Cargando…

Effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: A case study from Egypt

BACKGROUND: Integrated Management of Childhood Illness (IMCI) is a cost- effective strategy that improves the quality of care through the use of evidence- based management protocols for the most common causes of childhood death and illness. Evidence- based clinical guidelines are critical to promoti...

Descripción completa

Detalles Bibliográficos
Autores principales: El Mahalli, Azza A., Akl, Ola A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3237199/
https://www.ncbi.nlm.nih.gov/pubmed/22175038
http://dx.doi.org/10.4103/2230-8229.90010
_version_ 1782218857972236288
author El Mahalli, Azza A.
Akl, Ola A.
author_facet El Mahalli, Azza A.
Akl, Ola A.
author_sort El Mahalli, Azza A.
collection PubMed
description BACKGROUND: Integrated Management of Childhood Illness (IMCI) is a cost- effective strategy that improves the quality of care through the use of evidence- based management protocols for the most common causes of childhood death and illness. Evidence- based clinical guidelines are critical to promoting rational use of medicines. Despite the large number of studies that assessed process and outcome of care delivered to children utilizing IMCI protocol, there is a scarcity of studies that assessed the effect of adopting IMCI on the drug use. AIMS: To examine the impact of adopting IMCI guidelines on drug use at one of the primary health care (PHC) centers, Alexandria, Egypt. SETTINGS AND DESIGN: Retrospective cohort study, conducted in clinic “A” not adopting IMCI guidelines and clinic “B” adopting IMCI guidelines at one of the PHC centers in Alexandria, Egypt for the period from January-- end of June 2010. MATERIALS AND METHODS: A data collection sheet was designed to collect the required variables (based on WHO/ INRUD selected drug use indicators) from the medical records of children under five years. STATISTICAL ANALYSIS USED: SPSS version 16 was used. Percentages, means, and standard deviations were measured. Chi square, t, and Fisher's exact tests were applied. RESULTS: Correct drug choice, dose, dosage form, route of administration were significantly higher in the clinic adopting IMCI {clinic B} (89.3%, 87.3%, 91.3%, and 91.3%, respectively) than in the clinic not adopting it {clinic A} (78% each). Non pharmacological remedies prescribed were significantly higher in clinic B than A (64.7% vs 4.6%). Average no of drugs/ encounter was lower in clinic B than A (0.93± 0.2 vs 1.37 ± 0.6) and the difference between clinics was statistically significant. Difference between clinics regarding percentages of drugs prescribed by generic name, antibiotics prescribed, drugs prescribed from essential drug list, and drugs prescribed out of stock was significant. CONCLUSION: Adopting IMCI strategy improved prescribing performance and treatment regimen.
format Online
Article
Text
id pubmed-3237199
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-32371992011-12-15 Effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: A case study from Egypt El Mahalli, Azza A. Akl, Ola A. J Family Community Med Original Article BACKGROUND: Integrated Management of Childhood Illness (IMCI) is a cost- effective strategy that improves the quality of care through the use of evidence- based management protocols for the most common causes of childhood death and illness. Evidence- based clinical guidelines are critical to promoting rational use of medicines. Despite the large number of studies that assessed process and outcome of care delivered to children utilizing IMCI protocol, there is a scarcity of studies that assessed the effect of adopting IMCI on the drug use. AIMS: To examine the impact of adopting IMCI guidelines on drug use at one of the primary health care (PHC) centers, Alexandria, Egypt. SETTINGS AND DESIGN: Retrospective cohort study, conducted in clinic “A” not adopting IMCI guidelines and clinic “B” adopting IMCI guidelines at one of the PHC centers in Alexandria, Egypt for the period from January-- end of June 2010. MATERIALS AND METHODS: A data collection sheet was designed to collect the required variables (based on WHO/ INRUD selected drug use indicators) from the medical records of children under five years. STATISTICAL ANALYSIS USED: SPSS version 16 was used. Percentages, means, and standard deviations were measured. Chi square, t, and Fisher's exact tests were applied. RESULTS: Correct drug choice, dose, dosage form, route of administration were significantly higher in the clinic adopting IMCI {clinic B} (89.3%, 87.3%, 91.3%, and 91.3%, respectively) than in the clinic not adopting it {clinic A} (78% each). Non pharmacological remedies prescribed were significantly higher in clinic B than A (64.7% vs 4.6%). Average no of drugs/ encounter was lower in clinic B than A (0.93± 0.2 vs 1.37 ± 0.6) and the difference between clinics was statistically significant. Difference between clinics regarding percentages of drugs prescribed by generic name, antibiotics prescribed, drugs prescribed from essential drug list, and drugs prescribed out of stock was significant. CONCLUSION: Adopting IMCI strategy improved prescribing performance and treatment regimen. Medknow Publications & Media Pvt Ltd 2011 /pmc/articles/PMC3237199/ /pubmed/22175038 http://dx.doi.org/10.4103/2230-8229.90010 Text en Copyright: © Journal of Family and Community Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
El Mahalli, Azza A.
Akl, Ola A.
Effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: A case study from Egypt
title Effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: A case study from Egypt
title_full Effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: A case study from Egypt
title_fullStr Effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: A case study from Egypt
title_full_unstemmed Effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: A case study from Egypt
title_short Effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: A case study from Egypt
title_sort effect of adopting integrated management of childhood illness guidelines on drug use at a primary health care center: a case study from egypt
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3237199/
https://www.ncbi.nlm.nih.gov/pubmed/22175038
http://dx.doi.org/10.4103/2230-8229.90010
work_keys_str_mv AT elmahalliazzaa effectofadoptingintegratedmanagementofchildhoodillnessguidelinesondruguseataprimaryhealthcarecenteracasestudyfromegypt
AT aklolaa effectofadoptingintegratedmanagementofchildhoodillnessguidelinesondruguseataprimaryhealthcarecenteracasestudyfromegypt