Knowledge and attitude of physicians towards penicillin use

The aim of this work was to study the knowledge and attitude of physicians towards the use of penicillin to encourage its use in the treatment of infection. Physicians who accepted the penicillin use were 262, the i.m. route was preferred by 222 and crystalline penicillin was preferred by 116. Penicillin was considered to be effective by 230 and other antibiotics were used to treat tonsillitis by 227

Assessment of the nutritional status in children with tuberculosis as a guide for successful treatment

This work was intended to study the nutritional status of tuberculous patients to form a strategy for intervention. It was carried out on 71 infants and children. Pulmonary TB occurred in 51 cases and cervical TB lymphadenitis in 16 cases. There were 63.3% cases with normal nutrition, 32.5% stunted cases, 2.8% wasted cases and 1.4% wasted and stunted cases. There were 44 BCG-vaccinated cases and 27 non-vaccinated ones. Tuberculin test was positive in all cases. It was concluded that malnutrition, especially stunting, was so common among TB children, especially in females

Evaluation of clinical and radiological signs in diagnosis of pneumonia in the first five years of life

The objective of the present study was to assess the sensitivity and specificity of symptoms, signs and radiological picture commonly encountered with ARI in the diagnosis of pneumonia. The total outpatients were 9512; the number of children under five years old was 5334, ARI cases were 2614, pneumonia cases were 484 and cases with no pneumonia were 2130. Cases of ARI and pneumonia showed winter time predominance. Respiratory symptoms [Nahagan and Yecot] were the most sensitive symptoms. Respiratory signs as distress, grunting cyanosis, retraction and decreased breath sounds were very specific [100%]. Fever was 91% specific. Oxygen saturation and leucocytic count were neither specific nor sensitive. Chest x-ray was 87% specific, but only 67.2% sensitive. S. Pneumonia and H. influenzae were the common organisms in culture positive cases

Prevalence of protein energy malnutrition at dekernis in dakahlia governorate

The present work was a cross-sectional study of children under five years of age. All children were subjected to anthropometric measures [weight, length, height, mid arm and head circumference] to separate those who are wasted, stunted or wasted and stunted from normal children, according to Waterlow classification, using NCHS percentile. The total number of children was 2450, the total cases of malnutrition were 100, wasted 48, stunted 27 as well as wasted and stunted 25. The predominant complaints were diarrhea, cough and failure to gain weight. Family size was more than five persons in 47%, the child was the first born in 22% of the cases, mother age was less than 20 years in 11% and she was illiterate in 69% of cases. Vaccination was incomplete in 14% of the cases and formula feeding was given to 55%, 63.6% out of them received diluted formula

Evaluation of the clinical and socioeconomic characteristics of diarrhoeal cases at Bab El-Sha'reya University Hospital

Evaluation of diarrhoeal cases attending Diarrhoeal Disease Research and Rehydration Centre DDRRC at Bab EL Sha'reya hospital is very important to know the characteristics of the patients and to plan for further research in the centre. We selected, 5% of patient by systematic random sample. A special sheet questionnaire aimed at collecting demographic socio-economic and clinical characteristics was done. Weight, length, tempera ture, respiratory rate, midarm circumference, vedenuisigns of dehydration, serum sodium and potassium were recorded. The number of cases was 101 [78 of them had mild or no dehydration, while 23 of cases had moderate dehydration. Age of most cases were below 1 year [54.5%]. Males were more than females [1.2:1]. Hot months attendance to cold months attendance was [2:1]. Moderately dehydrated cases were related to mothers educated for less than 6 years [82.6%]. Birth control measures were not practiced by 44.5% of the families. Bloody diarrhoea was observed in [12.9%] of cases. Cases that did not take ORS before coming to hospital were 71.3%. Cases that did not use any medication before coming to the centre were 56.4%. Breast feeding was not given to 54.6% of cases and they had a moderate degree of dehydration. Instruction must be given to mothers about the use of ORS and continuation of feeding during diarrhoea

Health workers behaviour in management of severe acute respiratory infection[ARI] in the first 5 years of life

Health workers assessment study, was a descriptive study of the knowledge, skills, and practices of health workers in management of ARI. The study was done at Tema district in Sohag govemorate. During the study, 27 physician were interviewed 119 [70.4%] general part-owners, 5 [18. 5%] paediatrician, and 3 [11:1%] other specialties] together with 36 nurses, and 20 pharmacist. Physician knowledge were lacking WHO classification and management of ARI. Their practices lack history taking, not examine throat, depend on auscultation of the chest, and not appreciate the role of mothers. Their skills were poor in giving advice to mothers. Nurses were confused about their roles with poor knowledge, attitude and practices. Pharmacist managed 30% of cases, so they must he included in any training programme