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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Management of acute gastroenteritis in children in Israel.
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Management of acute gastroenteritis in children in Israel.

机译：以色列儿童急性胃肠炎的管理。

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OBJECTIVE: Diarrheal diseases are a major cause of morbidity and mortality worldwide. Guidelines about the use of oral rehydration solutions (ORS) and dietary management of acute gastroenteritis (GE) were recently revised and published by the American Academy of Pediatrics (AAP). Study aims were to examine Israeli pediatricians' knowledge and implementation of the revised AAP guidelines, the effect of medical school (Israeli versus foreign medical graduates) on the physicians' practice, and the effect of the type of practice (community vs hospital-based) on the management of gastroenteritis. METHODS: A multiple-choice, written questionnaire was distributed at two pediatrics annual meetings. RESULTS: A total of 87 pediatricians completed the questionnaire. They were aware of 73% of the current AAP guidelines and followed 60% of the guidelines. Most pediatricians (83%) use ORS for treatment of dehydration in GE, but 60% of pediatricians believe that full-strength feeds are inappropriate in the presence of GE, and 67% of them do not recommend full-strength formulas. In addition, 37% of the pediatricians stop feeding temporarily in the presence of GE, in contrast to the 1996 AAP guidelines. There were no differences in knowledge and management practices among pediatricians graduating in Israel, Europe, or the United States, and no differences between pediatricians working in an ambulatory setting or in a hospital. CONCLUSIONS: Pediatricians in Israel, regardless of country of origin, medical school, or place of practice, are aware of the correct use of ORS but do not follow nutritional practices recommended recently by the AAP. These findings suggest that steps for implementing the guidelines are needed in Israel and most probably worldwide.
机译：目的：腹泻病是全世界发病率和死亡率的主要原因。美国儿科学会（AAP）最近修订并发布了有关口服补液（ORS）和急性胃肠炎（GE）饮食管理的指南。研究目的是检查以色列儿科医生的知识和修订的AAP指南的实施情况，医学院的影响（以色列人与外国医学毕业生）对医生执业的影响以及执业类型的影响（社区与医院之间的关系）关于肠胃炎的治疗。方法：在两次儿科学年会上分发了多项选择的书面问卷。结果：总共87位儿科医生完成了问卷。他们知道当前AAP指南的73％，并遵循了60％的指南。大多数儿科医生（83％）在GE中使用ORS来治疗脱水，但是60％的儿科医生认为在存在GE的情况下全价饲料是不合适的，而67％的人不推荐全价配方奶。此外，与1996年AAP指南相反，有37％的儿科医生在有GE的情况下暂时停止进食。在以色列，欧洲或美国毕业的儿科医生之间在知识和管理习惯上没有差异，在非卧床场所或医院工作的儿科医生之间也没有差异。结论：以色列的儿科医生，无论原籍国，医学院还是实践场所，都知道正确使用ORS的情况，但未遵循AAP最近建议的营养做法。这些发现表明，以色列乃至全世界都需要采取措施实施准则。

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