Journal of Asthma and Allergy (Apr 2024)

Assessment of the Implementation of Global Initiative for Asthma (GINA) 2019 Guidelines for Treatment of Mild Asthma Among Pediatric Registrars: A Quasi-Interventional Study

  • Abashar IBH,
  • Salih OAMM,
  • Joda TAA,
  • Alsedig MFA,
  • Omer AT,
  • Ahmed HA,
  • Hemmeda L,
  • Esmaeel MAM,
  • Mohamed Ahmed KAH

Journal volume & issue
Vol. Volume 17
pp. 339 – 347

Abstract

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Iman Bashir Hamid Abashar,1,* Omaima Abdel Majeed Mohamed Salih,2,* Tarteel Abbas Abaker Joda,3,* Mai Fathi Awadalla Alsedig,3,* Alaa T Omer,3,* Hayat A Ahmed,3,* Lina Hemmeda,3,* Mariam Alazraa M Esmaeel,3,* Khabab Abbasher Hussien Mohamed Ahmed3,* 1Asthma Clinic Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan; 2Departments of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Omdurman Islamic University, Omdurman, Sudan; 3Faculty of Medicine, University of Khartoum, Khartoum, Sudan*These authors contributed equally to this workCorrespondence: Mariam Alazraa M Esmaeel, Faculty of Medicine, University of Khartoum, ElQasr Avenue, Khartoum, Khartoum State, 11111, Sudan, Tel +249915077027, Email [email protected] and Aims: It is essential to have proper treatment and management for asthma in order to minimise symptoms, lessen the burden, and lower the chance of exacerbations. To better control asthma, the purpose of this study was to evaluate and enhance paediatric registrars’ understanding and application of asthma treatment.Methods: The Sudan Medical Specialisation Board (SMSB) paediatric registrars provided data for this quasi-interventional study between April and September of 2021. Twice, both before to and following the intervention education sessions, the questionnaire was delivered. SPSS version 28 was used to analyse the data after it had been cleaned up in an Excel document.Results: 203 (or 77.8%) of the 261 were women. A substantial rise from 8.1 ± 4.12 SD to 18 ± 5.03 SD in the mean overall knowledge score of registrars between the pre-and post-intervention periods. A significant difference (p=0.001) was observed in the post-intervention phase, with first-year registrars (R1) demonstrating higher scores than their senior colleagues. The registrars’ total knowledge scores did not differ significantly from one another during the pre-intervention period. The Global Initiative of Asthma (GINA) guidelines of management were implemented to a certain extent, according to the study. Of the registrars, 148 (56.7%) and 203 (77.8%) evaluated step one management in children ages 5 and under; 66 (25.3%) and 213 (81.6%) evaluated step one management in children ages 6 to 11; and 66 (25.3%) and 213 (81.6%) evaluated step one management in children ages 6 to 11 in pre- and post-intervention, respectively.Conclusion: Given that the intervention in this study greatly increased registrars’ knowledge, doctors should obtain training on the GINA 2019 recommendations through conferences, workshops, and academic programmes. To find out why R1 outperforms their older counterparts, more investigation has to be done.Keywords: asthma, GINA, management of asthma, Sudan

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