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January 2020 -
Volume 18, Issue 1

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From the Editor

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Original Contribution

[Abstract]
Knowledge, attitudes, and practices related to breast cancer screening among women visiting primary care centers in Abu Dhabi [pdf]
Noora Ali Al Blooshi, Ruqayya Saaed Al Mazrouei, Hind Nasser Al Razooqi, Ebtihal Ahmad Darwish, Maha Mohamed Al Fahim, Fozia Bano Khan
DOI: 10.5742MEWFM.2020.93723

[Abstract]
The safest upper limit of triglycerides in the plasma [pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93726

[Abstract]
Causes and clinical aspects of fever in patients visiting primary healthcare [pdf]
Fathi El-Gamal, Jawaher Mdari, Hanadi Abdulrahim
DOI: 10.5742MEWFM.2020.93724

[Abstract]
Lifestyle Diseases And Associated Risk Behaviours Among Medical Student In Saudi Arabia [pdf]
Ali E. Mansour, Salman Almokhlef, Rayan Alqfari, Mohammad Alduwayrij
DOI: 10.5742MEWFM.2020.93725

[Abstract]
Causes and management of acute respiratory infections in primary health care [pdf]
Fathi El-Gamal, Mohammed Alaslani, Abdullah Alsaadi, Majed Abu khashabah, Fareed Alshehri, Hassan Hussein Alaslani
DOI: 10.5742MEWFM.2020.93727

[Abstract]
Use of traditional eye medicine and self-medication among population of Taif city, Saudi Arabia: a cross sectional study [pdf]
Inam Bifari, Ameenah A Alkhaldi, Rayan K Almalki, Hosam T Mashrah, Omar A Asiri, Amal T Altwairqi, Asim A Alzahrani, Amjad A Althagafi, Ruba G Qadi, Nawwaf W Aljuaid, Majed M aljuaid, Qasem M Alharthi, Mansour M Altwerqi, Mohammed O Altwergi, Sarah O Dhafar
DOI: 10.5742MEWFM.2020.93722

[Abstract]
Stone-free rate after extracorporeal shockwave lithotripsy in the management of renal stones in relation to different sizes and locations of the stone [pdf]
Murooj Mazen Qattan, Nouf M.Alasiri, Hanouf Aljuaid, Naif Saud Alsifiri, Ziyad Khalid Saifaddin,
Salahadin Hassan Lamy
DOI: 10.5742MEWFM.2020.93729

[Abstract]
Prevalence of vitamin B12 deficiency in type 2 diabetes patient treated with metformin [pdf]
Mohammad B. Jajah, Amjad A. Althagafi , Norah M. Alamri, Eham M. Altowairqi, Sarah S. Binbaz, Hadeel S. Ashour
DOI: 10.5742MEWFM.2020.93730

[Abstract]
Study of awareness about complications of sickle cell disease during pregnancy in Jeddah City [pdf]
Oula Khalid Al-Shareef, Hanaa El Sayed, Marwah Khalid Khan, MawaddahTalal Alahmadi, Husam Osama Abulkhair, Tuqa Shaker Alahmadi
DOI: 10.5742MEWFM.2020.93728

Population and Community Studies

[Abstract]
Non-Alcoholic Fatty Liver Disease Epidemic in Pakistan: Status, Challenges and way forward [pdf]
Waris Qidwai
DOI: 10.5742MEWFM.2020.93731

[Abstract]
Vitamin D3 deficiency and early pregnancy loss [pdf]
Alya Abdul-Rahman Share ,Samira Sherzad Hussien, Fatehiya Majeed Noori
DOI: 10.5742MEWFM.2020.93732

[Abstract]
Obstetric violence experienced during child birth in Taif city, Saudi Arabia [pdf]
Bayan A. Alnemari, Nisreen A. albizrah, Farzan R. Arain, Halah A. Alotaib, Hadeel M. Assalmi, Anhar A. Alqurashi
DOI: 10.5742MEWFM.2020.93733

