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Attia, Azza A.
- Assessment of Iron Chelation Therapy Compliance among School Age Children with Thalassemia
Authors
1 Cairo-University, EG
2 Pediatric Nursing Department, Cairo-University, EG
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 2078-2083Abstract
Background: Iron overload is the most important cause of mortality in children with thalassemia major,iron chelation therapy (ICT) is therefore a critical issue in the management of these children, so compliance with ICT is crucial in preventing iron overload related complications.
Aim: The study aimed to assess compliance with (ICT) among school age children with thalassemia.
Method: A descriptive exploratory research design was utilized. Setting: this study was carried out at outpatient hematology clinicat Al-Mounira Pediatric Cairo-University Hospital.
Sample: A purposive sample of one hundred school age children with thalassemia.
Tool: The required data was collected by using structured interview questionnaire which consists of three parts to assess;child and caregiver personal data, child’s knowledge about thalassemia, blood transfusion and iron chelation therapy, compliance with iron chelation therapy and factors affecting compliance.
Results: More than three quarters of children their age ranged from 9 to 12 years old and nearly two thirds were males, one third of children received parenteral therapy Desferal, and about two thirds received oral chelators (Ferriprox and Exjade), the higher compliance rates were for children on Exjade,followed by Ferriprox, and thelowest compliance rates were for children on Desferal,the mean serum ferritin value was lowest in compliant children rather than non-compliant, also the lowest ferritin levels were in children on Exjade while the highest values were for children on Desferal.
Conclusion: More than half of children with thalassemia were compliant with ICT administration, compliance with oral chelators is better than parenteral and most of children prefer its convenience administration. The study recommended that factors affecting compliance with each iron chelation therapy must be examined to improve adherence to therapy through teaching.
- Behavioral Risk Factors Associated with Intestinal Parasitic Infestations among Children in Rural Areas
Authors
1 Pediatric Nursing Department, Suez Canal University, EG
2 Pediatric Nursing Department, Cairo-University, 11562, EG
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 2140-2145Abstract
Background: Intestinal parasitic infestations (IPIs) still remain an important public health problem among children in developing countries including Egypt. Identification of behavioral risk factors among children is important for the effective prevention and control of these infestations.
Aim: This study aimed to assess behavioral risk factors associated with intestinal parasitic infestations among children in rural areas.
Design: A descriptive exploratory design was utilized.
Sample: Convenient sample of 120 children suffering from intestinal parasitic infestations and their mothers.
Tool of data collection: A structured interview questionnaire sheet included questions about behavioral risk factors.
Results: More than half and more than two fifths of children do not wash their hands either before eating or after using toilet respectively, about three quarters and most of children suffering from IPIs for the first time and more than one time respectively were exchanging personal hygienic instruments with their family’ members, more than two fifths and slightly more than three fifths of children suffering from IPIs for the first time and for more than one time respectively were buying food from street vendors.
Conclusion: Neglecting washing hands before eating and after using toilet, sharing personal hygienic instruments with family’ members and eating from food handlers were the behavioral risk factors associated with IPIs among children.
Recommendation: Develop educational programs to increase public awareness regarding behavioral risk factors associated with intestinal parasitic infestations among children.