ASSESSEMENT OF KNOWLEDGE AND PRACTICE OF PEDIATRICS RESIDENTS IN THE MANAGEMENT OF NEUROGENIC BLADDER IN CHILDREN AT TERTIARY HOSPITAL, ADDIS ABABA, ETHIOPIA, 2024G.C

Abstract

Abstract Background: Neurogenic bladder is bladder and/or urinary sphincter malfunctioning that result from some change in the central nervous system (CNS) and/or peripheral nervous system. Early diagnosis and proper management of neurogenic bladder in children are crucial to minimize complications and improve outcomes. But if not, it can lead to significant morbidity and mortality. Pediatrics residents and general pediatrician play a crucial role in the Diagnosis and management of neurogenic bladder. However, there is no online published research data about the knowledge and practice of pediatrics residents in Ethiopia as well as other areas regarding the diagnosis and management of neurogenic bladder in pediatrics. Objective: To assess the knowledge and practice of pediatrics residents in management of neurologic bladder in pediatrics in three selected teaching hospitals Addis Ababa, Ethiopia. Methodology: Institutional based descriptive cross sectional study was done with facility based self-administered question among pediatrics resident with sample size of 125. The data was entered and analyzed by using SPSS version 25.To identify the factors logistic regression was carried out. Those variables with p-value < 0.25 were selected as candidate variables for multivariate logistic regression analysis and variables with p-value <0.05 were considered as statistically significant. The strength of association was measured using odds ratio at 95% confidence interval. Data was presented using Tables, Figures and texts. Results: In this study, one hundred forty (140) respondents participated in the study making response rate of 83.3%. The magnitude of good knowledge and practice was 56% (95% CI: 83.27%, 75.33%) and 56.8% (95% CI: 64.31%, 54.69%) respectively Conclusion: In this study, the magnitude of knowledge and practice of pediatrics residents on the management of NGB in children were 70(56%) and 71(56.8%) good respectively. It also shows, among the predictor variables, years of residency had significant association with the level of knowledge and practice pediatrics residents on the management of NGB in children. Recommendation:- Based on this study we were recommended: To encourage collaboration among healthcare institutions, pediatric experts, and researchers to develop national guidelines or protocols for the management of neurogenic bladder in children. To conduct further researches to assess the long term impact of education and training programs on the knowledge and practice of pediatric residents in the management of neurogenic bladder in children. Key words: Pediatrics resident, neurogenic bladder dysfunction, knowledge, Practice, Diagnosis, management.