# name
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

# metadata.dc.description.abstract[].value
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.

# metadata.dc.relation.isformatof[].value
Reproducció del document publicat a:
                http://dx.doi.org/10.1016/j.ijid.2015.05.010

# metadata.dc.relation.ispartof[].value
International Journal of Infectious Diseases, 2015, vol. 36, p. 39-45

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
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