# name
Knowledge gaps on paediatric respiratory infections in Morocco,         Northern Africa

# metadata.dc.description.abstract[].value
BACKGROUND: The burden of acute respiratory infections (ARI)
                among Moroccan children remains significant. However, scarce
                information is available regarding trends in its epidemiology
                and etiology, or regarding its associated prognostic factors.
                The purpose of this work was to review available data on the
                burden of ARI among children under five years of age in Morocco.
                METHODS: A systematic review was conducted for the period
                1997-2014 using the PRISMA proposed methodology. Various online
                databases were screened, in addition to physical libraries of
                Moroccan medical schools, and official reports of the Moroccan
                Ministry of Health. Search queries in English and French
                languages included: Respiratory Tract Infections, pneumonia,
                epidemiology, etiology, microbiology, mortality and Morocco. The
                documents were included for analysis when they reported original
                data on the incidence, distribution, or a clinical description
                of the diseases or their etiology or described clinical
                management or national preventive strategies. RESULTS:
                Thirty-two documents were included in the final analysis. 21 of
                which had been published. In 2012, ARI caused 13% of paediatric
                deaths, half of the consultations at health facilities and third
                of the paediatric admissions. The microorganisms more frequently
                identified among hospitalized children were Streptococcus
                pneumoniae (38%) and Haemophilus influenza type b (Hib) (15%).
                The MOH introduced Hib vaccines into the national immunization
                program (PNI) in 2007and the 13-valent vaccine against
                pneumococcus in 2010. The national first line antibiotics
                recommended for non-severe ambulatory treatment is Amoxicillin.
                Studies of antibiotic resistance showed from 1998 to 2008 a 22%
                increase in the rate of penicillin non-susceptibility among
                Streptococcus pneumoniae isolates. Viral respiratory infections
                and the role attributed to air pollution in the incidence of ARI
                have been poorly characterized. CONCLUSIONS: Further efforts
                should be made towards the development of adequate surveillance
                programs to better clarify the epidemiology, etiology,
                antimicrobial susceptibility patterns and the effectiveness of
                the preventives and curatives strategies in place against
                paediatric ARIs in Morocco. Additionally, a holistical approach
                should be used to identify the heath determinants of ARIs among
                children.

# metadata.dc.relation.isformatof[].value
Reproducció del document publicat a:
                http://dx.doi.org/10.1186/s13690-015-0076-x

# metadata.dc.relation.ispartof[].value
Archives of Public Health, 2015, vol. 73, num.28, p. 1-11

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

# metadata.dc.title[].value
Knowledge gaps on paediatric respiratory infections in Morocco,         Northern Africa