scholarly journals Assessment of Antibiotic Utilization Pattern in Treatment of Acute Diarrhoea Diseases in Bishoftu General Hospital, Oromia Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Selamawit Tulu ◽  
Tarekegne Tadesse ◽  
Addisu Alemayehu Gube
Keyword(s):  
General Hospital ◽  
Acute Diarrhoea ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Adults And Children ◽  
Diarrhoeal Diseases ◽  
Bacterial Type

Background. Majority of acute diarrhoeal diseases are self-limiting and do not require routine treatment. Treatment with empirical antimicrobials is recommended only for dysenteric and invasive bacterial diarrhoea. Irrational use of antibiotics in treatment of acute diarrhoea is common in clinical practice worldwide. This study was carried out to assess the pattern of antibiotic use for acute diarrhoeal diseases in Bishoftu General Hospital, East Shewa Ethiopia. Methods and Materials. Institution based cross-sectional study was conducted from April 1 to April 30, 2016. Data were collected retrospectively from patients treated for diarrhoeal diseases from January 2015 to December 2015 using structured questionnaires and entered into SPSS (IBM 20) and descriptive statistics was carried out. Results. Among the 303 patients, 51.2% were males and 48.8% were females. Of them, 62% were children under five years. Two hundred sixty three (86.8%) patients received eight different types of antibiotics and cotrimoxazole (178 patients, 58.7%) was the most prescribed antibiotics, followed by ciprofloxacin (33, 10.9%) and amoxicillin (14, 4.6%). Based on the presence of blood in stools, 14.5% of cases were of invasive bacterial type. According to the recommendations of WHO, the rate of overuse of antibiotics was 72.3%. Conclusion. This study revealed that there was high overuse of antibiotics for both adults and children under five with acute diarrhoea in Bishoftu General Hospital. And Cotrimoxazole was the most prescribed antibiotic.

scholarly journals Prevalence of and factors associated with diarrhoeal diseases among children under five in Malaysia: a cross-sectional study 2016

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Fazly Azry Abdul Aziz ◽  
Noor Ani Ahmad ◽  
Mohamad Aznuddin Abdul Razak ◽  
Maisarah Omar ◽  
Noraida Mohamad Kasim ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Diarrhoeal Diseases

Determinants of Screen Time Among Children Under Five Years: A Cross Sectional Study (Preprint)

2020 ◽  
Author(s):  
Diana Raj ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli ◽  
Zalilah Mohd Shariff
Keyword(s):  
Screen Time ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Health Clinics ◽  
Age Appropriate ◽  
Cross Sectional Design ◽  
Time Future

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.

The situation of antibiotic use for diarrhea treatment on pediatric inpatient at Pediatrics - Kien Giang General Hospital in 2019-2020

2020 ◽  
pp. 15-24
Author(s):  
Nhon Tran Van ◽  
Mai Do Van ◽  
Hien Ha Minh
Keyword(s):  
General Hospital ◽  
Blood Cells ◽  
Antibiotic Prescription ◽  
White Blood Cells ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Loose Stool ◽  
Cross Sectional ◽  
Watery Stool ◽  
Pediatric Inpatient

Background: To survey for evaluation the use of antibiotic for diarrhea treatment on pediatric inpatient in compliance with MOH, WHO or treatment regimen. Objectives: (1) To describe the situation of antibiotic use for diarrhea treatment and (2) to determine factors that affected on indication of antibiotic for pediatric inpatient under 15 years at Kien Giang General Hospital in 2019. Subjects and methods: A cross-sectional study on 251 medical records of pediatric inpatients who treated by one of any drug from 01/2019 to 12/2019. Results: one antibiotic was prescribed in 71.7% in comparison with 17.1% on two antibiotics. The antibiotic prescription was based on the results of blood test including examinations of white blood cells (WBC), the percentage of neutrophils (Neu%) and/or C-reactive protein (CRP) (59.4%), stool with white blood cells and/or red blood cells (1.6%), high fever without causes (27.9%), watery stool (86.3%), loose stool with blood (100%), loose stool (97.9%). The most used antibiotics are ceftriaxone (53.4%), ciprofloxacin (12.4%). Duration of antibiotic use is 5 days in median. Conclusion: The rate of antibiotic prescription that met MOH and WHO guidelines was 88.3% in comparison with 11.7% of non-conformance. The compliance prescriptions based on antibiogram were 77.8%, non-compliance were 22.5%. The compliance dosage refered to guideline was 86.4%, non-conpliance was 2.4%. The duration of hospitalization and neutrophil are factors that affected the use of antibiotics (p < 0.05). Keywords: diarrhea, pediatric inpatient, antibiotic, Pediatrics-Kien Giang General Hospital

