A study of Knowledge, Attitude and Practice of House Officers toward Diarrhea in Children under Five Years in Al-Azhar Cairo and Minia Universities

Mohammed, Mahmoud Gomaa; El-mougi, Mahmoud Taher; Abu-Farrage, Ibrahim Mohammed; Mohamed, Tahseen Sameer

doi:10.21608/azjp.2019.68890

A study of Knowledge, Attitude and Practice of House Officers toward Diarrhea in Children under Five Years in Al-Azhar Cairo and Minia Universities

Document Type : Original Article

Authors

10.21608/azjp.2019.68890

Abstract

Background: Worldwide, an estimated 2.5 billion cases of acute diarrhea occur annually in children under 5 years. In these children, diarrhea is the second biggest cause of mortality (after acute respiratory illnesses) with the vast majority occurring in low resource settings such as sub-Saharan Africa. A cross-sectional study was conducted to the house officers toward diarrhea and its management in children under five years.
Objectives: The aim of this research is to improve quality of the health of children under five years through proper management of diarrhea and to assess the knowledge, attitude and practice of house officers toward diarrhea and its management in children under five years.
Subjects and Methods: All patients who underwent transcatheter device closure of large ostium secundum ASD were included in the study. We assessed LV torsion in large ostium secundum ASD patients pre and post device closure by using 4D speckle tracking echocardiography.
Results: A total of 100 HOs were interviewed. Undergraduate training in El-Minia HOs was more than that of Al-Azhar HOs regarding attendance of HOs the undergraduate pediatric round and discussion of diarrheal cases in clinical rouds , but the difference did not reach statistical significance. The main source of studying in Al-Azhar HOs was Pediatric department book, but that of El-Minia lecture notes were the main source. Most of HOs of each faculty had good knowledge about dehydration classification and signs but, they had poor knowledge about ORS composition and dose. Al-azhar HOs had good knowledge toward avoided fluids (P 0.003) and NG tube usage indication with diarrhea (P < 0.001) than El-Minia HOs. HOs in both sites had poor awareness toward infant mortality in Egypt Al-azhar Ho (32 %) correct, El-Minia HO (46%) correct. Representation of diarrheal diseases in final written exams in both universities was few not exceeds 3.7 % in Al-azhar but 4.5 % in El-Minia.
Conclusion: Non-significant differences between Al-azhar HOs and El-Minia HOs in the knowledge, Attitude and practice toward diarrhea in children and. Non-significant differences between HOs who received training in pediatrics during HO year and who didn't yet receive in both universities. Poor knowledge toward avoided fluids with diarrhea like soft drinks especially El-Minia HOs. Poor awareness toward infant mortality especially Al-azhar HOs. Diarrheal diseases weren't represented adequately in final written exams in both faculties of medicine. Sayed Galal hospital has a rehydration unit while Al-Hussein and El-Minia Hospitals don't have.