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Table 2 Data collection instrument

From: Adherence to treatment guidelines for acute diarrhoea in children up to 12 years in Ujjain, India - a cross-sectional prescription analysis

Patient information

Name

 

Age

 

Sex

 

Address

 

Outpatient/inpatient

 

Date of prescription Pharmacy code Hospital code

Practitioner's information

Qualification

 

Duration in practice

Information on Diarrhoeal episode

Duration of diarrhoea

 

Presence of blood

 

Presence of fever

 

Presence of vomiting

 

Presence of pain in stomach

Prescription given

ORS

 

Zinc

 

Antibiotics

 

Probiotics

 

Racecadotril

 

Miscellaneous drugs (including antiemetic)