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Reading: Adherence to Paediatric Clinical Guidelines in Hospitals in the Southern Province of Sri Lanka

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Original Articles

Adherence to Paediatric Clinical Guidelines in Hospitals in the Southern Province of Sri Lanka

Authors:

K. Y. D. Perera ,

Teaching Hospital, Rathnapura, LK
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F. R. Ihsan,

University of Colombo, LK
About F. R.
Postgraduate institute of Medicine
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W. S. C. Dileka

Colombo South Teaching Hospital, LK
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Abstract

Introduction: Clinical guidelines facilitate translation of the most recent evidence into clinical practice and help standardize, improve, and maintain consistency in patient care. This study focuses on compliance to paediatric national guidelines (PNGs) for bronchial asthma (BA), simple febrile convulsions (SFC) and acute gastroenteritis (AGE) which are common clinical conditions presenting to paediatric wards in Sri Lanka.

 

Methodology: This hospital-based, cross-sectional study extracted data from 216 bed head tickets (BHT) of children diagnosed with SFC, AGE and BA in 08 selected base hospitals with consultant paediatricians in the Southern Province of Sri Lanka. Data extraction sheets were developed in collaboration with a panel of experts, following a comprehensive review of the current PNGs for SFC, AGE and BA.

 

Results: Five base hospitals, four base hospitals and three base hospitals did not achieve the mean adherence score for AGE management (7.5), SFC management (7.75) and BA management (8.5), respectively. The study demonstrated higher compliance to standard treatment in hospitals with 24- hour laboratory services.

 

Conclusion: The study demonstrates a scope for improvement of management practices compliant with clinical guidelines. Further studies to identify contributory factors are needed to address the shortcomings effectively.
How to Cite: Perera, K.Y.D., Ihsan, F.R. and Dileka, W.S.C., 2022. Adherence to Paediatric Clinical Guidelines in Hospitals in the Southern Province of Sri Lanka. Journal of the Postgraduate Institute of Medicine, 9(1), pp.E168 1–9. DOI: http://doi.org/10.4038/jpgim.8335
Published on 22 Mar 2022.
Peer Reviewed

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