Parental compliance and influences factors in treatment of children with irritable bowel syndrome

Nalyotov, A. V.; Васильевич, Налетов Андрей; Vunichenko, Yulia S.; Сергеевна, Вьюниченко Юлия; Masyuta, Dmitry I.; Иванович, Масюта Дмитрий

doi:10.17816/ped9267-70

Cited by 2 publications

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References 2 publications

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“…Often, compliance is viewed as the conscious cooperation of the physician and the patient, as well as the latter's family members, which is a prerequisite for any treatment, ensuring the effectiveness of the therapy (Danilov 2014). The patient's compliance with the therapy, his/her active participation in the treatment process,strict adherence to prescribed treatment regimens and diet therapy are of great importance for the treatment of chronic diseases and for a successful therapy (Naletov et al 2018).…”

Section: Introductionmentioning

confidence: 99%

Influence of parental compliance on the effectiveness of treatment of chronic gastroduodenal pathology in children

Barinova¹,

Налетов²,

Налетов³

et al. 2019

RRP

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Introduction: The article focuses on the studies which point to particular difficulties in achieving compliance in pediatrics. A dangerous trend to escalate the number and doses of antibiotics in anti- Helicobacter pylori (HP) schemes, the dosage frequency and course duration of eradication therapy considerably complicates a patient’s compliance to the treatment and contributes to a further growth of HP antibiotic resistance. In the treatment of children, the control of the outpatient therapy largely depends on the patient’s parents. Materials and methods: At the first stage of the study, 103 children with chronic gastroduodenal pathology associated with HP were examined. Diagnosis of the disease was based on the study of complaints, the anamnesis data, and the results of the endoscopic examination. All the patients underwent a course of anti-HP therapy in the outpatient setting. A degree of parental compliance to their child’s therapy was determined in by a questionnaire, which had been developed by us, the families of the children suffering from chronic gastroduodenal pathology. At the second stage, 80 children suffering from peptic ulcer associated with HP were examined. HP was eradicated in the outpatients of both groups, using an anti-HP regimen: omeprazole, clarithromycin, and amoxicillin administered for 14 days. The influence of the measures to improve parental compliance carried out in tandem “doctor – pharmacist” in the families with children suffering from chronic gastroduodenal pathology was studied. Results and discussion: A decrease in parental compliance was observed in more than 2/3 of the families with children suffering from chronic gastroduodenal pathology, associated with HP infection. A higher level of parental compliance was established in the families of children after the ”compliance training”. In the patients of this group, eradication of HP was achieved in 87.5% cases by using a traditional scheme: omeprazole, clarithromycin, and amoxicillin administered for 14 days. Conclusion: It can be concluded that the level of parental compliance to an anti-HP therapy for their children is insufficient. In turn, conducting a “compliance training” in the tandem of ”doctor – pharmacist” before starting the therapy is an important factor in increasing the level of parental compliance, which is reflected in increasing the effectiveness of the treatment. Strict adherence to the regimen and duration of administration of the prescribed drugs in children with ulcer allows achieving a high level of HP eradication – 95.2 %, even when using the traditional anti-HP regimen. The eradication was achieved in 56.5 % of the children with partial parental compliance, and only in 6.7 % of the children with non-compliant parents.

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Section: Introductionmentioning

confidence: 99%

Influence of parental compliance on the effectiveness of treatment of chronic gastroduodenal pathology in children

Barinova¹,

Налетов²,

Налетов³

et al. 2019

RRP

Self Cite

View full text Add to dashboard Cite

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Recurrent eosinophilic esophagitis in an adolescent patient

Khakimova,

Kamalova,

Akhmatova

et al. 2023

Ross. vestn. perinatol. pediatr.

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Despite the availability of current Russian clinical guidelines for the management of eosinophilic esophagitis, this disease is a difficult diagnostic and therapeutic problem. The article presents a clinical observation of a teenager with recurrent eosinophilic esophagitis. The importance of clarifying the patient’s compliance with an emphasis on adherence to the regimen and the adequacy of the dose of the therapy used is emphasized. Despite the ongoing complex therapy administered to the patient with eosinophilic esophagitis, including an elimination diet, proton pump inhibitors and topical steroids, the patient has relapses of the disease, confirmed endoscopically and morphologically. The absence of a regulated duration of therapy with topical steroids, the need for endoscopic and morphological monitoring of the effectiveness of treatment also complicates the management of this group of patients.

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Parental compliance and influences factors in treatment of children with irritable bowel syndrome

Cited by 2 publications

References 2 publications

Influence of parental compliance on the effectiveness of treatment of chronic gastroduodenal pathology in children

Influence of parental compliance on the effectiveness of treatment of chronic gastroduodenal pathology in children

Recurrent eosinophilic esophagitis in an adolescent patient

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