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Diagnosis and treatment of Wernicke's encephalopathy in an in-patient alcohol detoxification unit: a completed audit cycle

  • Vijay Delaffon (a1), Srinivas Naik (a1), Rajandeep Mann (a1), Arshya Vahabzadeh (a2), Timothy Millward (a1), Adeel Majeed (a1), Angela Taylor (a1) and Anshuman Pant (a1)...
Abstract
Aims and method

A baseline audit of trainees' ability to recognise Wernicke's encephalopathy and initiate appropriate thiamine regimes in an in-patient alcohol detoxification unit was carried out. Based on the findings, gaps were addressed using targeted education and training, and their impact on improving standards of managing Wernicke's encephalopathy was re-audited.

Results

The initial audit revealed that trainees' ability to recognise Wernicke's encephalopathy and initiate thiamine was inadequate. Significant improvement in appropriate use of treatment regime (P < 0.05) of thiamine and the monitoring of clinical response was observed after addressing the initial gaps through education.

Clinical implications

Treatment of Wernicke's encephalopathy can be inadequate, given a lack of awareness of clinical presentation and appropriate management. This can be addressed through education and training.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Vijay Delaffon (Vijay.Delaffon@kmpt.nhs.uk)
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Declaration of interest

None.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Diagnosis and treatment of Wernicke's encephalopathy in an in-patient alcohol detoxification unit: a completed audit cycle

  • Vijay Delaffon (a1), Srinivas Naik (a1), Rajandeep Mann (a1), Arshya Vahabzadeh (a2), Timothy Millward (a1), Adeel Majeed (a1), Angela Taylor (a1) and Anshuman Pant (a1)...
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