@article{kabir2016respiratory,
  title = {Respiratory Disorders in Under-Five Children Attending Different Hospitals of Bangladesh: A Cross Sectional Survey},
  author = {ARM Luthful Kabir and Md Ruhul Amin and Md Abid Hossain Mollah and Selina Khanam4 and Al Amin Mridha and Sakil Ahmed and Khondoker Rokonuddin and Mohammod Jobayer Chisti},
  year = 2016,
  url = {https://ibimapublishing.com/articles/RESP/2016/183615/},
  journal = {Journal of Respiratory Medicine Research and Treatment},
  volume = (2016),
  pages = 12,
  doi = 10.5171/2016.183615,
  abstract = {Research Motivation: There is a lack of global nationwide data on the magnitude of different acute respiratory disorders in under-5 children attending different hospitals, although, overall, these are the leading causes of morbidity and mortality in developing countries. Thus, we sought to evaluate the magnitude, validity of clinical diagnosis of respiratory disorders, and commonly prescribed medications by local doctors in under-five children attending different hospitals of Bangladesh.  Methodology: This cross sectional study was conducted in forty three hospitals which were randomly selected from all six divisions of Bangladesh. We enrolled all children who either visited outpatient department (OPD) or hospitalized in in-patient department (IPD) of the respective hospital on a defined day of visiting the hospitals. Data were collected by previously trained clinicians in a pre-tested questionnaire to attain the objectives. Main Findings: Among a total of 5157 surveyed children, 3484 (67%) had respiratory problems. Common cold, bronchiolitis, pneumonia, and asthma diagnosed by the trained research team doctors  were 1659 (48%), 744 (21%), 402 (11.5%), and 277 (8%); respectively. The sensitivity and specificity of the diagnoses  made by local hospital doctors were 15% and 99% for bronchiolitis,  73% and 90% for pneumonia and  10% and 100% for asthma respectively. The rate of use of main modalities for the management of respiratory problems was as follows: oral antibiotics 79%, oral bronchodilators 57.5% and oral antihistamines 38%.  as prescribed by the doctors.  The local doctors used to follow Integrated Management of Childhood Illness (IMCI) guideline in diagnosing and managing childhood respiratory disorders.Implications: The results underscore the importance of modification of IMCI guideline in order to prevent the irrational use of antibiotics and antihistamines in managing such children.},
  keywords = {High prevalence, respiratory disorders; under diagnosis, bronchiolitis, asthma; misuse of antibiotics.},
  note = Article ID: 183615
}