Variable | Items, No. (%) | Bahrain | Iraq | KSA | Kuwait | Lebanon | Oman | Qatar | UAE | P value | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(n = 151) | (n = 415) | (n = 1083) | (n = 203) | (n = 355) | (n = 110) | (n = 128) | (n = 134) | |||||||||||
Do you use the Rome IV criteria to diagnose constipation in infants and children? | 137 | 90.73% | 354 | 85.3% | 977 | 90.21% | 186 | 91.63% | 343 | 96.62% | 97 | 88.18% | 124 | 96.88% | 122 | 91.04% | < 0.001 | |
What is your first-line treatment for fecal disimpaction (clean-out)? | Dietary management with special milk formula | 60 | 39.74% | 192 | 46.27% | 538 | 49.68% | 91 | 44.83% | 225 | 63.38% | 43 | 39.09% | 93 | 72.66% | 56 | 41.79% | < 0.001 |
Glycerin suppository | 55 | 36.42% | 83 | 20% | 252 | 23.27% | 66 | 32.51% | 69 | 19.44% | 35 | 31.82% | 21 | 16.41% | 47 | 35.07% | ||
Osmotic laxatives (polyethylene glycol-based solutions) | 21 | 13.91% | 83 | 20% | 123 | 11.36% | 25 | 12.32% | 22 | 6.20% | 16 | 14.55% | 2 | 1.56% | 14 | 10.45% | ||
Fleet enemas | 8 | 5.30% | 25 | 6.02% | 127 | 11.73% | 13 | 6.40% | 32 | 9.01% | 7 | 6.36% | 6 | 4.69% | 14 | 10.45% | ||
Magnesium citrate | 2 | 1.32% | 0 | 0% | 8 | 0.74% | 1 | 0.49% | 1 | 0.28% | 0 | 0% | 3 | 2.34% | 0 | 0% | ||
Stimulant laxatives | 2 | 1.32% | 23 | 5.54% | 22 | 2.03% | 6 | 2.96% | 2 | 0.56% | 5 | 4.55% | 3 | 2.34% | 1 | 0.75% | ||
Others | 3 | 1.99% | 9 | 2.17% | 13 | 1.20% | 1 | 0.49% | 4 | 1.13% | 4 | 3.64% | 0 | 0% | 2 | 1.49% | ||
What is your choice for long-term maintenance therapy of constipation?a | Lactulose | 45 | 29.80% | 194 | 46.75% | 382 | 35.27% | 52 | 25.62% | 80 | 22.54% | 49 | 44.55% | 24 | 18.75% | 48 | 35.82% | < 0.001 |
Polyethylene glycol-based solutions | 38 | 25.17% | 44 | 10.60% | 114 | 10.53% | 39 | 19.21% | 101 | 28.45% | 11 | 10.00% | 6 | 4.69% | 46 | 34.33% | ||
Magnesium hydroxide | 16 | 10.60% | 8 | 1.93% | 31 | 2.86% | 6 | 2.96% | 19 | 5.35% | 6 | 5.45% | 7 | 5.47% | 8 | 5.97% | ||
Dietary management with special milk formula | 119 | 78.80% | 316 | 76.10% | 909 | 83.90% | 174 | 85.70% | 333 | 93.80% | 94 | 85.50% | 114 | 89.10% | 111 | 82.80% | ||
Stool softeners/lubricants (docusate, mineral oil) | 18 | 11.92% | 90 | 21.69% | 101 | 9.33% | 28 | 13.79% | 20 | 5.63% | 13 | 11.82% | 8 | 6.25% | 20 | 14.93% | ||
Stimulant laxatives (senna, bisacodyl) | 4 | 2.65% | 49 | 11.81% | 58 | 5.36% | 13 | 6.40% | 25 | 7.04% | 6 | 5.45% | 7 | 5.47% | 2 | 1.49% | ||
Others | –- | –- | –- | –- | –- | –- | –- | –- | –- | |||||||||
What type of infant formulas do you usually recommend for dietary management of infantile constipation?a | Partially hydrolyzed formula | 34 | 22.52% | 79 | 19.04% | 171 | 15.79% | 30 | 14.78% | 39 | 10.99% | 7 | 6.36% | 7 | 5.47% | 17 | 12.69% | < 0.001 |
Comfort/sensitive formula | 62 | 41.06% | 111 | 26.75% | 295 | 27.24% | 78 | 38.42% | 54 | 15.21% | 25 | 22.73% | 17 | 13.28% | 49 | 36.57% | ||
High-magnesium formula | 43 | 28.48% | 164 | 39.52% | 524 | 48.38% | 81 | 39.90% | 258 | 72.68% | 71 | 64.55% | 94 | 73.44% | 72 | 53.73% | ||
Formula with pro- and prebiotics | 52 | 34.44% | 127 | 30.60% | 338 | 31.21% | 72 | 35.47% | 143 | 40.28% | 22 | 20.00% | 35 | 27.34% | 42 | 31.34% | 0.003 | |
Other | –- | –- | –- | –- | –- | –- | –- | –- | –- |