文摘

This study compared physicians-practices on three treatment procedures and hospitalization days with guideline recommendations to assess guideline adherence in the treatment of advanced schistosomiasis japonica. Descriptive statistics were used to estimate patients-characteristics and rate of guideline adherence. And chi-square tests were used to assess influences of severity of the disease on guideline adherence. The study found no one (0/173) adhered to adequate diagnosis, treatment regimens, and discharge criteria of guidelines completely. And 2.23?% of patients in group 1 and 4.23?% in group 2 were totally conforming to adequate diagnosis. 91.91?% of patients were conforming to adequate treatment regimens among which group 1 and group 2 were 90.32 and 92.25?%, respectively. And one (2.23?%) patient in group 1 and zero (0?%) in group 2 were conforming to discharge criteria of guidelines, and most of the patients left hospital without symptom checks (151/173), liver function and biochemical tests (169/173), and complication checks (91/173). Among 173 inpatients, rate of adequate hospitalization days was 36.42?% (63/173). And chi-square test suggested no significant difference (P--.05) on guideline adherence in two groups, which implied both of critical and general patients-treatments should be stressed to comply with guidelines. There existed a large gap between guidelines and practices of the treatment of advanced schistosomiasis japonica.