The Frequency of Physicians Visits in Children with Kawasaki Disease from Onset of Fever to Final Diagnosis

Document Type : Origenal Article

Authors

1 Associate Professor, Department of Pediatrics, Afzalipour school of Medicine, Kerman University of Medical Sciences, Kerman, Iran

2 Medical Student, Afzalipour school of Medicine, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background: Kawasaki disease is an acute febrile vasculitis of childhood and mostly common in children less than 5 years old. The complications could be prevented with early diagnosis and proper treatment. This study aimed to estimate the frequency of physician visits from onset of fever to reach the final diagnosis in children with Kawasaki disease admitted in Kerman Afzalipour hospital, 2014.
Methods: This cross- sectional study was performed on all children with Kawasaki disease hospitalized in Afzalipour Hospital, Kerman, Iran in 2014. After obtaining parents’ consent, data were collected through reviewing medical documents of children and calling parents.
Results: From 41 patients, 51.2% were male. Children were in the age range of 6 months to 7 years. The most frequent age group was 1 to 2 years (29.3%) and 70.7% were urban residents. Among parents, 46.3% had university education. From all children, 58.5% had fever between 5 to 10 days and 43.9% had more than three times physician visit. Visit by general practitioner and pediatrician had the highest frequency (46.3%).
Conclusion: General practitioners and pediatricians require ongoing training about Kawasaki disease in order to decrease complications of this disease by early diagnosis and appropriate treatment.

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