Aim of the study: estimation of the degree of adherence to the clinical protocols, national and international guidelines regarding the treatment of community-acquired and the standards of the follow up of children younger than fi ve years in the Republic of Moldova. Materials and methods: a retrospective cohort clinical study that aimed at the evaluation of respiratory disease in children younger than fi ve years of age was conducted. A confi dential clinical audit of the mortality cases because of respiratory disease (44 cases) as well as a clinical audit that evaluated the management of the respiratory illness in the hospital setting were performed. Th e assessment of the antibiotic prescription in acute respiratory infections and the use of antibiotics were done through a descriptive cross-sectional study of 596 cases of respiratory disease in children younger than 5 years. In this study, an international audit method HAPPY AUDIT (Health Alliance for Prudent Prescribing, Yield And Use of Anti-microbial Drugs In the Treatment of RTI) was used as an assessment tool. Statistical analysis was done using Microsoft Excel, Epi Info 7.1.5.2. Results: the following results were achieved: the degree of adherence to existing local standards and guidelines were certainly lower in the cases of mortality due to pneumonia (45.5%) in comparison to average data from the country (88%). Th e protocol of the diagnosis of the community-acquired pneumonia was respected in ¾ of the cases (74,3%) and in ¼ of cases (25,5% was partially respected). However, adherence to the protocols varied signifi cantly with respect to the level of medical assistance. Conclusions: the results of the study could be used to optimize national clinical protocols and to elaborate tools for evaluation/auto evaluation of pneumonia management and the reduction of mortality due of the respiratory disease in children of 0-5 years. |
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Cuvinte-cheie pneumonia, children, clinical protocol, family physician, дети, клинический протокол, семейные врачи |
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