6 Management of acute respiratory infections in children… Vol 2, No 1 Open Access Original Aricle Adi of prescribing paerns of docors for he managemen of ace respiraor infecions in children Mhammad Irfanllah Siddiqi   Akhar Ali Baloch   Sed Ishiaq Ahmed   Sed Imia Ahmed Jafri  Inrodcion Ace respiraor infecions ARI are considered as one of he major pblic healh problems and are he leading case of morbidi and morali in man deeloping conriesŌ The hae been esimaed o case % o % of all deahs of children nder fie earsŌ Pne monia kills more children han an oher illness more han HIV ma laria and measles combinedŌ Effecie inerenions o redce pne monia deahs are aailable b reach oo fe childrenŌ More han a million lies cold be saed if preenion and reamen ineren ions ere implemened niersallŌ Preening children nder fie from deeloping pnemonia in he firs place is ke Ō In Pakisan % of morbidi and morali is de o loer respira or infecion  Ō ARI are responsible for % of deah among chil dren and mos of he cases are reaed b general praciioners GPs  Ō This large nmber of deahs is de o he reason ha manage men of ARI is no appropriae and man deahs can be preened b appropriae inerenion Ō World Healh Organiaion WHO has deeloped a proocol for he managemen of ARI especiall for deeloping conries like Pakisan Ō Hoeer i is rarel folloed b GPs resling in large nmber of deahs among children Ō This sd as condced o adi he prescripions of GPs o deermine heir pracices regarding ARI managemen and compliance o WHO proocols and o proide recommendaions o improe heir prac ices in he area of idenified needs Ō Mehods Sd Seing Blleda siaed in Disric Trba Balochisan is small illage cm on srronded b dae reesŌ I is abo  km oards he norh 1 Umm AlQra Uniersi Sadi Arabia 2 Medical Officer Trba Pakisan 3 Hamdard Uniersi Pakisan of he ci of TrbaŌ Trba is he second larges ci of Balochisan proinceŌ I is a sbdiision and has a poplaion of  ih er fe basic faciliiesŌ Mos of he people are illierae and hae er lile informaion regarding healh issesŌ Sd Design This as a crosssecional sd condced from Ocober  o Oco ber  for a period of one monhŌ Sampling Procedre The sampling echniqe sed as osage random sampling o selec regisered general praciioner dring firs phase and laer o selec heir prescripionsŌ Randoml seleced general praciioners pracicing in Blleda ere isied and heir prescripions for he monh ere randoml seleced hereb forming he sample sie afer obaining consenŌ A oal of fie sch praciioners ere se lecedŌ The sample sie as esimaed sing % confidence ineral and keeping % leel of significance Ō A oal of  prescripions ere obained and hen compared ih WHO proocol o obsere heher he ere consisen ih he recommendaionsŌ Colleced prescripions ere analed sing he sandard ARI case manage men gidelines of WHO Ō All he GPs ere assred of confiden iali and he daa colleced as kep confidenial and enered ino he comper o be analed in EPI Info sofare ersion  deel oped b Cener for Disease Conrol Alana USAŌ The ariables in clded ere gender eigh chief complains emperare plse rae respiraor rae proisional diagnosis and he pe of anibioic prescribedŌ 4 Baqai Uniersi Pakisan Correspondence Mhammad Irfanllah Siddiqi Email  irfan@ahooŌcom Absrac Backgrond Ace respiraor infecions ARI accon for % of all children reporing o opaien deparmens OPDŌ In mos of he cases he case of morbidi is a iral infecion ha does no reqire anibioic reamen b in spie of his anibioics are sed mch oo freqenlŌ The gidelines for he managemen of ARI hae been deeloped b World Healh Organiaion WHO b generall he phsicians do no follo he recommended gidelinesŌ This sd as condced o adi he prescripions of general praciioners o deermine heir pracices regarding ARI managemen and o proide recommendaions o improe heir pracices in he area of idenified needsŌ Mehods Praciioners orking in Disric Blleda Trba Balochisan ere sreed and fie of hem ere seleced randoml sing simple random sampling echniqe for his cross secional sdŌ The ere informed abo he objecies of he sd and consen as obainedŌ Their prescripions of cases of ARI managemen for one monh ere obainedŌ Resls The resls of he sd sho ha a oal of  paiens of ARI ere seen b he  seleced phsicians of he disricŌ I as seen ha in % cases he chief complains ere recordedŌ Temperare as recorded in % caseŌ Respiraor rae as recorded in % casesŌ The diagnosis as noed don in % casesŌ In % cases anibioics ere prescribed and in Ō% cases he dose as no according o recommendaionŌ Conclsion I is conclded ha mos phsicians in Blleda are no folloing he WHO recommended proocol of ARI managemenŌ Refresher corses and raining programs for phsicians are recommendedŌ Use of elecronic media ma be helpfl in increasing aareness boh in he healh care proider and healh care recipienŌ El Med J   Keords Ace respiraor infecions WHO Gidelines Adi