Pre-admission therapy for childhood acute diarrhoea - a hospital-based study

Acute gastroenteritis (AGE) is a common illness among infants and children contributing to significant mortality and morbidity. As such, appropriate treatment received prior to hospital admission is of utmost importance. This retrospective observational study aimed to determine preadmission manageme...

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Main Authors: Ng, Y.J., Lo, Y.L., Lee, W.S.
Format: Article
Published: 2009
Subjects:
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author Ng, Y.J.
Lo, Y.L.
Lee, W.S.
author_facet Ng, Y.J.
Lo, Y.L.
Lee, W.S.
author_sort Ng, Y.J.
collection UM
description Acute gastroenteritis (AGE) is a common illness among infants and children contributing to significant mortality and morbidity. As such, appropriate treatment received prior to hospital admission is of utmost importance. This retrospective observational study aimed to determine preadmission management in paediatric patients prior to hospital admission. Two hundred and twenty-two case notes of paediatric AGE patients were reviewed over a 12-month period. One hundred and fifty-four patients received medications prior to admission with 143 (92.9) patients received known classes of medications. Antipyretic agents were the most commonly prescribed (69.2), followed by antibiotics (38.5), anti-emetics (35.7), oral rehydration salts (29.4) and antidiarrhoeals (28.0). The mean duration of stay in hospital was slightly shorter in patients, who received prior medications than those who did not (2.22 vs. 2.32 days respectively). Seventy per cent of children admitted for AGE were treated suboptimally prior to hospital admission with oral rehydration salts being largely under-utilized, despite their proven efficacy and safety. Sex, race and age had no influence on the type of preadmission treatment. A greater effort should be made to educate the general public in the appropriate treatment of AGE.
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spelling um.eprints-108892014-07-13T06:28:15Z http://eprints.um.edu.my/10889/ Pre-admission therapy for childhood acute diarrhoea - a hospital-based study Ng, Y.J. Lo, Y.L. Lee, W.S. R Medicine RJ Pediatrics Acute gastroenteritis (AGE) is a common illness among infants and children contributing to significant mortality and morbidity. As such, appropriate treatment received prior to hospital admission is of utmost importance. This retrospective observational study aimed to determine preadmission management in paediatric patients prior to hospital admission. Two hundred and twenty-two case notes of paediatric AGE patients were reviewed over a 12-month period. One hundred and fifty-four patients received medications prior to admission with 143 (92.9) patients received known classes of medications. Antipyretic agents were the most commonly prescribed (69.2), followed by antibiotics (38.5), anti-emetics (35.7), oral rehydration salts (29.4) and antidiarrhoeals (28.0). The mean duration of stay in hospital was slightly shorter in patients, who received prior medications than those who did not (2.22 vs. 2.32 days respectively). Seventy per cent of children admitted for AGE were treated suboptimally prior to hospital admission with oral rehydration salts being largely under-utilized, despite their proven efficacy and safety. Sex, race and age had no influence on the type of preadmission treatment. A greater effort should be made to educate the general public in the appropriate treatment of AGE. 2009 Article PeerReviewed Ng, Y.J. and Lo, Y.L. and Lee, W.S. (2009) Pre-admission therapy for childhood acute diarrhoea - a hospital-based study. Journal of Clinical Pharmacy and Therapeutics, 34 (1). pp. 55-60. ISSN 0269-4727, DOI https://doi.org/10.1111/j.1365-2710.2008.00985.x <https://doi.org/10.1111/j.1365-2710.2008.00985.x>. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2710.2008.00985.x/full 10.1111/j.1365-2710.2008.00985.x
spellingShingle R Medicine
RJ Pediatrics
Ng, Y.J.
Lo, Y.L.
Lee, W.S.
Pre-admission therapy for childhood acute diarrhoea - a hospital-based study
title Pre-admission therapy for childhood acute diarrhoea - a hospital-based study
title_full Pre-admission therapy for childhood acute diarrhoea - a hospital-based study
title_fullStr Pre-admission therapy for childhood acute diarrhoea - a hospital-based study
title_full_unstemmed Pre-admission therapy for childhood acute diarrhoea - a hospital-based study
title_short Pre-admission therapy for childhood acute diarrhoea - a hospital-based study
title_sort pre admission therapy for childhood acute diarrhoea a hospital based study
topic R Medicine
RJ Pediatrics
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