Assessment of neonatal care in clinical training facilities in Kenya
Assessment of neonatal care in clinical training facilities in Kenya
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DOI：
10.1136/archdischild-2014-306423
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发表时间：
2015-01-01
影响因子：
5.2
通讯作者：
English, Mike
中科院分区：
文献类型：
--
作者：
Aluvaala, Jalemba;Nyamai, Rachael;English, Mike
目的审计的新生儿护理服务提供的临床培训中心进行，以确定需要改进的领域，作为更广泛的努力，以提高新生儿存活率在Kenya.Design横断面研究，使用指标的基础上在肯尼亚以前的工作。统计分析是描述性的，并对数据的聚集性进行了调整。研究对象：22家公立医院的新生儿病房。青霉素处方中20%的新生儿年龄（11.6%，95% CI 3.4%-32.8%）和庆大霉素（18.5%，95%CI 13.4%~ 25%）。不良的文件记录限制了常规数据用于质量改进的使用。在提供专业培训的医院中，存在着改善服务提供和遵守准则的重大机会。
Objective An audit of neonatal care services provided by clinical training centres was undertaken to identify areas requiring improvement as part of wider efforts to improve newborn survival in Kenya.Design Cross-sectional study using indicators based on prior work in Kenya. Statistical analyses were descriptive with adjustment for clustering of data.Setting Neonatal units of 22 public hospitals.Patients Neonates aged 20% in prescriptions for penicillin (11.6%, 95% CI 3.4% to 32.8%) and gentamicin (18.5%, 95% CI 13.4% to 25%), respectively.Conclusions Basic resources are generally available, but there are deficiencies in key areas. Poor documentation limits the use of routine data for quality improvement. Significant opportunities exist for improvement in service delivery and adherence to guidelines in hospitals providing professional training.