| Autor: |
Kalleveen, Michael W., Bergen, Merel, Benninga, Marc A., Savelkoul, Paul H.M., Plötz, Frans B., Meij, Tim G.J. |
| Zdroj: |
Journal of Pediatric Gastroenterology & Nutrition; December 2021, Vol. 73 Issue: 6 pe121-e125, 5p |
| Abstrakt: |
This survey was undertaken to obtain insight in the attitude of Dutch physicians towards pathogenicity, diagnostic- and therapeutic approach towards Dientamoeba fragilisin children. Physicians were invited by e-mail for a questionnaire. A total of 211 of 450 physicians (46.9%) completed the questionnaire, including 67 general practitioners (GPs) and 144 pediatricians. Of all respondents, 175 of 211 (82.9%) considered D fragilisa “potential pathogen”, when other causes of gastro-intestinal complaints are ruled out. Only 16 of 211 (7.6%) performed diagnostic tests regularly. Diagnostic tests were performed by 162 of 211 (77%) of respondents in children with diarrhea and abdominal pain in consideration of duration of symptoms. Fecal polymerase chain reaction (PCR) was diagnostic modality of preference. Eighty-nine of 142 (62.7%) prescribed metronidazole as antibiotic of first choice. This study shows heterogeneity in clinical practice amongst Dutch physicians regarding diagnostic- and therapeutic approach of D fragilisin children. Different attitude towards pathogenicity and inconsistent guidelines could be causative factors. |
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