Knowledge acquired from Clinical Guidelines on the Diagnosis and Treatment of Acute Pancreatitis by attending physicians and residents in hospitals in Veracruz.

Autor:	Roesch-Dietlen FB; Departamento de Gastroenterología, Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, Ver, México. Electronic address: federicoroesch@hotmail.com., Salgado-Vergara L; Facultad de Medicina, Universidad Veracruzana, Veracruz, Ver, México., Sánchez-Maza YJ; Departamento de Anestesia, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud, Ciudad de México, México., Durán-Álvarez DI; Facultad de Medicina, Universidad Veracruzana, Veracruz, Ver, México., Díaz-Roesch F; Facultad de Medicina, Universidad Cristóbal Colón, Veracruz, Ver, México., Remes-Troche JM; Laboratorio de Fisiología y Motilidad avanzada, Instituto de Investigaciones MédicoBiológicas, Universidad Veracruzana, Veracruz, Ver, México., Carrillo-Toledo MG; Departamento de Enseñanza y Bioestadística, Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, Ver, México.
Jazyk:	English; Spanish; Castilian
Zdroj:	Revista de gastroenterologia de Mexico (English) [Rev Gastroenterol Mex (Engl Ed)] 2021 Apr-Jun; Vol. 86 (2), pp. 133-139. Date of Electronic Publication: 2021 Mar 19.
DOI:	10.1016/j.rgmx.2020.04.010
Abstrakt:	Introduction: Clinical practice guidelines on the diagnosis and treatment of acute pancreatitis (CPGDTAP) have been designed in an effort to reduce the morbidity and mortality of that severe disease. Aim: To identify the knowledge acquired from CPGDTAP in hospitals in Veracruz. Materials and Methods: A descriptive, observational, multicenter study was conducted at four hospitals in Veracruz, through the application of a survey to evaluate the knowledge of attending physicians and residents that treat patients with acute pancreatitis. Descriptive statistics were employed to analyze the results. Results: A total of 74 physicians were surveyed: 55.41% of whom were attending physicians and 44.59% of whom were resident physicians. The majority of physicians (67.57%) were familiar with CPGDTAP from the Asociación Mexicana de Gastroenterología (AMG), followed by those of the General Health Council of the Mexican Department of Health (CENETEC, the Spanish acronym) (54.05%) and the American College of Gastroenterology (ACG) (48.65%). A total of 97.30% of the physicians routinely use a nasogastric tube, 79.73% considered early enteral nutrition to be very important, as did 98.65% regarding generous fluid replacement, 85.14% did not routinely use antimicrobials, 63.51% ordered a CAT scan at 72h or later, and 87.84% answered that infected necrosis was the indication for surgery, preferably after the third week. Discussion and Conclusions: In our hospital environment, the CPGDTAP issued by the AMG and CENETEC were the most well-known, but their recommended measures were given importance by under 85% of the physicians surveyed. Therefore, the diffusion of the knowledge they contain is advisable to guarantee optimal results in acute pancreatitis management. (Copyright © 2021 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.)
Databáze:	MEDLINE
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