RESUMO
In the first 2 years following refresher training of paediatric staff in oral rehydration therapy (ORT) and the establishment of an oral rehydration unit at the Kamuzu Central Hospital, Lilongwe, Malawi, there was a 50% decrease in the number of children admitted to the paediatric ward with the diagnosis of diarrhoeal diseases, a 56% decrease in the use of intravenous fluid to rehydrate such children, a threefold increase in the use of oral rehydration salts (ORS) exclusively to rehydrate children with mild or moderate dehydration, and a 39% decrease in the number of paediatric deaths associated with diarrhoeal diseases. Over the same period, there was a 32% decrease in recurrent hospital costs attributable to paediatric diarrhoeal diseases. As use of ORT continues to increase in Malawi, where diarrhoeal diseases account for 9% of paediatric hospital admissions, there should be considerable decreases in mortality from such diseases and concomitant increases in cost savings attributable to them.
PIP: In the 1st 2 years following refresher training of pediatric staff in oral rehydration therapy (ORT) and the establishment of an oral rehydration unit at the Kamuzu Central Hospital, Lilongwe, Malawi, there was a 50% decrease in the number of children admitted to the pediatric ward with the diagnosis of diarrheal diseases, a 56% decrease in the use of intravenous fluid to rehydrate such children, a 3-fold increase in the use of oral rehydration salts exclusively to rehydrate children with mild or moderate dehydration, and a 39% decrease in the number of pediatric deaths associated with diarrheal diseases. Over the same period, there was a 32% decrease in recurrent hospital costs attributable to pediatric diarrheal diseases. As use of ORT continues to increase in Malawi, where diarrheal diseases account for 9% of pediatric hospital admissions, there should be considerable decreases in mortality from such diseases and concomitant increases in cost savings attributable to them. (author's)
Assuntos
Diarreia Infantil/terapia , Hidratação , Pré-Escolar , Custos e Análise de Custo , Diarreia Infantil/mortalidade , Feminino , Hidratação/economia , Hospitalização , Humanos , Lactente , Recém-Nascido , Malaui , Masculino , PrognósticoRESUMO
In the first 2 years following refresher training of paediatric staff in oral rehydration therapy (ORT) and the establishment of an oral rehydration unit at the Kamuzu Central Hospital; Lilongwe; Malawi; there was a 50 percent decrease in the number of children admitted to the paediatric ward with the diagnosis of diarrhoeal diseases; a 56 percent decrease in the use of intravenous fluid to rehydrate such children; a threefold increase in the use of oral rehydration salts (ORS) exclusively to rehydrate children with mild or moderate dehydration; and a 39 percent decrease in the number of paediatric deaths associated with diarrhoeal diseases. Over the same period; there was a 32 percent decrease in recurrent hospital costs attributable to paediatric diarrhoeal diseases. As use of ORT continues to increase in Malawi; where diarrhoeal diseases account for 9 percent of paediatric hospital admissions; there should be considerable decreases in mortality from such diseases and concomitant increases in cost savings attributable to them
Assuntos
Diarreia , HidrataçãoRESUMO
The Control of Diarrhoeal Diseases [CCD] Programme was started in 1981 and is fully integrated within the network of maternal and child health [MCH] and primary health care [PHC] infrastructure. Activities include promotion of environmental sanitation and oral rehydration therapy [ORT]
Assuntos
DiarreiaRESUMO
After the first two years after refresher training of pediatric staff in oral rehydration therapy [ORT] and the establishment of an oral rehydration unit at Kamuzu Central Hospital [KCH]; Lilongwe; there was a 50 percent decrease in the number of children admitted to the pediatric ward with the diagnosis of diarrheal disease; a 56 percent decrease in the use of intravenous fluid for rehydration of children hospitalized with diarrheal disease and a 70 percent increase in the use of oral rehydration salts [ORS] exclusively to rehydrate children with mild or moderate dehydration
Assuntos
Diarreia , HidrataçãoRESUMO
The CCD programme became fully operational in Malawi during 1985; when oral rehydration therapy units were established in all hospital out-patient departments. National hospital reporting during 1985 showed a statistically significant decrease in admissions due to diarrheal diseases nationwide probably as a result of the establishment of the ORT units