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Awareness about Neonatal Lactose Intolerance among Chinese Neonatologists in Outpatient Settings: A Multi-Center Survey.
Wang, Zhengli; Liu, Liting; Yu, Chao; Tang, Wenyan; Ding, Xiangping; Hu, Xiangwen; Shi, Yuan.
Afiliación
  • Wang Z; Department of Neonatology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
  • Liu L; National Clinical Research Center for Child Health and Disorders, Chongqing 400014, China.
  • Yu C; Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing 400014, China.
  • Tang W; Chongqing Key Laboratory of Child Rare Diseases in Infection and Immunity, Chongqing 400014, China.
  • Ding X; Jiangxi Hospital, Children's Hospital of Chongqing Medical University, Nanchang 330000, China.
  • Hu X; Department of Neonatology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
  • Shi Y; National Clinical Research Center for Child Health and Disorders, Chongqing 400014, China.
Children (Basel) ; 11(8)2024 Aug 20.
Article en En | MEDLINE | ID: mdl-39201948
ABSTRACT

BACKGROUND:

This study aimed to identify the specific areas of knowledge gaps regarding lactose intolerance among neonatologists in Chinese outpatient settings as well as to assess the availability of lactose intolerance testing in hospitals.

METHODS:

A total of 278 neonatologists in outpatient settings from 144 hospitals were surveyed. To explore the awareness level, diagnosis, and treatment of neonatal lactose intolerance among neonatologists in outpatient settings, a multicenter cross-sectional survey was designed. Descriptive analysis based on frequency and percent distribution was performed for all variables.

RESULTS:

Most respondents were senior doctors (256, 92.09%) from general hospitals and maternity/maternal and child health hospitals, had over 10 years of experience, and were dominantly associate chief physicians and chief physicians (211, 75.90%). A significant proportion of the participants (236, 84.89%) believed that neonatal lactose intolerance tends to be overlooked during clinical practice. When the most common symptoms of neonatal lactose intolerance were surveyed, diarrhea was selected by 142 (51.08%) respondents, followed by bloating and milk regurgitation or emesis (71, 25.54%). Other symptoms included unexplained crying (36, 12.85%), stool with milk flap or foam (15, 5.40%), and increased venting (14, 5.04%). Furthermore, the survey results indicated that the most common method for diagnosing neonatal lactose intolerance in the respondents' hospitals was qualitative test for urinary galactose (78, 28.06%). Of the respondents, 137 (49.28%) stated that their hospital could not test for lactose intolerance. For treating lactose intolerance, the neonatologists primarily opted for exogenous lactase rather than lactose-free formula milk.

CONCLUSIONS:

This study sheds light on Chinese neonatologists' awareness of neonatal lactose intolerance, revealing some knowledge gaps. The expeditious popularization and conduct of lactose intolerance-related examinations in hospitals will have a positive stimulative effect on the management of lactose intolerance in newborns.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Children (Basel) Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Children (Basel) Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza