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Adherence to Clinical Practice Guidelines (CPG) management of dengue infection in adults (revised 2nd edition).
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.
Afiliación
  • Abd Rahman M; Department of Medicine, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
  • Ahmad Zaki R; Julius Centre University Malaya,Department of Social and Preventive Medicine, Faculty of Medicine,University Malaya, Kuala Lumpur, Malaysia.
  • Sarimin R; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Ariff MI; Julius Centre University Malaya,Department of Social and Preventive Medicine, Faculty of Medicine,University Malaya, Kuala Lumpur, Malaysia.
  • Suli Z; Disease Control Division, Ministry Of Health, Putrajaya, Malaysia.
  • Mahmud M; Family Medicine Specialist,Health Clinic, Ministry of Health, Jinjang, Malaysia.
  • Hong Bee K; Department of Medicine, Hospital Raja Permaisuri Bainun, Ipoh, Malaysia.
  • Anthonysamy C; Department of Emergency Medicine, Hospital Serdang, Selangor, Malaysia.
  • Abdul Rahim A; Department of Anaesthesiology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
  • Singh Gill B; Disease Control Division, Ministry Of Health, Putrajaya, Malaysia.
  • Rudra Deva S; Department of Medicine, Hospital Raja Permaisuri Bainun, Ipoh, Malaysia.
  • Abdullah Sani AF; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Romli EZ; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Mohamed Ghazali IM; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Mohd Yusof MA; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Ahmad Lutfi N; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Shuib SE; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Mohd Darus N; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Bakri R; Public Health Physician,Health Technology Assessment Section, Ministry of Health, Putrajaya, Malaysia.
  • Yahya '; Julius Centre University Malaya,Department of Social and Preventive Medicine, Faculty of Medicine,University Malaya, Kuala Lumpur, Malaysia.
PLoS One ; 12(11): e0184559, 2017.
Article en En | MEDLINE | ID: mdl-29095822
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 2nd 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Guías de Práctica Clínica como Asunto / Adhesión a Directriz / Dengue Tipo de estudio: Guideline / Observational_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2017 Tipo del documento: Article País de afiliación: Malasia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Guías de Práctica Clínica como Asunto / Adhesión a Directriz / Dengue Tipo de estudio: Guideline / Observational_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2017 Tipo del documento: Article País de afiliación: Malasia Pais de publicación: Estados Unidos