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A case report on management of severe childhood pneumonia in low resource settings

Pneumonia is a major cause of child mortality among children under five years, worldwide. Pneumonia infection may be caused by bacteria, viruses, or fungi in single or in both lungs. According to recent criteria developed by World Health Organization (WHO) in September (2013), pneumonia can be class...

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Detalles Bibliográficos
Autores principales: Jahan, Yasmin, Rahman, Atiqur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129689/
https://www.ncbi.nlm.nih.gov/pubmed/30211000
http://dx.doi.org/10.1016/j.rmcr.2018.08.024
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author Jahan, Yasmin
Rahman, Atiqur
author_facet Jahan, Yasmin
Rahman, Atiqur
author_sort Jahan, Yasmin
collection PubMed
description Pneumonia is a major cause of child mortality among children under five years, worldwide. Pneumonia infection may be caused by bacteria, viruses, or fungi in single or in both lungs. According to recent criteria developed by World Health Organization (WHO) in September (2013), pneumonia can be classified into severe pneumonia, pneumonia and no pneumonia. Most of the deaths occur from severe pneumonia and management of severe childhood pneumonia requires early identification, prompt referral and the availability of intensive quality of care. This case study aimed to represent the actual scenario of severe childhood pneumonia case management at community clinic. Considering that circumstances, International Centre for Diarrheal Disease Research, Bangladesh (icddr,b) developed an innovative day care management approach as safe, effective and less expensive alternative to hospital management of severe childhood pneumonia. A twenty-seven months old boy came to the Health & Family Welfare Centre (HFWC) with severe breathing difficulty, cough, history of fever. The management described below was continued daily until there was clinical improvement; no fever, no fast breathing, no lower chest wall indrawing, no danger signs, no rales on auscultation and no hypoxemia. Considering the WHO case management protocol for severe pneumonia, day care management approach on community clinic recommends that diagnosis of severe pneumonia should be based primarily on visible clinical parameters. On that basis, severe childhood pneumonia can be successfully managed at community clinics including for children with hypoxemia who is required prolong (4–6 hours) oxygen therapy.
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spelling pubmed-61296892018-09-12 A case report on management of severe childhood pneumonia in low resource settings Jahan, Yasmin Rahman, Atiqur Respir Med Case Rep Case Report Pneumonia is a major cause of child mortality among children under five years, worldwide. Pneumonia infection may be caused by bacteria, viruses, or fungi in single or in both lungs. According to recent criteria developed by World Health Organization (WHO) in September (2013), pneumonia can be classified into severe pneumonia, pneumonia and no pneumonia. Most of the deaths occur from severe pneumonia and management of severe childhood pneumonia requires early identification, prompt referral and the availability of intensive quality of care. This case study aimed to represent the actual scenario of severe childhood pneumonia case management at community clinic. Considering that circumstances, International Centre for Diarrheal Disease Research, Bangladesh (icddr,b) developed an innovative day care management approach as safe, effective and less expensive alternative to hospital management of severe childhood pneumonia. A twenty-seven months old boy came to the Health & Family Welfare Centre (HFWC) with severe breathing difficulty, cough, history of fever. The management described below was continued daily until there was clinical improvement; no fever, no fast breathing, no lower chest wall indrawing, no danger signs, no rales on auscultation and no hypoxemia. Considering the WHO case management protocol for severe pneumonia, day care management approach on community clinic recommends that diagnosis of severe pneumonia should be based primarily on visible clinical parameters. On that basis, severe childhood pneumonia can be successfully managed at community clinics including for children with hypoxemia who is required prolong (4–6 hours) oxygen therapy. Elsevier 2018-09-06 /pmc/articles/PMC6129689/ /pubmed/30211000 http://dx.doi.org/10.1016/j.rmcr.2018.08.024 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Jahan, Yasmin
Rahman, Atiqur
A case report on management of severe childhood pneumonia in low resource settings
title A case report on management of severe childhood pneumonia in low resource settings
title_full A case report on management of severe childhood pneumonia in low resource settings
title_fullStr A case report on management of severe childhood pneumonia in low resource settings
title_full_unstemmed A case report on management of severe childhood pneumonia in low resource settings
title_short A case report on management of severe childhood pneumonia in low resource settings
title_sort case report on management of severe childhood pneumonia in low resource settings
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129689/
https://www.ncbi.nlm.nih.gov/pubmed/30211000
http://dx.doi.org/10.1016/j.rmcr.2018.08.024
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