Attitude of Nigerian Paediatricians towards the Management of Acute Pyelonephritis
| Autor: | Anochie IC,, Eke FU. |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Nigerian Journal of Paediatrics, Vol 31, Iss 4, Pp 126-130 (2024) |
| Druh dokumentu: | article |
| ISSN: | 0302-4660 2814-2985 |
| Popis: | Background: Acute pyelonephritis (APN) is a common renal disorder in children. The manage ment is controversial and has generated a lot of debate globally. There is no consensus on the strategies for its investigation and treatment in Nigeria. Objective: To determine the attitude of Nigerian paediatricians towards the management of acute pyelonephritis in children. Materials and Methods: The management attitude of Nigerian paediatricians towards children with acute pyelonephritis was investigated during an annual paediatric conference, using a ques tionnaire containing a brief description of a clinical case of APN in a three-year old female. Results: Out of 195 questionnaires issued to registered paediatricians, 115 (59.0 percent) were retrieved and analysed. Ninety five (82.6 percent) of the 115 responders were based in tertiary hospitals. All the paediatricians would perform a urine culture and 98 (85.2 percent), including the eight paediatric nephrologists, would request a renal ultrasound during the acute phase of pyelonephritis. Twelve (10.4 percent) respondents would request an intravenous pyelogra (IVU). Fourteen percent and 36 percent respectively, were of the opinion that micturating cystourethrography (MCU) and 99M TC-dimercaptosuccinic acid scintigraphy (DMSA) scan were indicated. Those working in tertiary hospitals would perform both the MCU and DMSA less frequently than those working in private/company hospitals (p>0.05). Significantly more doc tors who graduated in the 1990s would ask for MCU and DMSA scan than those who graduated earlier (p |
| Databáze: | Directory of Open Access Journals |
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