5岁以下儿童发烧评估:我们是否遵循指导方针?
Hasan M Isa1,2, Ahmed J Isa3, Murtadha A Alnasheet1
1Department of Pediatrics, Salmaniya Medical Complex, Manama 26671, Bahrain.
World journal of clinical pediatrics
|April 10, 2024
概括
住院5岁以下儿童的发烧评估与英国的指导方针一致,尽管某些领域需要改进以获得最佳护理. 这项研究强调了加强儿科发烧管理的坚持和领域.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 临床实践指南 临床实践指南
背景情况:
- 发烧是儿科咨询和住院的常见原因之一.
- 英国国家卫生和护理卓越研究所 (NICE) 为五岁以下儿童发烧评估提供了指导方针.
- 有效的发烧管理对于改善儿科患者的治疗结果至关重要.
研究的目的:
- 评估目前住院儿童发烧评估的实践.
- 评估这些做法是否符合NICE Fever in under 5s指南.
主要方法:
- 五岁以下儿童电子病历的回顾性队列审查.
- 收集的数据包括人口统计,生命体征,温度测量路线和入院指示.
- 统计分析 (皮尔森的χ2,学生的t测试,曼-惠特尼U,斯皮尔曼的相关性) 用于比较.
主要成果:
- 在136名儿童中,26.4%患有发烧;发烧儿童年龄较大,体重和心率较高.
- 胃肠道疾病是最常见的入院原因;中枢神经系统疾病和未知病因的发烧与发烧有关.
- 对于温度计类型,温度/心率测量频率和抗发烧剂的使用,观察到完全符合NICE指南;对发烧值和呼吸率的部分遵守;对毛细血管补充,抗发烧后温度重新评估和温热海绵的最低遵守.
结论:
- 在五岁以下的住院儿童中,对发烧的评估通常是适当的.
- 尼斯指南的特定领域需要改善对综合护理的遵守.
- 加强对所有NICE指南组件的遵守,可以进一步优化儿科发烧管理.
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