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Автор HATCH, DOUGLAS L
Автор VREULS, RENE C
Автор TOOLE, MICHAEL J
Автор MOTEETEE, MPOLAI MASEILA
Автор MONOANG, IVY
Автор NGATANE, CELINE M
Автор GITTELMAN, DAVID M
Автор WALDMAN, RONALD J
Дата выпуска 1990
dc.description In Lesotho prior to 1986, diarrhoea was the leading cause of hospital mortality in children < 5 years of age. At the Queen Elizabeth II Hospital, diarrhoee-related admissions as a proportion of all admissions in children < 5 years of age declined from 23% in the year prior to the opening of the Oral Rehydration Theraphy Unit (ORTU) to 13% in the first nine months of 1987 (p<0.05). In addition, the case-fatality ratio of children treated in the ORTU declined from 1.4% in the first quarter of 1986 to zero in the second and third quarters of 1987 (p<0.05). In a case-control study conducted to identify reasons for children failing ORTU treatment, factors associated with an increased risk of hospitalization included male gender (odds ratio [OR] = 4.9; 95% Confidence limits [CL] = 2.0, 11.9), fever ≫38.5°C (OR = 2.0; CL = 1.2, 3.3), undernutrition (OR = 3.2; CL = 1.1, 9,4), and moderate dehydration (OR= 2.3; CL = 1.2, 4.4) or severe dehydration (OR= 12.1; CL=3.8, 38.5). Breastfed children < 2 years of age were at decreased risk of hospitalization (OR = 0.4; CL = 0.2, 0.7). At this major hospital in Lesotho, the standardization of outpatient treatment for diarrhoea with oral rehydration salts (ORS) in the context of an ORTU resulted in a marked decrease in diarrhoea-associated hospitalization and deaths in children < 5 years of age.
Формат application.pdf
Издатель Oxford University Press
Копирайт © International Epidemiological Association
Тема Original Articles
Название The Effective Case Management of Childhood Diarrhoea with Oral Rehydration Therapy in the Kingdom of Lesotho
Тип research-article
Electronic ISSN 1464-3685
Print ISSN 0300-5771
Журнал International Journal of Epidemiology
Том 19
Первая страница 1066
Последняя страница 1071
Аффилиация HATCH DOUGLAS L; Technical Support Division, International Health Program Office, Centers for Disease Control
Аффилиация VREULS RENE C; Department of Paediatrics, Queen Elizabeth II Hospital
Аффилиация TOOLE MICHAEL J; Technical Support Division, International Health Program Office, Centers for Disease Control; Masters of Public Health Program. Emory University
Аффилиация MOTEETEE MPOLAI MASEILA; Family Health Division, Ministry of Health
Аффилиация MONOANG IVY; Family Health Division, Ministry of Health
Аффилиация NGATANE CELINE M; Masters of Public Health Program. Emory University
Аффилиация GITTELMAN DAVID M; Combatting Childhood Communicable Diseases Project, US Agency for International Development
Аффилиация WALDMAN RONALD J; Technical Support Division, International Health Program Office, Centers for Disease Control
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