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DC Field | Value | Language |
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dc.contributor.author | Acácio, Sozinho | - |
dc.contributor.author | Verani, Jennifer R. | - |
dc.contributor.author | Lanaspa, Miguel | - |
dc.contributor.author | Fairlie, Tarayn A. | - |
dc.contributor.author | Nhampossa, Tacilta | - |
dc.contributor.author | Rupérez, María | - |
dc.contributor.author | Aide, Pedro Carlos Paulino | - |
dc.contributor.author | Plikaytis, Brian D. | - |
dc.contributor.author | Sacoor, Charfudin | - |
dc.contributor.author | Macete, Eusebio Víctor | - |
dc.contributor.author | Alonso, Pedro | - |
dc.contributor.author | Sigaúque, Betuel | - |
dc.date.accessioned | 2016-02-04T13:09:09Z | - |
dc.date.available | 2016-02-04T13:09:09Z | - |
dc.date.issued | 2015-05-04 | - |
dc.identifier.issn | 1201-9712 | - |
dc.identifier.uri | http://hdl.handle.net/2445/69250 | - |
dc.description.abstract | BACKGROUND: Integrated Management of Childhood Illness (IMCI) guidelines were developed to decrease morbidity and mortality, yet implementation varies across settings. Factors associated with poor adherence are not well understood. METHODS: We used data from Manhica District Hospital outpatient department and five peripheral health centers to examine pneumonia management for children <5 years old from January 2008 to June 2011. Episodes of IMCI-defined pneumonia (cough or difficult breathing plus tachypnea), severe pneumonia (pneumonia plus chest wall in-drawing), and/or clinician-diagnosed pneumonia (based on discharge diagnosis) were included. RESULTS: Among severe pneumonia episodes, 96.2% (2,918/3,032) attended in the outpatient department and 70.0% (291/416) attended in health centers were appropriately referred to the emergency department. Age<1 year, malnutrition and various physical exam findings were associated with referral. For non-severe pneumonia episodes, antibiotics were prescribed in 45.7% (16,094/35,224). Factors associated with antibiotic prescription included age <1 year, abnormal auscultatory findings, and clinical diagnosis of pneumonia; diagnosis of malaria or gastroenteritis and pallor were negatively associated with antibiotic prescription. CONCLUSION: Adherence to recommended management of severe pneumonia was high in a hospital outpatient department, but suboptimal in health centers. Antibiotics were prescribed in fewer than half of non-severe pneumonia episodes, and diagnosis of malaria was the strongest risk factor for incorrect management. | - |
dc.format.extent | 7 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier | - |
dc.relation.isformatof | Reproducció del document publicat a: http://dx.doi.org/10.1016/j.ijid.2015.05.010 | - |
dc.relation.ispartof | International Journal of Infectious Diseases, 2015, vol. 36, p. 39-45 | - |
dc.relation.uri | http://dx.doi.org/10.1016/j.ijid.2015.05.010 | - |
dc.rights | cc by-nc-nd (c) Acácio et al., 2015 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | - |
dc.source | Articles publicats en revistes (ISGlobal) | - |
dc.subject.classification | Pneumònia | - |
dc.subject.classification | Comorbiditat | - |
dc.subject.classification | Malària | - |
dc.subject.classification | Malalties infeccioses en els infants | - |
dc.subject.classification | Moçambic | - |
dc.subject.other | Pneumonia | - |
dc.subject.other | Comorbidity | - |
dc.subject.other | Malaria | - |
dc.subject.other | Communicable diseases in children | - |
dc.subject.other | Mozambique | - |
dc.title | Under treatment of pneumonia among children under 5 years of age in a malaria-endemic area: population-based surveillance study conducted in Manhica district- rural, Mozambique | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2016-02-02T15:35:30Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 25980619 | - |
Appears in Collections: | Articles publicats en revistes (ISGlobal) |
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acacio2015_1882.pdf | 390.11 kB | Adobe PDF | View/Open |
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