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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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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.</p></description> <description xml:lang='ru' descriptionType='Abstract'><p>Цель исследования: оценка степени соблюдения положений клинических протоколов, национальных и международных руководств по диагностике и лечению пневмонии, а также стандартов мониторинга для детей в возрасте до 5 лет в Республике Молдова. Материалы и методы: клинический аудит острой респираторной патологии у детей до 5 лет проводился путем проведения ретроспективного когортного исследования. В ретроспективном когортном исследовании был проведен конфиденциальный аудит случаев смертности от респираторной патологии (44 случая) и клинический аудит ведения респираторных заболеваний в стационаре (177 случаев). Оценка практики антибиотикотерапии при острых респираторных инфекциях и использовании антибиотиков была проведена путем проведения перекрестного описательного исследования 596 случаев острых респираторных инфекций у детей до 5 лет. В исследовании применялся метод аудита, использованный в международном проекте HAPPY AUDIT (Health Alliance for Prudent Prescribing, Yield And Use of Anti-microbial Drugs In the Treatment of RTI). Статистический анализ проводился с применением набора статистических программ: Microsoft Excel, Epi Info 7.1.5.2. Результаты: было установлено, что степень соответствия Стандартам в отношении профилактических осмотров детей, проведенных семейным врачом в медицинском учреждении, была, безусловно, ниже у детей, умерших от пневмонии (45,5% сравнительно с 88% в среднем по республике). Клинический протокол для диагностики внебольничной пневмонии был соблюден полностью в ¾ из изученных случаев (74,3%) и в ¼ из случаев (25,1%) он был соблюден частично. В то же время степень соответствия варьировала в зависимости от уровня медицинской помощи. Заключение: результаты исследования могут служить научным доказательством для оптимизации национального клинического протокола и разработки инструментов для оценки/самооценки ведения пневмонии у детей и снижения смертности детей от 0-5 лет от острых респираторных заболеваний.</p></description> </descriptions> <formats> <format>application/pdf</format> </formats> </resource>