Vucak Jerko, Matijevic Jeronim, Pivac Ivan, Markic Josko
Primary Health Care Pediatric Practice, Sibenik 22000, Croatia.
Department of Pediatrics, University Hospital of Split, Split 21000, Croatia.
Pediatr Rep. 2023 Nov 2;15(4):660-667. doi: 10.3390/pediatric15040059.
The risk of vitamin D deficiency is high in infants. Therefore, potential vitamin D deficiency should be prophylactically treated with vitamin D supplementation. Achieving good adherence to recommended prophylactic regimens is the goal of every primary pediatrician. The aim of this paper was to establish whether Croatian infants receive recommended prophylactic doses of vitamin D regularly. We analyzed the prescription rate of vitamin D preparation during the first year of life in one pediatric primary practice. Our research has shown, for the first time in Croatia, that there is low treatment adherence. Only 7.6% of infants received the recommended doses of vitamin D. The percentage of infants in the moderately irregular adherence group was 19.3%. There was no statistical difference regarding urban or rural place of living or parents' educational level. Based on these findings, a comprehensive public health campaign is needed to improve adherence to vitamin D supplementation during infancy. Also, further studies on larger samples and on a national level are warranted.
婴儿维生素D缺乏风险很高。因此，应通过补充维生素D对潜在的维生素D缺乏进行预防性治疗。实现对推荐预防方案的良好依从性是每位儿科初级医生的目标。本文旨在确定克罗地亚婴儿是否定期接受推荐的维生素D预防剂量。我们分析了一家儿科初级诊所一岁以内婴儿维生素D制剂的处方率。我们的研究首次在克罗地亚表明，治疗依从性较低。只有7.6%的婴儿接受了推荐剂量的维生素D。中度不规律依从组的婴儿比例为19.3%。在城市或农村居住地点以及父母教育水平方面没有统计学差异。基于这些发现，需要开展全面的公共卫生运动，以提高婴儿期维生素D补充的依从性。此外，有必要在更大样本和国家层面上进行进一步研究。
