Joint Program Family & Community Medicine, Jeddah – 2014
Background: Acute urinary tract infections (UTIs) are relatively common in children. It is important for primary care physicians to appropriately diagnose and treat urinary tract infections in children.
Objectives: To assess knowledge and practices of primary health care physicians in Jeddah towards urinary tract infections in children and factors associated with them as well as to identify barriers to apply the latest published guidelines.
Subjects and Methods: A cross-sectional study was carried out included a random sample representing primary health care physicians at the ministry of health centers in Jeddah, Saudi Arabia. A total of 25 centers out of 45 were selected. All physicians working in these centers were recruited for the study. Self-administered valid questionnaire was utilized for data collection. It includes three main sections: Demographics of the participants, questions to assess knowledge and practice regarding diagnosis, treatment and investigation of children UTI and barriers facing physicians to apply the latest published guidelines regarding children UTI diagnosis and treatment.
Results: The study included 171 primary health care physicians with a response rate of 86.8%.The majority of them (89.5%) were Saudis. Their age ranged between 26 and 53 years (32.7±5.8) years. Overall Knowledge percentage was 76.8%.The highest percentage was observed regarding diagnosis (86.8%) whereas the lowest was observed regarding treatment (50.6%). The overall correct practice percentage among participants was 59.6%. Older physicians (>35 years) were more knowledgeable and practice more correct than younger physicians, p<0.001.Lack of knowledge of latest guidelines ranked first (weighted mean was 4.03 out of 5), followed by problems related to health care organization (weighted mean was 3.54 out of 5)as barriers faced by physicians to apply the latest published guidelines of children UTI diagnosis and treatment.
Conclusions: Considerable variations in the knowledge of different aspects of UTI in children among primary health care physicians was reported. high knowledge was reported regarding diagnosis compared to a low knowledge regarding investigation and treatment as well as practice