Unidad de Gastroenterología, Hepatología y Nutrición Pediátrica, Hospital General de Puebla Dr. Eduardo Vázquez N.
Servicio de Pediatría, Hospital General de Puebla Dr. Eduardo Vázquez N.
Bol Med Hosp Infant Mex. 2024;81(2):85-89. doi: 10.24875/BMHIM.22000157.
Acute pancreatitis is observed more frequently in the pediatric age. Currently, there are recommendation guidelines for its proper diagnosis and treatment. The objective of this study was to evaluate the level of knowledge of the international recommendations on acute pancreatitis in pediatrics of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition in a group of pediatricians.
Observational, multicenter study, through a survey applied to pediatricians and pediatric residents.
48.8% of physicians had prior knowledge of the guidelines for the treatment of acute pancreatitis in children. 72.4% knew the current criteria for the diagnosis of acute pancreatitis. There were no differences in the majority of responses between pediatricians and pediatric residents.
Although only half of the respondents followed the guidelines for diagnosis and treatment of acute pancreatitis, about three-quarters adequately use the criteria for diagnosis. There is adequate knowledge about the prescription of antibiotics and pancreatitis follow-up. There is lack of knowledge on the recommendation of monitoring vital signs and the precise time to perform cholecystectomy in the pancreatitis of biliary origin.
儿童中更常观察到急性胰腺炎。目前，有关于其正确诊断和治疗的推荐指南。本研究的目的是评估北美儿童胃肠病学、肝病学和营养学会中一组儿科医生对儿科急性胰腺炎国际推荐的了解程度。
通过对儿科医生和儿科住院医师进行调查的观察性、多中心研究。
48.8%的医生事先了解儿童急性胰腺炎治疗指南。72.4%的人知道急性胰腺炎的当前诊断标准。儿科医生和儿科住院医师的大多数回答没有差异。
尽管只有一半的受访者遵循急性胰腺炎的诊断和治疗指南，但约四分之三的人能正确使用诊断标准。关于抗生素的处方和胰腺炎随访，知识充足。关于监测生命体征和胆源性胰腺炎时行胆囊切除术的确切时间的建议，知识欠缺。
