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Poor adherence to the malaria management protocol among health workers attending under-five year old febrile children at Omdurman Hospital, Sudan

Overview of attention for article published in Malaria Journal, January 2015
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Title
Poor adherence to the malaria management protocol among health workers attending under-five year old febrile children at Omdurman Hospital, Sudan
Published in
Malaria Journal, January 2015
DOI 10.1186/s12936-015-0575-9
Pubmed ID
Authors

Jalal A Bilal, Gasim I Gasim, Mohamed T Abdien, Khalid A Elmardi, Elfatih M Malik, Ishag Adam

Abstract

BackgroundIn spite of the World Health Organization recommendations for the treatment of malaria, febrile patients are still infrequently tested and erroneously treated for malaria. This study aimed to investigate the adherence to malaria national protocol for the management of malaria among under five years old children.MethodsA cross sectional hospital-based study was conducted during the period from September through December 2013 among febrile children below the age of five years attending the outpatient department of Omdurman Children Hospital, Sudan. Demographic, clinical and laboratory data [blood film, rapid diagnostic test (RDTs), haemoglobin, WBCs and chest X ray] and anti-malarials and/or antibiotics prescription were recorded.ResultsA total of 749 febrile children were enrolled. The mean (SD) age was 37.51 (41.6) months. Less than a half, (327, 43.7%) of children were investigated for malaria using microscopy (271, 82.9%), RDT (4, 1.2%) or both (52, 15.9%). Malaria was not investigated for more than a half, (422, 56.3%) however investigations targeting other causes of fever were requested for them. Malaria was positive in 72 (22%) of the 327 investigated children. Five (1.6%) out of 255 with negative malaria tests were treated by an anti-malarials. Quinine was the most frequently prescribed anti-malarials (65, 72.2%) then artemisinin-based combination therapy (ACT) (2, 27.8%). The majority of the 749 children (655, 87.4%) were prescribed an antibiotic.ConclusionThere is a poor adherence to malaria management protocol in Sudan among physicians treating children below five years of age. There was a high rate of antibiotic prescription needs.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 141 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Nigeria 1 <1%
Tanzania, United Republic of 1 <1%
South Africa 1 <1%
Unknown 137 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 33 23%
Researcher 20 14%
Student > Bachelor 14 10%
Student > Postgraduate 13 9%
Student > Ph. D. Student 12 9%
Other 22 16%
Unknown 27 19%
Readers by discipline Count As %
Medicine and Dentistry 54 38%
Nursing and Health Professions 15 11%
Pharmacology, Toxicology and Pharmaceutical Science 10 7%
Social Sciences 8 6%
Agricultural and Biological Sciences 6 4%
Other 16 11%
Unknown 32 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 February 2015.
All research outputs
#14,541,759
of 24,400,706 outputs
Outputs from Malaria Journal
#3,713
of 5,827 outputs
Outputs of similar age
#183,889
of 361,942 outputs
Outputs of similar age from Malaria Journal
#48
of 109 outputs
Altmetric has tracked 24,400,706 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,827 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.0. This one is in the 33rd percentile – i.e., 33% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 361,942 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 109 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.