[Abstract]
Knowledge about diabetic ketoacidosis among parents of type 1 diabetic children [pdf]
Manal Ali Alhomood, Khalid Yahya Shibli; Safar Abadi, Ossama A. Mostafa, Shamsun Nahar
DOI: 10.5742MEWFM.2020.93734

[Abstract]
Attitude, Practice and Knowledge of Undergraduate Medical Students Towards Musculoskeletal Effects of Smoking in Saudi Arabia
[pdf]
Bandar Hetaimish, Haneen Estanboli, Asseil Bossei, Ohood Shrouro, Nizar Wali,
DOI: 10.5742MEWFM.2020.93735

[Abstract]
Study the compliance of healthcare workers among the safety precautions in hospitals and health care facilities in kingdom of Saudi Arabia [pdf]
Marwah Khan, Oula Alshareef, Mawaddah Alahmadi, Husam abulkhair, Iraf Asali, Hanaa Elsayed Abozeid
DOI: 10.5742MEWFM.2020.93736

[Abstract]
Post-cardiac surgery health related quality of life: A Saudi cross sectional study in Jeddah [pdf]
Sireen Jamal Murshid, Ohood Zayed AlGarmoushi, Kholoud Salem Aljezani, Rawan Mohammed Albarakati, Khawlah Abdullah Bawazir, Intessar Sultan
DOI: 10.5742MEWFM.2020.93743

[Abstract]
Prevalence of De-Quervain’s Tenosynovitis Among Medical Professionals [pdf]
Bandar Hetaimish, Asseil Bossei, Ghaida Turkstani, Kholoud Al-Jezani, Khawater Al-Motairi
DOI: 10.5742MEWFM.2020.93738

[Abstract]
Assessment of Post Sleeve Gastrectomy patient’s satisfaction and their desire for body contouring surgery in Taif City, Saudi Arabia [pdf]
Mohammed A. Alkhayat, Sarah A. Alkashgry, Abdullah N. Thawabeh, Bushra A. Alghamdi, Nouf M. Althobaiti, Wala N. Alharthi, Samaher A. Alnefaie, Amjad A. Althaqafi
DOI: 10.5742MEWFM.2020.93737

[Abstract]
Assessment of the utilization of pharmacotherapy for pediatrics with Autism Spectrum Disorder in Jeddah, KSA [pdf]
Raghad Mohammed Hadi Awaji, Reem Mohammed Bashowair, Tuqa Shaker Alahmadi, Shouq Wahid Alshatifi, Suzan Morsy
DOI: 10.5742MEWFM.2020.93744

Clinical Research and Methods

[Abstract]
Bladder stone disease in children: clinical study in Aden, Yemen [pdf]
Ali Ahmed Salem Hatroom
DOI: 10.5742MEWFM.2020.93739

[Abstract]
Risk factors of clinical types of Acute Coronary Syndrome [pdf]
Fathi El-Gamal, Raffal Alshaikh, Aseel Murshid, Saleh Zahrani, Shahad Alrashed, Abdullah Alnahdi, Taghreed Alawi, Abdulrahim Aljudaibi
DOI: 10.5742MEWFM.2020.93740

Case Report

[Abstract]
Cisplatin induced mesenteric ischemia [pdf]
Abdullah N. Thawabeh, Najla M. Alghamdi, Bodoor A. Aloufi
DOI: 10.5742MEWFM.2020.93742

Education and training

[Abstract]
Abortion training in obstetrics and gynecology residency training program centers in Jeddah, Saudi Arabia [pdf]
Mawaddah Talal Alahmadi, Oula Khalid Al-Shareef, Marwah Khalid Khan, Rehab Alsaleh DOI: 10.5742MEWFM.2020.93741

Clinical Original Research

[Abstract]
Evaluation of knowledge, attitude and use of dietary supplement and hormones. among male gym attendees in Taif city-Saudi Arabia [pdf]
Ayman Abdelbaky, Asrar A. Althubaiti, Bodoor A. Aloufi, Nada A. Almalki, Radwan S. Aljohani
DOI: 10.5742MEWFM.2020.93745

