FEATURES OF INTRODUCTION OF MEDICAL CARE STANDARDS IN TREATMENT OF ADOLESCENTS WITH GASTRIC ULCER IN DAY CARE UNIT

Abstract

Analysis of the standards implementation for teenagers with Gastric ulcer (ICD-10 Version: 2010) treated in a day care unit has revealed that frequency of diagnostic tests provided was out of standards in 88,8 % of cases. Both excess and lack or absence of diagnostic procedures were reported. Abdominal Ultrasound, Fecal Occult Blood Test, Platelet Count, Bilirubin Blood Test, Liver Transaminases, Pancreatic Enzymes were among tests that exceeded the standards of care. pH measurement, Gastric Intubation, X-ray, Immunology laboratory tests, Blood Group Test ABO and Rhesus (D) test were lacked or absent. The standard approved makes no provision for medication dosage calculation based on body weight in kg. This has to be considered when teenagers and children are treated. This standard can be applied for teenagers with Gastric ulcer treated in a day care unit. It is essential to make separate patient models for children and adults to improve quality of medical care and to exclude unregulated drug administration.