Publications by authors named "Nanette B Sundiang"
Background And Objectives: The etiology of pneumonia in the pediatric population varies by age group. Among patients one month to 59 months old, viral pathogens are the most common cause of lower respiratory infections. The study aims to determine the frequency distribution of antibiotic prescription among patients one month to 59 months old and to determine the adherence of primary care facilities to local guidelines with recommended antibiotics.
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- Turnaround time is a crucial metric in primary healthcare, indicating the duration patients spend in a facility from registration to the end of their consultation.
- This study assessed turnaround times in a rural Philippine primary care facility, comparing periods before and during the COVID-19 pandemic, analyzing data from 342 randomly selected patient records.
- Results indicated a median turnaround time of 29.0 minutes overall, with no significant difference found between the pre-pandemic (29.3 minutes) and pandemic periods (27.5 minutes) based on statistical analysis.*
Adherence to Clinical Practice Guidelines on the Management of Acute Infectious Gastroenteritis in Children as a Measure of Quality of Care Delivered by a Primary Care Facility in Rural Philippines: A Descriptive Retrospective Study.
Paul Johnny C Diaz Leonila F Dans April P Zamora Josephine T Sanchez Cara Lois T Galingana Nanette B Sundiang
Acta Med Philipp
September 2024
Article Synopsis
- - The study evaluated how infectious acute gastroenteritis (AGE) in children is managed in a rural healthcare setting, assessing prescription patterns and laboratory use against established clinical guidelines.
- - Analysis of medical records for patients under 19 diagnosed with AGE revealed low adherence to recommendations for rehydration and antibiotic use, with only 52% prescribed appropriate rehydration solutions and just 24% following guidelines on antibiotic prescriptions for non-specific cases.
- - Despite low antibiotic prescription rates, the study showed high adherence to guidelines for laboratory use, with 73% deferring stool analyses and 70% deferring CBCs, indicating a careful approach to diagnostic testing in managing AGE.