Prophylactic Vitamin D Supplementation Practices for Infants: A Survey of Pediatricians From Delhi

Nisha Sharma1, Himanshu Negandhi2, Swati Kalra3

  • 1Indian Institute of Public Health-Delhi, Public Health Foundation of India, Delhi. dr.nisha1986@gmail.com.

Indian Pediatrics
|March 22, 2020
PubMed

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.

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