title: Poor adherence to the World Health Organization guidelines of treatment of severe pneumonia in children at Khartoum, Sudan.
abstract: BACKGROUND
  Community-acquired pneumonia (CAP) is as a major cause for childhood morbidity and mortality worldwide. This study was conducted to investigate the adherence and response of the WHO guidelines for treatment of severe pneumonia.
  
  
  METHODS
  A cross-sectional study was conducted in the period of June 2009 to July 2010 at Khartoum Hospital, Sudan. Children admitted and treated for severe pneumonia were enrolled.
  
  
  RESULTS
  Only 39 (18.8%) out of 208 enrolled children received prescriptions that were adherent to the WHO guidelines of treatment of severe pneumonia. In logistic regression none of the investigated variable (age, gender, and clinical presentations) was associated with the adherence to the WHO guidelines. There was no significant difference in the response between adherent and non-adherent prescriptions. There was no association between the demographic, clinical data, treatment-adherence to the guidelines and the patients' response.
  
  
  CONCLUSIONS
  There is a poor (18.8%) adherence to the WHO guidelines of the treatment of severe pneumonia in the region regardless to the age, gender and clinical presentation.
authors.forename: Karim Eldin M
authors.initials: KE
authors.lastname: Salih
authors.forename: Jalal A
authors.initials: JA
authors.lastname: Bilal
authors.forename: Mona A
authors.initials: MA
authors.lastname: Alfadeel
authors.forename: Yassin
authors.initials: Y
authors.lastname: Hamid
authors.forename: Widad
authors.initials: W
authors.lastname: Eldouch
authors.forename: Elfatih
authors.initials: E
authors.lastname: Elsammani
authors.forename: Salah A
authors.initials: SA
authors.lastname: Ibrahim
authors.affiliation: College of Medicine, Qassim University, Buraydah, Saudi Arabia. ishagadam@hotmail.com.
authors.forename: Ishag
authors.initials: I
authors.lastname: Adam
mesh_terms: D002675:Child, Preschool; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D011014:Pneumonia / Q000628:therapy*; D017410:Practice Guidelines as Topic; D013397:Sudan; D016896:Treatment Outcome; D014944:World Health Organization