P156 Adherence to vitamin D prophylaxis in infant under 1 years of age. a re-audit of vitamin D supplementation, compliance and education in sligo university hospital. (June 2019)

• Record Type: Journal Article
• Authors: Biagini, Alessandra; Harrison, Ghia; Knapp, Rolf; Allawendi, Samy A; Tummaluru, Rohininath
• Is Part Of: Archives of disease in childhood. Volume 104:(2019)Supplement 3
• Page Start: A220
• Page End: A220
• Publication Date: 2019-06
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2019-epa.511
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Background: Vitamin D deficiency in children causes a failure of osteoid to calcify with deficient bone growth and clinical features of rickets. Vitamin D is produced by ultraviolet irradiation of inactive and avoidance of sunlight or poor oral intake in infants exclusively breastfed may contribute to the development of this pathology. Objective: To study the compliance of vitamin D supplementation in children from birth to 12 months of age and to educate and create awareness among healthcare professionals and people regarding vitamin D supplementation. Standards of care: The HSE policy supports vitamin D supplementation for all infants from birth to 12 months of age: all infants, whether breastfed or formula fed, should be given a daily supplement of 5µg (or 200 I.U) Vitamin D. This should be provided by a supplement containing vitamin D exclusively. Methodology: In this re-audit we collected data prospectively using an anonymous structured collection form of all the children from birth to 1 year of age that attended our OPD and day cases clinics from august 2018 to January 2019. We then compared these recent results with 3 previous outcomes on a similar audit done in 2010 by our Team. The outcomes confronted are: children that received the vitamin D supplement, appropriateness and compliance to the therapy and education given to the families. Results: Majority of children 80% (40) had received Vitamin D and among those the 61.2% (30) were receiving the correct dose. In the previous audit 75% had received Vitamin D and among these 59% were receiving it correctly. In this study the 85% of the parents were educated by healthcare providers, with a prevalence of Public Health Nurses 54, 5% (31), 28% (16) by paediatricians and only 17.5% (10) by general practitioners, while in the previous results the 95% were educated by Health Care Providers. Doctors advised to administer Vitamin D during the last visit to the clinic in only the 34.8% (16) of cases. Conclusions: The increased compliance of Vitamin D administration reflects a higher awareness of the importance of Vitamin D supplementation but the 41% of the population is still receiving a sub-optimal dose. Recommendation: Healthcare providers should give more information to the mothers and especially they should encourage Vitamin D administration at every visit.