scholarly journals Relationship Between Hand-washing Habit and Toilet Use with Diarrhea Incidence in Children Under Five Years

2017 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Nikmatur Rohmah ◽  
Fariani Syahrul
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Children Under Five ◽  
Under Five ◽  
Before And After

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years

scholarly journals Predictors of Parental Barriers to Reduce Excessive Child’s Screen Time Among Parents of Children Under Five Years of Age in Selangor: A Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Elliza Mansor ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli
Keyword(s):  
Young Children ◽  
Screen Time ◽  
Parental Attitudes ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Parental Attitude ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Parental Barriers

BACKGROUND Globally, there is an increasing prevalence of excessive screen time exposure among young children, including Malaysia. Parents are advised to limit this exposure but there are barriers for many of them to follow this recommendation. To date, there is a lack of studies on the factors that cause these parental barriers. OBJECTIVE This study aimed to determine the parental barrier towards the reduction of excessive child’s screen time and its predictors among parents of children under five years old in Petaling District, Selangor. METHODS A cross-sectional study was conducted from April 2019 to June 2020 among 789 parent-child dyads attending child health clinics in Petaling District, Selangor. Validated self-administered questionnaires were used to capture information on sociodemographic factors, parental influences, child-related factors, environmental factors, and parental barriers. Stratified sampling with probability proportionate to size was employed. Data were analysed with IBM SPSS version 25. Descriptive analysis and bivariate analysis were performed before multiple linear regression was used to identify the predictors of parental barriers. RESULTS The overall mean score of parental barriers was 3.51 ± 0.83, indicating that the average numbers of barriers experienced by parents were more than three. The multivariate analysis showed that the predictors of parental barriers included monthly household income (adjusted β: -0.031, 95% CI: -0.048 to -0.015), parents who worked in public sectors (adjusted β: 0.178, 95% CI: 0.063 to 0.292), positive parental attitude on screens (adjusted β: 0.684, 95% CI: 0.576 to 0.793), parents’ low self-efficacy to influence child’s physical activity (adjusted β: -0.318, 95% CI: -0.432 to -0.204), and child’s screen time (adjusted β: 0.042, 95% CI: 0.024 to 0.061). CONCLUSIONS The strongest predictor of the parental barriers to reduce excessive child’s screen time was the positive parental attitude on screen time. Thus, future intervention strategies should aim to foster correct parental attitudes towards screen time activities among young children.

scholarly journals Prevalence and associated factors of diarrhea among under-five children in Debre Berhan Town, Ethiopia 2018: A cross sectional study

2020 ◽  
Author(s):  
Sisay Shine ◽  
Sindew Muhamud ◽  
Solomon Adnew ◽  
Alebachew Demelash ◽  
Makda Abate
Keyword(s):  
Low Income ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Debre Berhan

