scholarly journals TREATING A CHILD WITH COUGH OR DIFFICULTY IN BREATHING AT DISTRICT HOSPITALS

2004 ◽  
Vol 43 (153) ◽  
Author(s):  
Shiva Shrestha ◽  
P Bhattarai ◽  
M Sharma

Acute respiratory infections (ARI) are the commonest infections in children under the age of five years inNepal. An under five child will have 4-6 episodes of ARI per year in Nepal. ARI episode does not differmuch between developed and developing countries. Pneumonia is the commonest single cause that causesdeath in a child with respiratory infections in developing countries. Treating pneumonia is still confusing.This article re-visits the basic concept in the treatment of pneumonia.Key Words: Pneumonia, persistent, pneumonia, antibiotics, treatment.

2018 ◽  
Vol 7 (2.29) ◽  
pp. 491
Author(s):  
Yarmaliza Dan Marniati

Acute Respiratory Infections still menjdi major health problem in the world. According to the World Health Organization estimates that the incidence of acute respiratory infection in developing countries with under-five mortality above 40 per 1,000 live births is 15% - 20% per year in the toddler age group. About 13 million children under five in the world die each year and most of these deaths are in developing countries. Panga in the health center of the top 10 diseases, acute respiratory infections ranked first in the amount of 65% by the sheer number of infants 158. The aim of research to influence knowledge megetahui Mother and environmental conditions on the incidence of acute respiratory infections in Toddlers in Panga sub-district Puskesmas Panga Aceh Jaya 2014. this study is a descriptive analytic with cross sectional approach. The sampling technique using random sampling techniques, selected at random from each member of the population, an analysis of the data in this study using univariate and bivariate. The survey results revealed that mother's knowledge and environmental conditions affect the incidence of ARI in Toddlers (P <0.05).  


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110217
Author(s):  
Indah K. Murni ◽  
Endy P. Prawirohartono ◽  
Rina Triasih

Background. Vitamin C, E, D, A, zinc are considered to be essential in preventing and treating of acute respiratory infections (ARI) including COVID-19. Methods. We reviewed published studies evaluating the potential roles of these vitamin and zinc for ARIs and COVID-19 using Medline database, medRxiv, and bibliographic references. Results. Vitamins C, D, and E did not reduce incidence of common cold in general, but vitamin C reduced by half in population with physical and environment stresses. Vitamins C and E shortened duration and reduced severity of common cold. A large-dose vitamin A had no effect on recovery from pneumonia. Zinc improved clinical deterioration and pneumonia duration in under five. The effect on preventing COVID-19 morbidity and related-death was lacking. Conclusions. Although the effects of vitamins and zinc on ARIs including COVID-19 were inconclusive, taking these for a short period during pandemic may be beneficial when there is risks of deficiency.


1970 ◽  
Vol 31 (2) ◽  
pp. 116-120 ◽  
Author(s):  
Sita Ram Shrestha ◽  
B Yadhav ◽  
S Shresta

Background: Acute respiratory infections are major causes of morbidity and mortality in children in developing countries. It is estimated that 3.9 million children die annually from acute respiratary diseases and most of them in developing countries. In significant cases, wheeze is associated with Pneumonia. This study was done to find out the outcome of pneumonia patients admitted in the paediatric ward with wheeze and without wheeze in terms of hospital stay, age predominance, sex ratio, mortality and morbity of patients. Some comorbidies of patients were also studied, Methods: This was a retrospective study done in the paediatric ward of Patan Hospital from April-June 2004 to March-April 2006 AD with following inclusion and exclusion criteria. All the children presented to Emergency ward up to 14 years with symptoms and sign of pneumonia were included in the study(high grade fever with chills and rigor,cough,fast breathing,creps and wheeze in auscultation)Age more than 14 years,history of Asthma,Tuberculosis,Acute wheeze associated with cardiac problems were excluded from study.Pneumonia patients admitted not from Emergency department were also excluded from study. Pneumonia with wheeze, outcome, and the hospital stay were studied. The outcome was measured in terms of improvement, deterioration or death of patients. Co morbidities associated with Pneumonia were also studied. Results: Out of 4620 children admitted in pediatric ward eleven hundred and sixty four (Twenty five percent) cases were of pneumonia and among them two hundred eighty three(twenty four percent) had wheeze. Majority of patients with pneumonia having wheeze falls on age group in between 2 and 12 months, followed by 1-5 years. The male children were more frequently affected. The co morbidities were febrile seizure, acute gastroenteritis, sepsis and urinary tract infection. Conclusion: The children admitted in Paediatric ward with Pneumonia were eleven hundred and sixty four and with wheeze were two hundred and eight three. Among them male were more than females. Majority of patients falls on age group two to twelve months. and study showed that they had prolonged hospital stay in relation to without wheeze. Three percent of the cases had blood culture positive among eleven hundred and sixty four sample Key words: Acute respiratory infections (ARI); Wheeze; Paediatric ward; Sepsis; hospital stay. DOI: 10.3126/jnps.v31i2.4642 J Nep Paedtr Soc 2010;31(2):116-120  


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sielu Alemayehu ◽  
Kalayou Kidanu ◽  
Tensay Kahsay ◽  
Mekuria Kassa

Abstract Background Acute Respiratory infection accounts for 94,037000 disability adjusted life years and 1.9 million deaths worldwide. Acute respiratory infections is the most common causes of under-five illness and mortality. The under five children gets three to six episodes of acute respiratory infections annually regardless of where they live. Disease burden due to acute respiratory infection is 10–50 times higher in developing countries when compared to developed countries. The aim of this study was to assess risk factors of acute respiratory infection among under-five children attending Public hospitals in Southern Tigray, Ethiopia 2016/2017. Methods Institution based case control study was conducted from Nov 2016 to June 2017. Interviewer administered structured questionnaire was used to collect data from a sample of 288 (96 cases and 192 controls) children under 5 years of age. Systematic random sampling was used to recruit study subjects and SPSS version 20 was used to analyze the data. Bivariate and multivariate analysis were employed to examine statistical association between the outcome variable and selected independent variables at 95% confidence level. Level of statistical Significance was declared at p < 0.05. Tables, figures and texts were used to present data. Result One hundred sixty (55.6%) and 128 (44.4%) of the participants were males and females respectively. Malnutrition (AOR = 2.89; 95%CI: 1.584–8.951; p = 0.039), cow dung use (AOR =2.21; 95%CI: 1.121–9.373; p = 0.014), presence of smoker in the family (AOR = 0.638; 95% CI: 0.046–0.980; p = 0.042) and maternal literacy (AOR = 3.098; 95%CI: 1.387–18.729; p = 0.021) were found to be significant predictors of acute respiratory infection among under five children. Conclusion According to this study maternal literacy, smoking, cow dung use and nutritional status were strongly associated with increased risk of childhood acute respiratory infection. Health care providers should work jointly with the general public, so that scientific knowledge and guidelines for adopting particular preventive measures for acute respiratory infection are disseminated.


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