A survey of barriers and facilitators to caffeine use for apnoea of prematurity in low- and middle-income countries.
Paediatr Int Child Health
; 42(3-4): 137-141, 2022.
Article
em En
| MEDLINE
| ID: mdl-37462339
ABSTRACT
BACKGROUND:
Despite its associated benefits which include better long-term pulmonary and neurodevelopmental outcome, the use of caffeine for apnoea of prematurity (AoP) has been limited in low- and middle-income countries (LMIC).AIM:
To better understand current caffeine use, the barriers and facilitators to its use and perceptions and practices in LMIC which have a disproportionately high burden of prematurity.METHODS:
An anonymous online global survey was conducted, targeting healthcare providers working and training in paediatrics and/or neonatology in LMIC.RESULTS:
A total of 181 respondents in 16 LMIC were included in the analysis; most were physicians working in publicly-funded urban tertiary hospitals. Most had received training in the use of caffeine for AoP (77%), reported expertise (70%) and confidence (96%) in its use, and had access to caffeine (65%). Caffeine availability was reported to be the greatest barrier (48%) and the greatest facilitator (37%). Other common barriers included cost (31%), access (7%) and policies or guidelines on caffeine use (7%); other common facilitators included policies or guidelines on caffeine use (11%), access (10%), staff/other providers' acceptance of caffeine as an appropriate treatment (9%) and the availability of staff to administer caffeine (8%). Most (79%) noted that access to caffeine was important, 92% agreed that caffeine improves quality of care, and 95% agreed that caffeine improves patient outcome.CONCLUSION:
Improving availability and access to low-cost caffeine will be key to increasing caffeine use in LMIC. ABBREVIATIONS AoP Apnoea of Prematurity; LMIC low- and middle-Income countries; REDCap Research Electronic Data Capture.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Apneia
/
Cafeína
Tipo de estudo:
Guideline
/
Qualitative_research
Limite:
Child
/
Humans
/
Newborn
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article