Abstract Background: Diarrhea is responsible for 525,000 children under-five deaths and 1.7 billion cases globally and is the second leading cause of death among children under-five every year. It is a major public health problem in low income countries like Ethiopia. The main aim of this study was to assess the prevalence of diarrhea and associated risk factors among children under-five in Debre Berhan Town, Ethiopia. Methods: A community-based cross-sectional study was conducted in 420 parent or caretaker/children pairs in Debre Berhan town between 13–18 April 2018. A multi-stage sampling strategy was used to select the study participants. Data were collected using pre-tested and structured questionnaires. Data were entered in Epi-info computer software version 3.5.1 and exported to SPSS Window Version-16 for analysis. Adjusted odds ratio with 95% confidence intervals were used to assess the level of significance. Results: The two week prevalence of diarrhea among children under-five was 16.4% (69/351). Children aged 7-11 months (adjusted odds ratio (AOR): 4.2, 95% confidence interval (CI): 1.2 - 15.3), being the second-born child (AOR: 3.9, 95%CI: 1.8 - 8.5), not vaccinated against rotavirus (AOR: 10.3, 95%CI: 3.2 - 91.3) and feeding children by hand (AOR: 2.5, 95%CI: 1.1 - 6.1) were significant predictors of diarrhea. Conclusions: This study revealed that the two weeks period prevalence of diarrhea among children under-five years was 16.4%. Education programs on the importance of vaccination against rotavirus, increasing breast feeding frequency with complementary food after six months and the critical points of hand washing are recommended.

scholarly journals Correlation between Nutritional Status and Pneumonia among 6-59 Months Years Old in Tangerang, Banten

2020 ◽  
Author(s):  
Zico Permadi ◽  
◽  
Maria Ekawati ◽  
Citra Ayu Aprilia ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Independent Variable ◽  
Weight For Age ◽  
Children Under 5

ABSTRACT Background: Pneumonia is still causing the most deaths among children in developing countries. This disesase often occurs in children under 5 years of age. Nutritional status is a factor that is closely related to infectious diseases such as pneumonia. This study aimed to examine the correlation between nutritional status and pneumonia among 6-59 months years old in Tangerang, Banten. Subject and Methods: A cross-sectional study was conducted at Pakuhaji Community Health Center, Tangerang, Banten, from January to February 2018. A total of 29 children under five were enrolled in this study. The dependent variable was pneumonia. The independent variable was nutritional status. The data were collected from direct measurement of the children under five and questtioner. The data were analyzed by Chi-square. Results: As many as 16 children under five (55.17%) had pneumonia, 7 children under five (24.13%) were malnutrition, 3 children under five (10.34%) were short, and 5 children under five (7.24%) were thin. Nutritional status based on weight for age and weight for height had differences in nutritional status with the incidence of pneumonia among children under five, and they were statistically significant (p< 0.001). Conclusion: Nutritional status is associate with the incidence of pneumonia among 6-59 months years old (children under five) in Tangerang, Banten. Keywords: pneumonia incidence rate, pneumonia, nutritional status, chidren under five Correspondence: Citra Ayu Aprilia. Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta. Email: [email protected]. Mobile: +628122090545. DOI: https://doi.org/10.26911/the7thicph.03.13

scholarly journals BEHAVIOR RELATIONSHIP MOTHER AND OWNERSHIP OF TOILET FAMILIES WITH CHILDREN EVENTS

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Eti Kurniawati
Keyword(s):  
Cross Sectional Study ◽  
Personal Hygiene ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Chi Square Test ◽  
Immune Health

<p>Ascariasis incidence in children under five in the region work of Puskesmas Olak Kemang still a health problem that needs to be addressed, with a percentage of 51.0% is higher than in other wilayh. The disease is not lethal but can undermine the health of the human body so that the resulting decline in nutritional status, decreased intelligence and brain power or immune health in children.</p><p>               This research is a quantitative study using descriptive analytic method with cross sectional study design that aims to determine the relationship between the independent variables and the dependent variable. The population in this research that all children under five in the area of Puskesmas Olak Kemang, samples in this study were 75 children under five. Data were analyzed using analysis Univariate and Bivariate analysis with Chi-Square Test.</p><p>               The results showed that 78.0% of mothers of children under five who are not air personal hygiene, 60.4% of mothers of children under five unusual CTPS, 82.1% of respondents who did not state house meliliki latrine / WC. The results of the bivariate analysis showed that there was a significant relationship between personal hygiene (p-value = 0.000), customs CTPS (p-value = 0.001), latrine ownership (p-value = 0.000) with the incidence of intestinal worms in Puskesmas Olak Kemang Jambi.</p><p>               In connection with the results obtained, that the danger of de- worming is dependent on the cleanliness of his mother in serving as personal hygiene, CTPS and Owners toilets in every home. Thus the researchers suggested that the health center may be able to provide information to the public education about the dangers of de- worming to create a healthy society.</p><p> </p>Keyword                     :  Behavior, Children Events

