Brazilian paediatricians' awareness of national guidelines for community-acquired pneumonia

Int J Tuberc Lung Dis. 2008 May;12(5):576-8.

Abstract

Background: The Integrated Management of Childhood Illness (IMCI) strategy uses simple clinical signs for the diagnosis and severity evaluation of community-acquired pneumonia (CAP).

Objective: To describe paediatrician awareness of the IMCI strategy for CAP.

Design: A cross-sectional study analysing a descriptive case of severe CAP, presented as part of the Brazilian Board of Paediatrician Evaluation (BBPE) tests.

Results: Eighty-six (774/898) per cent of paediatricians followed the IMCI protocol to treat CAP. Although hospitalisation was considered in 90% of the answers, only 35% based this decision on lower chest indrawing.

Conclusion: The BBPE showed that most physicians are aware of the IMCI recommendations.

MeSH terms

  • Adult
  • Brazil
  • Clinical Competence
  • Community-Acquired Infections / diagnosis
  • Community-Acquired Infections / prevention & control
  • Community-Acquired Infections / therapy
  • Cross-Sectional Studies
  • Delivery of Health Care, Integrated
  • Female
  • Guideline Adherence*
  • Humans
  • Infant
  • Male
  • Pediatrics
  • Pneumonia / diagnosis
  • Pneumonia / prevention & control*
  • Pneumonia / therapy
  • Practice Guidelines as Topic*
  • Practice Patterns, Physicians'*