Clinical Study of Research on Bacterial Conjuntivitis and Paper Appraisal

Purpose
The use of critical appraisal guidelines to assess the validity of research findings has received a growing increasing focused in many healthcare practiced. This idea supports the use of evidence-based practice to provide better information of which a section of research can be applied in Public Health Practiced. This paper report was set out to critically appraised a randomized double-blind placebo-controlled trial: titled Chloramphenicol treatment for acute infective conjunctivitis in children aged 6 months to 12 years with a clinical diagnosis of conjunctivitis in primary care. The paper will highlight the key concept of the trial as well as illustrating some limitation of the published trials. It will also focus on the aspect of proper patient selection as well as the quality of the main study. These appraisal will also outline the fundamental framework of the quality of research evidence that could be used to inform Public Health based practiced and policy program delivery.
BODY
Acute infective conjunctivitis is an inflammation of the conjunctiva. It is recorded as one of the most common eye problems in the primary care and account for up to 1% of GP consultation in the UK. Some of the clinical features of conjunctivitis include mild swollen eyelid and mucopurulent eye discharge (Fuloria and Kreiter, 2002). The infectious of conjunctivitis could be viral, bacteria or allergic, and diagnosis is usually made on the basis of a clinical history and examination. However, the pathophysiology of conjunctivitis is well described by (Terry Kyle) in in essentials of pediatric nursing. When virus or bacterial come in contact with palpebral conjunctiva the immune system react resulting in inflammation. In this paper appraisal th...

... middle of paper ...

... the previous 48h, or have any evidence of severe infection. However, some authors could argue that this trial it could still be applied to Public Health Practice because it is well written in scientific format and documented in accessible form to academics and practitioners which could be easily required for the people who want to applies this information. Another important aspect of the study is the benefit of the study is greater than the harms and costs because the trial present good result in terms of economic advantage to Public Health system because it can be used to reduce the number of antibiotics prescription for acute conjunctivitis in primary healthcare although an education programme is needed to provide grater knowledge and understanding in changing policy before family doctors can sensibly succeed in planning for reduction in antibiotic prescription.