Poor adherence to the World Health Organization guidelines of treatment of severe pneumonia in children at Khartoum, Sudan

Abstract

BackgroundCommunity-acquired pneumonia (CAP) is as a major cause for childhood morbidity and mortality worldwide. This study was conducted to investigate the adherence and response of the WHO guidelines for treatment of severe pneumonia.MethodA cross-sectional study was conducted in the period of June 2009 to July 2010 at Khartoum Hospital, Sudan. Children admitted and treated for severe pneumonia were enrolled.ResultsOnly 39 (18.8%) out of 208 enrolled children received prescriptions that were adherent to the WHO guidelines of treatment of severe pneumonia. In logistic regression none of the investigated variable (age, gender, and clinical presentations) was associated with the adherence to the WHO guidelines. There was no significant difference in the response between adherent and non-adherent prescriptions. There was no association between the demographic, clinical data, treatment-adherence to the guidelines and the patients’ response.ConclusionThere is a poor (18.8%) adherence to the WHO guidelines of the treatment of severe pneumonia in the region regardless to the age, gender and clinical presentation.

Emergency treatment and nursing of children with severe pneumonia complicated by heart failure and respiratory failure: 10 case reports

“…Condition assessment and diagnosis. A detailed inquiry of the medical history was carried out to determine whether the children patients had a history of recurrent respiratory tract infection, and whether they had measles, whooping cough and other respiratory diseases prior to onset, as well as whether the children patients had a full-term birth or asphyxia, and if the growth and development of children patients after birth was normal (16)(17)(18). Conditions such as fever, cough, extent of choked asthma, the presence or absence of breathing, faster heart rate, pulmonary rales, orthopnea, nose flap, three depression signs and cyanosis, as well as clinical manifestations of infected circulatory, digestive, and nervous system were assessed.…”

“…General information. Ten cases of children diagnosed with severe pneumonia according to the guidelines of the World Health Organization were included in the present study (16). In this group, there were 6 males and 4 females, aged 1 month to 6 years.…”

“…The disease may be the primary illness, or secondary one after an acute infectious disease, such as bronchitis and measles, upper respiratory tract infections and whooping cough, and has a high morbidity and mortality rate in China (10). As reported by several studies, the number of annual pneumonia patients in China is ≤21 million individuals, and among the children with pneumonia, 7-13% cases are of severe pneumonia, which ranks fifth amongst various diseases leading to death (11)(12)(13)(14)(15)(16).…”

Prevalence of pneumonia and its associated factors among under-five children in East Africa: a systematic review and meta-analysis

“…Finally, 200 studies were screened for full-text review and, 34 articles with (n = 87,984 patients) were selected for the prevalence and/ or associated factors analysis ( Fig.1). Table 1 summarizes the characteristics of the 34 included studies in the systematic review and metaanalysis [10,11,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][39][40][41][42][43][44][45][46][47][48][49][50][51][52]. 16 studies were found in Ethiopia [10,[22][23][24][25][26][27][28][29][30][31][32][33][34]…”

Treatment of Community-Acquired Pneumonia: Are All Countries Treating Children in the Same Way? A Literature Review

“…Cephalosporins were often reported to be the class with higher rates of prescription for CAP treatment, as reported by many centres in different countries, like Ethiopia [ 60 ], Saudi Arabia [ 62 ], Nepal [ 73 ], Serbia [ 83 ], Sudan [ 67 ], US [ 54 , 71 , 74 ], Italy [ 76 ], and other European countries [ 48 , 82 ].…”