Knowledge and Practices of Pediatricians Regarding Functional Constipation in the State of Minas Gerais, Brazil

作者: Marcia Regina Fantoni Torres , Maria do Carmo Barros de Melo , Flávia Abranches Corsetti Purcino , Joana C. Maia , Natália A. Aliani

DOI: 10.1097/MPG.0000000000000768

关键词: PediatricsPublic healthRome iiiFamily historyConstipationLactuloseFunctional constipationMedicineRectal examinationLeafy vegetablesPediatrics, Perinatology, and Child HealthGastroenterology

摘要: OBJECTIVES The aim of the study was to analyze knowledge, approaches, and practices pediatricians participating in a regional pediatric conference regarding functional constipation (FC) identify knowledge gaps. METHODS Cross-sectional based on semistructured questionnaire related Rome III criteria participant profiles. RESULTS Of 400 questionnaires distributed, 264 (66.0%) were completed. Most (76.7%) did not recognize criteria, but majority following risk factors for FC: low-fiber diet (97.8%), family history (86.6%), onset toilet training (76.4%), weaning (62.4%). Foods considered high fiber oats (95.7%), leafy vegetables (95.3%), wheat bran (93.2%). Digital rectal examination performed by 57.7% nongastroenterologists. Complementary examinations ordered 27.5% 72.5% patients general gastroenterologists, respectively, although sample gastroenterologists representative. most prescribed drugs nongastroenterologists mineral oil (72.6%), magnesium hydroxide (52.1%), lactulose (41.0%), polyethylene glycol (25.2%). Pediatric (91.7%), (58.3%). (70.0%) average treatment duration be less than 1 year, it more year (54.6%). CONCLUSIONS FC is inadequate. Constipation may receive public health attention deserves within residency programs. authors suggest that better education should included medical school program curricula improve patient care.

参考文章(22)
Rosa Burgers, Elvira Bonanno, Elisa Madarena, Francesca Graziano, Licia Pensabene, William Gardner, Hayat Mousa, Marc A Benninga, Carlo Di Lorenzo, The care of constipated children in primary care in different countries. Acta Paediatrica. ,vol. 101, pp. 677- 680 ,(2012) , 10.1111/J.1651-2227.2012.02632.X
Paola Coccorullo, Paolo Quitadamo, Massimo Martinelli, Annamaria Staiano, Novel and alternative therapies for childhood constipation. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 48, ,(2009) , 10.1097/MPG.0B013E3181A15FD7
Patrícia Boechat Gomes, Maria do Carmo B. Melo, Marco Antônio Duarte, Marcia Regina F. Torres, Amaury Teixeira Xavier, Polietilenoglicol na constipação intestinal crônica funcional em crianças Revista Paulista De Pediatria. ,vol. 29, pp. 245- 250 ,(2011) , 10.1590/S0103-05822011000200017
S. M. Borowitz, D. J. Cox, A. Tam, L. M. Ritterband, J. L. Sutphen, J. K. Penberthy, Precipitants of constipation during early childhood. Journal of The American Board of Family Practice. ,vol. 16, pp. 213- 218 ,(2003) , 10.3122/JABFM.16.3.213
Mustafa Inan, Cagatay Y Aydiner, Burcu Tokuc, Burhan Aksu, Suleyman Ayvaz, Sinan Ayhan, Turan Ceylan, Umit N Basaran, None, Factors associated with childhood constipation Journal of Paediatrics and Child Health. ,vol. 43, pp. 700- 706 ,(2007) , 10.1111/J.1440-1754.2007.01165.X
Sílvia A. Steiner, Marcia R.F. Torres, Francisco J. Penna, Barbara F. Gazzinelli, Caroline G.A. Corradi, Aline S. Costa, Isabela G. Ribeiro, Eugênio G. de Andrade, Maria do Carmo Barros de Melo, Chronic functional constipation in children: adherence and factors associated with drug treatment. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 58, pp. 598- 602 ,(2014) , 10.1097/MPG.0000000000000255
Marc A. Benninga, Samuel Nurko, Christophe Faure, Paul E. Hyman, Ian St. James Roberts, Neil L. Schechter, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler Gastroenterology. ,vol. 130, pp. 1519- 1526 ,(2006) , 10.1053/J.GASTRO.2016.02.016
S. Rajindrajith, N. M. Devanarayana, M. A. Benninga, Review article: faecal incontinence in children: epidemiology, pathophysiology, clinical evaluation and management. Alimentary Pharmacology & Therapeutics. ,vol. 37, pp. 37- 48 ,(2013) , 10.1111/APT.12103
Maria L Stewart, Natalia M Schroeder, Dietary treatments for childhood constipation: efficacy of dietary fiber and whole grains. Nutrition Reviews. ,vol. 71, pp. 98- 109 ,(2013) , 10.1111/NURE.12010
Tania B. Morais, Dirce M. Sigulem, [Effect of in-home boiling and refrigeration on bacterial load of pasteurized milk] Jornal De Pediatria. ,vol. 76, pp. 357- 360 ,(2000) , 10.2223/JPED.74