Children's asthma in Burundi: evolvement of skills rate and care implement in district healthcare facilities.
Keywords:
Childhood asthma, knowledge, practices, healthcare providers, BurundiAbstract
Aim: To assess knowledges and practices of district health care providers. Methodology: A cross-sectional study is carried out among providers of district health care providers. Sampling is random, stratified and drawn in two stages. Results: Five hundred ten practitioners from 146 health centers and 13 district hospitals with 91.4% of nurses and 8.6% of general physicians constituted our sample. Cough dyspnea and wheezing were signs of pediatric asthma in 35%, an isolated whistling in 59% and an isolated cough in 6%. The frequency of whistling was irrelevant for 46.3%. This whistling sound had to be audible from a distance for 53.3%, audible by the parents and on physical examination for 28.3%, on physical examination for 10.6%. Dyspnea and wheezing were specific signs of asthma for 94.4% of nurses and 67.8% of doctors. Only 61.2% practitioners were aware of the clinical severity symptoms of an asthma attack. The assessment of clinical severity and level of control was known by 6%. Treatment for an asthma attack included hydrocortisone for 85%, aminophylline injection for 62%, cough syrup for 52% or antibiotic therapy for 72%. Sixty six percent of practitioners knew the existence of long term asthma treatment. Conclusion: There is luck of diagnosis and treatment of pediatric asthma among health practitioners from the peripheral level. Continuous formation may improve access prevention and treatment of pediatric asthma.
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