Prophylactic Vitamin D Supplementation Practices for Infants: A Survey of Pediatricians From Delhi
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Nisha Sharma1, Himanshu Negandhi2, Swati Kalra3
1Indian Institute of Public Health-Delhi, Public Health Foundation of India, Delhi. dr.nisha1986@gmail.com.
Insights
Pediatricians in Delhi frequently prescribe vitamin D supplements to infants, with private practitioners showing higher rates than government pediatricians. This occurs despite a lack of official government guidelines for vitamin D supplementation.
Area of Science:
- Pediatrics
- Public Health
- Nutritional Science
Background:
- Vitamin D supplementation is crucial for infant health.
- Current pediatric practices regarding vitamin D supplementation in Delhi are not well-documented.
- The absence of government guidelines may influence prescription patterns.
Purpose of the Study:
- To investigate the prescription rates of routine vitamin D supplementation among pediatricians in Delhi.
- To compare vitamin D supplementation practices between pediatricians in public and private child care facilities.
- To identify factors influencing vitamin D prescription patterns in infants.
Main Methods:
- A survey was conducted among 125 pediatricians in Delhi.
- Data collected on prescription rates of vitamin D supplementation for various infant groups.
- Statistical analysis was performed to compare prescription rates between public and private practitioners.
Main Results:
- Prescription rates for routine vitamin D supplementation ranged from 70-100% across different infant groups.
- Pediatricians in private practice prescribed vitamin D supplementation more frequently to healthy, term infants (91.4%) compared to government pediatricians (71.6%).
- The difference in prescription rates between private and government pediatricians was statistically significant (P=0.005).
Conclusions:
- Routine vitamin D supplementation is widely prescribed by Delhi pediatricians.
- Significant disparities exist in vitamin D supplementation practices between private and public sectors.
- Further research is needed to understand the reasons behind these variations and to develop evidence-based guidelines.
Abstract:
This survey was conducted among 125 pediatricians working in public and private child care facilities of Delhi. Prescription rates of routine vitamin D supplementation varied between 70-100% for various groups of infants, despite non-availability of government guidelines. Pediatricians in private practice more frequently prescribed vitamin D supplementation to term healthy infants as compared to government pediatrician (91.4% vs 71.6%; P=0.005).
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