婴儿结肠:对巴基斯坦医生的调查
Muhammad Saif Jalal1, Syed Zafar Mehdi1, Jalal Uddin Akber1
1Department of Pediatrics, Fatima Hospital, Baqai Medical University, Karachi, Pakistan.
Pediatric gastroenterology, hepatology & nutrition
|May 31, 2024
概括
大多数巴基斯坦医生使用已确定的标准来诊断婴儿结肠炎,但治疗方法各不相同. 需要针对农村和全科医生的教育举措,以改善管理和减少患者负担.
科学领域:
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 婴儿结肠是一种常见的疾病,具有确定的诊断标准 (罗马IV).
- 目前还没有普遍接受的婴儿结肠的治疗策略.
- 了解巴基斯坦当前的诊断和管理实践至关重要.
研究的目的:
- 评估在巴基斯坦使用的婴儿结肠的诊断标准.
- 评估婴儿的管理策略和感知患病率.
- 了解婴儿结肠对巴基斯坦医生和家长的影响.
主要方法:
- 一份问卷分发给了巴基斯坦1,256名医生.
- 分析了800名医生对诊断和管理实践的反应.
- 收集了关于感知患病率和影响的数据.
主要成果:
- 大多数医生使用韦塞尔和罗马四号标准,但有些人依赖一个模糊的"大喊大叫"定义.
- 据估计,婴儿结肠的患病率在21%至40%之间.
- 管理策略包括放心,草药茶,配方变化,益生菌和抗生素;遵守指南各不相同.
结论:
- 巴基斯坦的医生通常根据指导方针诊断婴儿结肠炎.
- 治疗计划往往偏离了既定的指导方针.
- 为农村和全科医生推有针对性的教育计划,以优化护理并最大限度地减少不必要的干预.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
Appendicitis-I: Introduction
113
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
113
Assessment of the Abdomen I: Inspection and Auscultation
368
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
368
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
156
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
156
Assessment of the Rectum and Anus
196
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
196
Inflammatory Bowel Disease I: Ulcerative Colitis
162
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
162


