Risk and protective factors for two types of error in the treatment of children with fever at outpatient health facilities in Benin
Risk and protective factors for two types of error in the treatment of children with fever at outpatient health facilities in Benin
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DOI：
10.1093/ije/dyg063
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发表时间：
2003-04-01
影响因子：
7.7
通讯作者：
Deming, MS
中科院分区：
文献类型：
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作者：
Rowe, AK;Onikpo, F;Deming, MS
背景 在发展中国家，卫生工作者常常不遵循临床实践指南。然而，很少有研究探讨不同类型错误发生的原因。 方法 我们分析了贝宁韦梅省卫生机构调查中患有非严重疟疾（定义为没有严重疾病迹象的发烧）儿童的咨询样本。治疗被定义为正确（推荐抗疟药）、轻微错误（不推荐抗疟药）或重大错误（未抗疟药）。 结果 总共对 85 名卫生工作者和 289 名儿童进行了研究。在多变量逻辑回归分析中，以下因素与重大错误显着相关：医生的治疗（调整后的比值比 [aOR] = 13.57，95% CI：1.45-126.75）、儿童的年龄
Background In developing countries, health workers often do not follow clinical practice guidelines. However, few studies have examined why different types of errors occur.Methods We analysed a sample of consultations of children with non-severe malaria (defined as fever without signs of severe illness) from a health facility survey conducted in Oueme Departement, Benin. Treatment was defined as correct (recommended antimalarial), a minor error (non-recommended antimalarial), or a major error (no antimalarial).Results In all, 85 health workers and 289 children were studied. In a multivariate logistic regression analysis, the following factors were significantly associated with major errors: treatment by a physician (adjusted odds ratio [aOR] = 13.57, 95% CI: 1.45-126.75), child's age