학술논문
Adherence to Clinical Practice Guidelines (CPG) management of dengue infection in adults (revised 2.sup.nd edition)
Document Type
Report
Author
Abd.Rahman, Marzilawati; Ahmad Zaki, Rafdzah; Sarimin, Roza; Ariff, Mohd Izhar; Suli, Zailiza; Mahmud, Maimunah; Hong Bee, Ker; Anthonysamy, Cecilia; Abdul Rahim, Azahirafairud; Singh Gill, Balvinder; Rudra Deva, Shanti; Abdullah Sani, Ana Fizalinda; Romli, Erni Zurina; Mohamed Ghazali, Izzuna Mudla; Mohd. Yusof, Mohd. Aminuddin; Ahmad Lutfi, Nafisah; Shuib, Shahril Effendi; Mohd Darus, Noormah; Bakri, Rugayah; Yahya, 'Abqariyah
Source
PLoS ONE. November 2, 2017, Vol. 12 Issue 11, e0184559
Subject
Language
English
ISSN
1932-6203
Abstract
The Malaysian Dengue Clinical Practice Guidelines (CPG) have been developed to provide evidence-based guidance in the management of dengue infections. The use of these guidelines is essential to ensure its recommendations are being practiced. However, the adherence to the guidelines for management of dengue (revised 2.sup.nd edition) by healthcare providers still remains unknown. Therefore, the aim of this study was to evaluate the proportion among healthcare providers that adhere to this Dengue CPG. A retrospective cohort study of dengue cases registered from 1 January 2014 to 1 June 2015 was conducted in public hospitals and health clinics in Selangor, Putrajaya and Kuala Lumpur. Adherence to the CPG recommendations were recorded by reviewing patients' case notes. Overall proportion of adherence in clinical components of the recommendation were (7.1 to 100.0% versus 7.7 to 73.8%) in history taking, (6.7 to 100.0% versus 12.3 to 60.0%) in physical examinations, (18.4 to 100.0% versus 23.1 to 83.2%) in assessment of warning signs, (0.6 to 100.0% versus 12.3 to 87.7%) in assessment of haemodynamic status, (60.0 to 100.0% versus 27.7 to 40.0%) in diagnosis, (46.6 to 80.0% versus 52.3%) in case notifications, (73.2 to 100.0% versus 89.2 to 96.9%) in performing specific laboratory investigations and (7.9 to 100.0% versus 21.5%) in monitoring, for outpatient versus inpatient, respectively. Adherence trends were demonstrated to be higher in hospital settings compared to outpatient settings. Adherence to this Dengue CPG varies widely with overall good clinical outcomes observed.
Author(s): Marzilawati Abd.Rahman 1, Rafdzah Ahmad Zaki 2, Roza Sarimin 3, Mohd Izhar Ariff 2, Zailiza Suli 4, Maimunah Mahmud 5, Ker Hong Bee 6, Cecilia Anthonysamy 7, Azahirafairud Abdul [...]
Author(s): Marzilawati Abd.Rahman 1, Rafdzah Ahmad Zaki 2, Roza Sarimin 3, Mohd Izhar Ariff 2, Zailiza Suli 4, Maimunah Mahmud 5, Ker Hong Bee 6, Cecilia Anthonysamy 7, Azahirafairud Abdul [...]