The prevalence and management of dehydration amongst neonatal admissions to general paediatric wards in Kenya—a clinical audit
| Autor: | Samuel, Akech, Beatrice, Rotich, Mercy, Chepkirui, Philip, Ayieko, Grace, Irimu, Mike, English, James, Wafula |
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| Rok vydání: | 2018 |
| Předmět: |
Clinical audit
Male medicine.medical_specialty Sodium Chloride Body weight 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Bolus (medicine) Interquartile range 030225 pediatrics medicine Prevalence Humans 030212 general & internal medicine Medical prescription Creatinine Dehydration business.industry Infant Newborn Infant Neonatal dehydration Kenya Original Papers neonates 3. Good health Management of dehydration Hospitalization Infectious Diseases Treatment Outcome chemistry Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Africa Fluid Therapy Administration Intravenous Female Isotonic Solutions business |
| Zdroj: | Journal of Tropical Pediatrics |
| ISSN: | 1465-3664 0142-6338 |
| Popis: | An audit of randomly selected case records of 810 patients admitted to 13 hospitals between December 2015 and November 2016 was done. Prevalence of dehydration was 19.7% (2293 of 11 636) [95% CI: 17.1–22.6%], range across hospitals was 9.4% to 27.0%. Most cases with dehydration were clinically diagnosed (82 of 153; 53.6%), followed by excessive weight loss (54 of 153; 35.3%) and abnormal urea/electrolytes/creatinine (23 of 153; 15.0%). Documentation of fluids prescribed was poor but, where data were available, Ringers lactate (30 of 153; 19.6%) and 10% dextrose (18 of 153; 11.8%) were mostly used. Only 17 of 153 (11.1%) children had bolus fluid prescription, and Ringer’s lactate was most commonly used for bolus at a median volume per kilogram body weight of 20 ml/kg (interquartile range, 12–30 ml/kg). Neonatal dehydration is common, but current documentation may underestimate the burden. Heterogeneity in practice likely reflects the absence of guidelines that in turn reflects a lack of research informing practical treatment guidelines. |
| Databáze: | OpenAIRE |
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