scholarly journals Nurse knowledge and confidence on peripheral intravenous catheter insertion and maintenance in pediatric patients: A multicentre cross-sectional study

2022 ◽  
Vol 62 ◽  
pp. 10-16
Author(s):  
Ferika Indarwati ◽  
Judy Munday ◽  
Samantha Keogh
2021 ◽  
Vol 11 (12) ◽  
pp. 31
Author(s):  
Rania Jaber ◽  
Huda Shaweesh ◽  
Alaa A. Zarqa ◽  
Othman A. Alfuqaha

Objective: Pediatric patients are considered at risk for Peripheral intravenous catheters (PIVCs) complications more than adults. This study aimed to assess the level of mothers’ knowledge of PIVC maintenance, caring, and complications among pediatric patients. It was also aimed to investigate the association between maintenance and complication knowledge of PIVC. Furthermore, demographic factors were investigated to assess associations on mothers’ knowledge of PIVC.Methods: The study adopted a cross-sectional design. This study was performed on a convenience sample of 193 mothers from a tertiary hospital in Jordan in 2020.Results: Mothers’ knowledge regarding complications was higher than their knowledge of maintenance and caring of PIVC. Mothers’ knowledge toward caring for PIVC was positively correlated with their knowledge about PIVC complications. Mothers’ age and the number of hospital admissions were found to be significantly associated with the level of maintenance and caring knowledge of PIVC but not with complication knowledge of PIVC. The higher the educational level of a mother the less prone she is to complications of PIVC in pediatric patients.Conclusions: It is recommended that health professionals working in pediatric engage mothers in educational sessions to improve maintenance, care, and to prevent complications of PIVC among pediatric patients.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shan Wang ◽  
Lihua Liu ◽  
Jianchao Liu ◽  
Likun Miao ◽  
Qian Zhuang ◽  
...  

Abstract Background To understand the characteristics of prescriptions and costs in pediatric patients with acute upper respiratory infections (AURI) is important for the regulation of outpatient care and reimbursement policy. This study aims to provide evidence on these issues that was in short supply. Methods We conducted a retrospective cross-sectional study based on data from National Engineering Laboratory of Application Technology in Medical Big Data. All outpatient pediatric patients aged 0–14 years with an uncomplicated AURI from 1 January 2015 to 31 December 2017 in 138 hospitals across the country were included. We reported characteristics of patients, the average number of medications prescribed per encounter, the categories of medication used and their percentages, the cost per visit and prescription costs of drugs. For these measurements, discrepancies among diverse groups of age, regions, insurance types, and AURI categories were compared. Kruskal-Wallis nonparametric test and Student-Newman-Keuls test were performed to identify differences among subgroups. A multinomial logistic regression was conducted to examine the independent effects of those factors on the prescribing behavior. Results A total of 1,002,687 clinical records with 2,682,118 prescriptions were collected and analyzed. The average number of drugs prescribed per encounter was 2.8. The most frequently prescribed medication was Chinese traditional patent medicines (CTPM) (36.5% of overall prescriptions) followed by antibiotics (18.1%). It showed a preference of CPTM over conventional medicines. The median cost per visit was 17.91 USD. The median drug cost per visit was 13.84 USD. The expenditures of antibiotics and CTPM per visit (6.05 USD and 5.87 USD) were among the three highest categories of drugs. The percentage of out-of-pocket patients reached 65.9%. Disparities were showed among subgroups of different ages, regions, and insurance types. Conclusions The high volume of CPTM usage is the typical feature in outpatient care of AURI pediatric patients in China. The rational and cost-effective use of CPTM and antibiotics still faces challenges. The reimbursement for child AURI cases needs to be enhanced.


2020 ◽  
Author(s):  
Camila Stofella Sodré ◽  
Dennis de Carvalho Ferreira ◽  
Mayra Stambovsky Vieira ◽  
Fernanda Sampaio Calvalcante ◽  
Beatriz Stofel Braga ◽  
...  

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 2130
Author(s):  
Alpha Fardah Athiyyah ◽  
Katsumi Shigemura ◽  
Koichi Kitagawa ◽  
Nazara Agustina ◽  
Andy Darma ◽  
...  

Background: The objective of this study was to investigate the correlation between norovirus genogroup and severity of acute diarrhea in pediatric patients at the Dr. Soetomo Hospital, Surabaya, Indonesia. Methods: This cross-sectional study involved 31 participants aged 1-60 months admitted to the hospital with acute diarrhea from April 2012 to March 2013. Norovirus genogroups (GI and II) were identified from patient stool using reverse transcription polymerase chain reaction (RT-PCR). Severity was measured using the Ruuska and Vesikari scoring system. Results: In total, 91 stool samples were obtained, of which 31 (19%) were norovirus positive. Norovirus GI was found in one sample with mild diarrhea. Norovirus GII was found in 30 samples (96.8%); one sample with mild diarrhea (3.3%), 20 samples with moderate diarrhea (66.7%), and nine samples with severe diarrhea (30%). Conclusion: Norovirus GII was the most prevalent cause of acute diarrhea and 30% of the cases manifested as severe diarrhea.


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