Yu Li,Huang Weiyong,Guo Yong,et al.Evaluations of infant stool color card in detecting discolored stools by physicians[J].Journal of Clinical Pediatric Surgery,,18():692-698.[doi:10.3969/j.issn.1671-6353.2019.08.015]
Evaluations of infant stool color card in detecting discolored stools by physicians
- Keywords:
- Feces; Biliary Atresia; Stool Color Card; Screening
- CLC:
- R192.3;R446.13
- Abstract:
- Objective To evaluate the effect of infant stool color card (ISCC) on recognizing discolored stools and enhance the awareness of biliary atresia (BA) by child healthcare physicians.Methods Child healthcare physicians were surveyed by self-designed questionnaires in November 2017.A total of 12 stool pictures were listed in the questionnaires,including 5 stool pictures of normal infants and 7 discolored stool pictures of BA children.These stool pictures were classified as "normal" or "abnormal" before and after using ISCC.Basic profiles and relevant data of BA were collected.Results A total of 200 questionnaires were collected from child healthcare physicians from 24 provinces.And 90 (45.0%)physicians recognized all discolored stools,only 113 (56.5%) physicians asked about the color of stool when they received jaundice children,87(43.5%) physicians were less concerned with color of stool or seldom treated jaundiced children,96(48.0%) physicians were not familiar with BA,50(25.0%) physicians misdiagnosed BA as elevated indirect bilirubin and 104(52.0%) physicians had never heard about ISCC.After using ISCC,the overall recognition ratio of clay-earth stools increased from 81.9% to 93.8%.And the correct recognition ratios rose markedly (P<0.05).The hospitals were divided into classes A,B and C.After using ISCC,physicians at Class A hospitals had an overall recognition rate rising from 83.7% to 93.1% (P<0.05); for physicians at Classes B and C,it increased from 80.3% to 94.4% (P<0.05).When divided into attending/below and associate chief/above,two groups had a markedly increased ratio after using ISCC (P<0.05).Conclusion Children healthcare practitioners have poor awareness and vigilance of BA.And ISCC can help them recognize discolored stools.It is necessary to promote the application of ISCC,strengthen its promotion and learn the basic knowledge of BA.
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收稿日期:2018-02-26。
通讯作者:吴婕翎,Email:jieling101@189.cn