A Cohort Study and an Audit Project on Vitamin D Prescribing Practices for Children in Pediatric Clinics at a Tertiary Hospital in Jordan
Published: 2023-07-09
Page: 171-178
Issue: 2023 - Volume 6 [Issue 2]
Sallam Alrosan
Internal Medicine, Saint Luke’s Health System, Kansas City, MO., USA.
Basil Aldiabat
Faculty of Medicine, Mutah University, Karak, Jordan.
Rola Khlifat
Faculty of Medicine, Mutah University, Karak, Jordan.
Suha Alhourani
Faculty of Medicine, Mutah University, Karak, Jordan.
Areej Alholi
Faculty of Medicine, Mutah University, Karak, Jordan.
Ruba Al-Dwairi
Faculty of Medicine, Mutah University, Karak, Jordan.
Reem Ghabayen
Faculty of Medicine, Mutah University, Karak, Jordan.
Raneem Naser
Faculty of Medicine, Mutah University, Karak, Jordan.
Zaid Al-Rabadi
Faculty of Medicine, Mutah University, Karak, Jordan.
Rami Al-Mjali
Department of Pediatrics, Mutah University, Karak, Jordan.
Mohammad Daradkeh
Faculty of Medicine, Mutah University, Karak, Jordan.
Mohammad Abu-Jeyyab *
Faculty of Medicine, Mutah University, Karak, Jordan.
Mohammad Al Mse'adeen
Faculty of Medicine, Mutah University, Karak, Jordan.
*Author to whom correspondence should be addressed.
Abstract
Background: Vitamin D is required for skeletal development and bone health. A severe deficit can cause rickets and osteomalacia among children and adults respectively. There are few dietary sources of vitamin D. Various recommedations states that all infants and young children aged 6 months to 3 years are advised to take a daily supplement containing vitamin D in the form of vitamin drops.
Aims: This study was done to assess the adherence NICE recommendations regarding supplementation of vitamin D for children in pediatrics clinics at tertiary hospital in south of Jordan according to the NICE recommendations.
Methods: Data was collected in retrospective manner. The following information was gathered for each sample: gestational age when delivered, age and developmental age, type of feeding, amount, past medical and drug history and allergic history, social history and if prescribed vitamin D or not.
Results: A total of 64 children were recorded in which 42 out of them (65.6%) were prescribed vitamin D supplements.
Conclusion: Collaboration between policymakers and health care professionals is required to fill the gap between guidelines and clinical practice.
Keywords: Vitamin D, skeletal development, vitamin D deficiency management
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References
Tan ML, Abrams SA, Osborn DA. Vitamin D supplementation for term breastfed infants to prevent vitamin D deficiency and improve bone health.The Cochrane Database of Systematic Reviews. 2020; 2(12):CD013046.
Available:https://doi.org/10.1002/14651858.CD013046.pub2
Chang SW, Lee HC. Vitamin D and health -The missing vitamin in humans. Pediatrics and Neonatology. 2019;60(3): 237–244.
Available:https://doi.org/10.1016/j.pedneo.2019.04.007
Day RE, Krishnarao R, Sahota P, Christian MS. We still don't know that our children need vitamin D daily: a study of parents' understanding of vitamin D requirements in children aged 0-2 years. BMC Public Health. 2019;19(1):1119.
Available: https://doi.org/10.1186/s12889-019-7340-x
Thomas L, Patel B P020 Vitamin supplementation survey: an audit of the usage of vitamin D supplementation in paediatric patients, pregnant women and breastfeeding mothers Archives of Disease in Childhood. 2019;104:e2.
Santi M, Janner M, Simonetti GD, Lava SAG. (Prescription of vitamin D among Swiss pediatricians. European journal of Pediatrics. 2019;178(7):1119–1123.
Available: https://doi.org/10.1007/s00431-019-03400-0
Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357(3):266-281. DOI:10.1056/NEJMra070553
Olick MF, Binkley NC Bischoff-Ferrari HA, et al. Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911-1930.
DOI:10.1210/jc.2011-0385
Raymond-Lezman JR, Riskin SI. Benefits and Risks of Sun Exposure to Maintain Adequate Vitamin D Levels. Cureus. 2023; 15(5):e38578.
Available:https://doi.org/10.7759/cureus.38578
Gordon CM, Feldman HA, Sinclair L, Williams AL, Kleinman PK, Perez-Rossello J, Cox JE. Prevalence of vitamin D deficiency among healthy infants and toddlers. Archives of Pediatrics & Adolescent Medicine. 2008;162(6): 505–512.
Available:https://doi.org/10.1001/archpedi.162.6.505
Lee JY, So TY, Thackray J. A review on vitamin d deficiency treatment in pediatric patients. The journal of pediatric pharmacology and therapeutics : JPPT : the Official Journal of PPAG. 2013; 18(4):277–291. Available: https://doi.org/10.5863/1551-6776-18.4.277
Casey CF, Slawson DC, Neal LR. VItamin D supplementation in infants, children, and adolescents. American Family Physician. 2010;81(6):745–748.
Chung M, Lee J, Terasawa T, Lau J, Trikalinos TA. Vitamin D with or without calcium supplementation for prevention of cancer and fractures: an updated meta-analysis for the U.S. Preventive Services Task Force. Ann Intern Med. 2011; 155(12):827-838. DOI:10.7326 /0003-4819-155-12-201112200-00005
Ogan D, Pritchett K. Vitamin D and the athlete: risks, recommendations, and benefits. Nutrients. 2013;5(6):1856–1868.
Available:https://doi.org/10.3390/nu5061856
Yang CY, Leung PS, Adamopoulos IE, Gershwin ME. The implication of vitamin D and autoimmunity: a comprehensive review. Clinical Reviews in Allergy & Immunology. 2013;45(2): 217–226.
Available: https://doi.org/10.1007/s12016-013-8361-3
Vogiatzi MG, Jacobson-Dickman E, DeBoer MD. Drugs and Therapeutics Committee of The Pediatric Endocrine Society. Vitamin D supplementation and risk of toxicity in pediatrics: A review of current literature. The Journal of Clinical Endocrinology and Metabolism. 2014; 99(4):1132–1141. Available: https://doi.org/10.1210/jc.2013-3655