认真对待重度急性营养不良。
Treating severe acute malnutrition seriously.
作者信息
Collins Steve
机构信息
Centre for International Health and Development and Valid International Ltd, Unit 14 Standingford House, 26 Cave Street, Oxford OX4 1BA, UK.
出版信息
Arch Dis Child. 2007 May;92(5):453-61. doi: 10.1136/adc.2006.098327.
Abstract
Severe acute malnutrition (SAM) affects approximately 13 million children under the age of 5 and is associated with 1-2 million preventable child deaths each year. In most developing countries, case fatality rates (CFRs) in hospitals treating SAM remain at 20-30% and few of those requiring care actually access treatment. Recently, community-based therapeutic care (CTC) programmes treating most cases of SAM solely as outpatients have dramatically reduced CFRs and increased the numbers receiving care. CTC uses ready-to-use therapeutic foods and aims to increase access to services, promoting early presentation and compliance, thereby increasing coverage and recovery rates. Initial data indicate that this combination of centre-based and community-based care is cost effective and should be integrated into mainstream child survival programmes.
摘要
重度急性营养不良影响着约1300万5岁以下儿童，每年导致100万至200万例可预防的儿童死亡。在大多数发展中国家，治疗重度急性营养不良的医院病死率仍为20%-30%，而需要治疗的患者中很少有人能真正获得治疗。最近，主要将大多数重度急性营养不良病例作为门诊治疗的社区治疗护理（CTC）项目显著降低了病死率，并增加了接受治疗的人数。社区治疗护理使用即食治疗食品，旨在增加服务可及性，促进早就诊和依从性，从而提高覆盖率和康复率。初步数据表明，这种基于中心和基于社区的护理相结合具有成本效益，应纳入儿童生存主流项目。
相似文献
1
Treating severe acute malnutrition seriously.认真对待重度急性营养不良。
Arch Dis Child. 2007 May;92(5):453-61. doi: 10.1136/adc.2006.098327.
2
Management of severe acute malnutrition in children.儿童重度急性营养不良的管理
Lancet. 2006 Dec 2;368(9551):1992-2000. doi: 10.1016/S0140-6736(06)69443-9.
3
Key issues in the success of community-based management of severe malnutrition.重度营养不良社区管理成功的关键问题。
Food Nutr Bull. 2006 Sep;27(3 Suppl):S49-82. doi: 10.1177/15648265060273S304.
4
Barriers to access for severe acute malnutrition treatment services in Pakistan and Ethiopia: a comparative qualitative analysis.巴基斯坦和埃塞俄比亚严重急性营养不良治疗服务的获取障碍：一项比较性定性分析。
Public Health Nutr. 2015 Jul;18(10):1873-82. doi: 10.1017/S1368980014002444.
5
The promise of a community-based approach to managing severe malnutrition: A case study from Ethiopia.基于社区管理重度营养不良的前景：埃塞俄比亚的一个案例研究
Food Nutr Bull. 2006 Jun;27(2):95-104. doi: 10.1177/156482650602700201.
6
Cost-effectiveness of community-based treatment of severe acute malnutrition in children.以社区为基础治疗儿童严重急性营养不良的成本效益。
Expert Rev Pharmacoecon Outcomes Res. 2010 Oct;10(5):605-12. doi: 10.1586/erp.10.54.
7
Combined Protocol for Acute Malnutrition Study (ComPAS) in rural South Sudan and urban Kenya: study protocol for a randomized controlled trial.南苏丹农村和肯尼亚城市急性营养不良研究联合方案（ComPAS）：一项随机对照试验的研究方案
Trials. 2018 Apr 24;19(1):251. doi: 10.1186/s13063-018-2643-2.
8
The effectiveness of interventions to treat severe acute malnutrition in young children: a systematic review.干预措施治疗幼儿严重急性营养不良的效果：系统评价。
Health Technol Assess. 2012;16(19):1-316. doi: 10.3310/hta16190.
