[Diarrheal disease in the region of Marrakech, Morocco]. / Enquête sur la prise en charge de la maladie diarrhéique dans la région de Marrakech (Maroc).
Med Trop (Mars)
; 70(2): 145-8, 2010 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-20486349
ABSTRACT
OBJECTIVES:
Diarrhea is the second cause of child morbidity and mortality in Morocco after acute respiratory infection. Each child suffers from 4 to 8 episodes of diarrhea per year. The purpose of this study was to evaluate the knowledge as well as diagnostic and therapeutic practices of general practitioners regarding children presenting with diarrhea.METHODS:
Study was based on an epidemiologic survey using a written questionnaire completed by general practitioners in state-run hospitals in the Marrakesh (Tensift El Haouz) region. The anonymous questionnaire containing items on the epidemiological, clinical, laboratory, and therapeutic aspects was distributed in all 5 medical districts in the region.RESULTS:
Analysis of reponses concerning therapeutic practices showed heavy reliance on oral rehydration that was prescribed by 98.2% of general practitioners. Dietary analysis was performed by only 24% of practitioners and blood/stool testing was not systematically ordered. Only 3% of practitioners recommended early resumption of feeding. However, data showed excessive use of additional laboratory tests (57.8%) and prescription drugs (48.8%). Overprescription mainly involved antiemetics and anti-diarrheals (77.7%).CONCLUSION:
This study demonstrates an urgent need to develop a strategy to improve the quality of dietary management of diarrhea by general practitioners and rationalize prescription drug use. A continuing medical education program would be useful to increase the awareness of general practitioners and reduce child/infant morbidity and mortality relating to this disease.
Buscar no Google
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
3_ND
/
4_TD
/
6_ODS3_enfermedades_notrasmisibles
/
7_ODS3_muertes_prevenibles_nacidos_ninos
Base de dados:
MEDLINE
Assunto principal:
Diarreia
Tipo de estudo:
Etiology_studies
Limite:
Child, preschool
/
Humans
/
Infant
País/Região como assunto:
Africa
Idioma:
Fr
Revista:
Med Trop (Mars)
Ano de publicação:
2010
Tipo de documento:
Article