Determinants of Health Visit among Mothers with Toddlers at the Integrated Health Post, Nganjuk District, East Java

2020 ◽  
Author(s):  
Ambar Dwi Retnoningrum ◽  
◽  
Ike Nurrochmawati ◽  
Dewi Indriani ◽  
◽  
...  
Keyword(s):  
Working Mothers ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Health Post ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Integrated Health ◽  
Nutritional Status Of Children ◽  
Child Age

ABSTRACT Background: Regular visit to the integrated health post is essential to monitor health and nutritional status of children under five years of age. However, the frequency of visits remained low in Nganjuk District, East Java. This study aimed to determine the factors affecting health visit of children under five at the integrated health post in Nganjuk District, East Java. Subjects and Method: This was a cross-sectional study conducted at Ngetos Integrated Health Post, Nganjuk, East Java, in April 2019. A sample of 100 children under five was selected for this study. The dependent variable was visit to the integrated health post. The independent variables were child age, maternal education, maternal work status, and motivation. The data were collected using questionnaires. The data were analyzed by multiple logistic regression. Results: Visit of children under five years of age to the integrated health post increased with child age (OR= 1.60; 95% CI= 0.90 to 12.20; p= 0.071), higher maternal education (OR= 4.66; 95% CI= 2.13 to 28.14; p= 0.002), working mothers (OR= 2.90; 95% CI= 1.57 to 26.45; p= 0.010), and higher motivation (OR= 2.45; 95% CI= 1.35 to 19.05; p= 0.016). Conclusion: Visit of children under five years of age to the integrated health post increases with child age, higher maternal education, working mothers, and higher motivation. Keywords: children under five years of age, mothers, integrated health post Correspondence: Ike Nurrochmawati. School of Health Sciences Satria Bhakti, Nganjuk. Jl. Panglima Sudirman VI Nganjuk, East Java. Email: [email protected]. Mobile: +6282141578108. DOI: https://doi.org/10.26911/the7thicph.03.71

scholarly journals Prevalence of seizures and associated factors in children under five living in a deprived municipality of southern Brazil

2007 ◽  
Vol 65 (3a) ◽  
pp. 581-586 ◽  
Author(s):  
Cheple Roberto Abib ◽  
Raúl A. Mendoza-Sassi ◽  
Jaime Bech-Nappi ◽  
Airton Tetelbom Stein
Keyword(s):  
Urban Areas ◽  
Tap Water ◽  
Epileptic Seizures ◽  
Cross Sectional Study ◽  
Diagnostic Interview ◽  
Southern Brazil ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Rural And Urban Areas

OBJECTIVE: To determine the frequency and distribution of seizure in children under five, living in a deprived community. METHOD: This was a cross-sectional study, conducted in a probabilistic sample of 487 children aged 5 or less, resident in the rural and urban areas of São José do Norte, a poor municipality in southern Brazil, during the period 1998-99. Children were identified as having this disorder after the application of the three subsequent instruments, the screening questionnaire for epileptic seizures (SQES), the neurological diagnostic interview for epilepsy (NDIE) and the EEG. Statistical analysis included a multivariate analysis using Poisson regression. Prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. RESULTS: Diagnosis of epileptic seizures was confirmed in 22 children. Prevalence of seizure was 45.2/1000 (CI 2.9-6.8). Absence of tap water (PR 2.86; IC 1.15-7.10), and precarious housing (PR 2.50; CI 1.01-6.18) were significantly associated with the outcome. CONCLUSION: Prevalence of seizure in this deprived population is extremely high and related to socio-economic conditions.

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