9
Uptake of HIV testing and outcomes within a Community-based Therapeutic Care (CTC) programme to treat severe acute malnutrition in Malawi: a descriptive study.马拉维一项基于社区的治疗性护理（CTC）项目中用于治疗重度急性营养不良的HIV检测情况及结果：一项描述性研究
BMC Infect Dis. 2008 Jul 31;8:106. doi: 10.1186/1471-2334-8-106.
10
The sustainability of community-based therapeutic care (CTC) in nonemergency contexts.非紧急情况下基于社区的治疗性照护（CTC）的可持续性。
Food Nutr Bull. 2006 Sep;27(3 Suppl):S90-8. doi: 10.1177/15648265060273S306.
引用本文的文献
1
Exploring current barriers and enablers of severe acute malnutrition management among children (6-59 months): perspectives from health professionals in northern Ghana.探索6至59个月儿童严重急性营养不良管理的当前障碍与促进因素：来自加纳北部卫生专业人员的观点
BMC Nutr. 2025 May 6;11(1):90. doi: 10.1186/s40795-025-01075-5.
2
Recovery rate of sever acute malnutrition and its predictors among children admitted to therapeutic feeding unit in Northcentral Ethiopia.埃塞俄比亚中北部治疗喂养单位收治儿童的重度急性营养不良康复率及其预测因素
Sci Rep. 2025 Apr 28;15(1):14767. doi: 10.1038/s41598-025-98582-z.
3
Estimating program coverage in the treatment of acute malnutrition using population-based cluster survey methods: results from surveys in Burkina Faso, Chad, Democratic Republic of the Congo, and Niger.使用基于人群的整群抽样调查方法估算急性营养不良治疗项目的覆盖情况：布基纳法索、乍得、刚果民主共和国和尼日尔的调查结果
Front Public Health. 2025 Mar 25;13:1513567. doi: 10.3389/fpubh.2025.1513567. eCollection 2025.
4
Effectiveness of a nonweight-based daily dosage of ready-to-use therapeutic food in children suffering from uncomplicated severe acute malnutrition: A nonrandomized, noninferiority analysis of programme data in Afghanistan.未基于体重的即食治疗食品日剂量对患有不伴有并发症的严重急性营养不良儿童的有效性：阿富汗方案数据的非随机、非劣效性分析。
Matern Child Nutr. 2024 Jul;20(3):e13641. doi: 10.1111/mcn.13641. Epub 2024 Apr 16.
5
Caregivers' socio-cultural influences on health-seeking behavior for their wasted children among forcibly displaced Myanmar Nationals and their nearest host communities.在被迫流离失所的缅甸国民及其最近的收容社区中，照顾者的社会文化因素对其消瘦儿童寻求医疗行为的影响。
Front Nutr. 2023 Nov 30;10:1252657. doi: 10.3389/fnut.2023.1252657. eCollection 2023.
6
Costs and cost-effectiveness of treatment setting for children with wasting, oedema and growth failure/faltering: A systematic review.消瘦、水肿及生长发育不良/迟缓儿童治疗环境的成本及成本效益：一项系统评价
PLOS Glob Public Health. 2023 Nov 8;3(11):e0002551. doi: 10.1371/journal.pgph.0002551. eCollection 2023.
7
Pathways and approaches for scaling-up of community-based management of acute malnutrition programs through the lens of complex adaptive systems in South Sudan.以南苏丹复杂适应系统为视角扩大社区急性营养不良管理项目的途径与方法
Arch Public Health. 2022 Sep 5;80(1):203. doi: 10.1186/s13690-022-00934-y.
8
Cure rate and associated factors for children 6-59 months with severe acute malnutrition under the out patient therapeutic care programme in the health centres of Kabale District in Southwestern Uganda: a cross sectional study.乌干达西南部卡巴莱区健康中心门诊治疗护理项目下6至59个月重度急性营养不良儿童的治愈率及相关因素：一项横断面研究
BMC Nutr. 2022 Jul 22;8(1):67. doi: 10.1186/s40795-022-00560-5.