[Abstract]
Women’s Awareness of Risk of DVT During Pregnancy and Puerperium: A Cross Sectional Study in Jeddah [pdf]
Sarah A Alharbi, Bushra Alamri, Aram Bafanaa, Halah Alameri, Manar Alzahrni,
Shaima Tariq Mansoor, Intessar Sultan

DOI: 10.5742MEWFM.2020.93746

[Abstract]
Association of Physicians’ Empathy with Adherence to Treatment among diabetic patients at King Fahd Hospital, Medina, KSA [pdf]
Hanan Mosleh Ibrahim, Hoda Jehad Abousada, Rahaf Hassan Alsharif, Nada Mohammed Alshanqiti, Shahad Mubarak Alahmadi, Alaa Ali Alharbi
DOI: 10.5742MEWFM.2020.93747

[Abstract]
Awareness of Taibah University Female Students Toward Risks and Safety of Using Oral Isotretinoin for Acne Treatment [pdf]
Manal Abdulaziz Murad, Rahaf Abdulelah Al-Sayed, Ma’ad Mohammed Al-Johani, Budur Abdullah Al- Mohammdi, Malak Abdul-Aziz Al-Juhani, Marwa Salman AlLuqmani, Arwa Abdulrahman Al- Hejaili, Marwa Mohamed Zalat, Hoda Jehad Abousada
DOI: 10.5742MEWFM.2020.93748



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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abyad@cyberia.net.lb
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The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

January 2020 - Volume 18, Issue 1

Causes and management of acute respiratory infections in primary health care

(1) Family Medicine Department, ISNC, Jeddah, KSA
(2) ISNC, Jeddah, KSA

Corresponding author:
Prof. F. M. El-Gamal, MSc, PhD.
Chairman of the Department of Family Medicine,
Ibn Sina National College. Al Mahjer Street.
P.O. Box 31906 Jeddah 21418
Jeddah, Kingdom of Saudi Arabia.
Tel: 6356555-6355882 / Fax: 6375344 –
Email: drfathimhelgamal1996@hotmail.com

Received: November 2019; Accepted: December 2019; Published: January 1, 2020. Citation: Fathi El-Gamal, Mohammed Alaslani, Abdullah Alsaadi, Majed Abu khashabah, Fareed alshehri, Hassan Hussein Alaslani. Causes and management of acute respiratory infections in primary health care. World Family Medicine. 2020; 18(1): 37-42. DOI: 10.5742MEWFM.2020.93727

Abstract

Objective:
To explore clinical aspects and drug prescription of acute respiratory infection in primary health care.

Results: Analyses of data of 1,200 outpatient visits revealed that 313 visits (26.08%) were for acute respiratory infection. Over half the patients with acute respiratory infections were children under 15 years old (56.5%), particularly among those under five (36.1%). It was more common in males (65.5%) compared to females (34.5%). Upper and lower respiratory infections were almost equal (50.8% and 49.2% respectively). Acute bronchitis (37.1%) and pharyngitis (28.4%) were the most common presenting diseases. Pneumonia (9.3%), acute tonsillitis (8.3%), common cold (7%), and otitis media (5.4%) were also reported. While pharyngitis was the most common disease in those under 15 years old, acute bronchitis was the most frequent respiratory disease in those older than 45 years old. Fever (63.9%) and cough (61.3%) were the most common presenting symptoms. Antibiotics (37.1%) and analgesics (26.2%) were the most common drugs prescribed to patients with acute respiratory infection.Antibiotics were unnecessarily prescribed to 32.8% of acute bronchitis, 32.6% of pharyngitis, and 18.2% of cases with common cold/influenza. Our study adds to evidence that misuse of antibiotics, characterized by antibiotic overuse is widespread in the treatment of outpatient ARIs.

Key words: Acute respiratory infection, primary health care, antibiotic over-use



 


 

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