9
Nutrition status and morbidity of Ethiopian children after recovery from severe acute malnutrition: Prospective matched cohort study.严重急性营养不良儿童康复后的营养状况和发病情况：前瞻性匹配队列研究。
PLoS One. 2022 Mar 10;17(3):e0264719. doi: 10.1371/journal.pone.0264719. eCollection 2022.
10
Accuracy of Using Mid-Upper Arm Circumference to Detect Wasting Among Children Aged 6-59 Months in Nepal.使用上臂中部周径检测尼泊尔 6-59 月龄儿童消瘦的准确性。
Glob Health Sci Pract. 2021 Dec 21;9(4):881-889. doi: 10.9745/GHSP-D-20-00450. Print 2021 Dec 31.
本文引用的文献
1
The sphere project: the humanitarian charter and minimum standards in disaster response: introduction.球体项目：人道主义宪章及灾害应对最低标准：引言
Disasters. 2004 Jun;28(2):99. doi: 10.1111/j.0361-3666.2004.00245.x.
2
Key issues in the success of community-based management of severe malnutrition.重度营养不良社区管理成功的关键问题。
Food Nutr Bull. 2006 Sep;27(3 Suppl):S49-82. doi: 10.1177/15648265060273S304.
3
A review of methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs.关于在社区中检测重度营养不良儿童病例以便其纳入社区治疗护理项目的方法综述。
Food Nutr Bull. 2006 Sep;27(3 Suppl):S7-23. doi: 10.1177/15648265060273S302.
4
Crisis in Niger--outpatient care for severe acute malnutrition.尼日尔的危机——重度急性营养不良的门诊治疗
N Engl J Med. 2006 Jan 19;354(3):224-7. doi: 10.1056/NEJMp058240.
5
Assessment of severe malnutrition among hospitalized children in rural Kenya: comparison of weight for height and mid upper arm circumference.肯尼亚农村地区住院儿童严重营养不良的评估：身高别体重与上臂中部周长的比较
JAMA. 2005 Aug 3;294(5):591-7. doi: 10.1001/jama.294.5.591.
6
Home-based therapy with ready-to-use therapeutic food is of benefit to malnourished, HIV-infected Malawian children.对马拉维感染艾滋病毒的营养不良儿童而言，使用即食治疗性食品进行居家治疗有益处。
Acta Paediatr. 2005 Feb;94(2):222-5. doi: 10.1111/j.1651-2227.2005.tb01895.x.
7
Comparison of home-based therapy with ready-to-use therapeutic food with standard therapy in the treatment of malnourished Malawian children: a controlled, clinical effectiveness trial.在家中使用即食治疗性食品治疗马拉维营养不良儿童与标准治疗的比较：一项对照临床疗效试验。
Am J Clin Nutr. 2005 Apr;81(4):864-70. doi: 10.1093/ajcn/81.4.864.
8
A field trial of a survey method for estimating the coverage of selective feeding programmes.一种用于估计选择性喂养计划覆盖率的调查方法的现场试验。
Bull World Health Organ. 2005 Jan;83(1):20-6. Epub 2005 Jan 21.
9
Home-based treatment of malnourished Malawian children with locally produced or imported ready-to-use food.使用本地生产或进口的即食食品对马拉维营养不良儿童进行居家治疗。
J Pediatr Gastroenterol Nutr. 2004 Aug;39(2):141-6. doi: 10.1097/00005176-200408000-00003.
10
Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles.营养不良是与腹泻、肺炎、疟疾和麻疹相关的儿童死亡的一个潜在原因。
Am J Clin Nutr. 2004 Jul;80(1):193-8. doi: 10.1093/ajcn/80.1.193.
Zotero 插件