Epidemic Intelligence Service and Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30329, USA.
Am J Trop Med Hyg. 2011 Dec;85(6):1134-40. doi: 10.4269/ajtmh.2011.11-0178.
We sought to determine factors associated with appropriate diarrhea case management in Kenya. We conducted a cross-sectional survey of caregivers of children < 5 years of age with diarrhea in rural Asembo and urban Kibera. In Asembo, 61% of respondents provided oral rehydration therapy (ORT), 45% oral rehydration solution (ORS), and 64% continued feeding. In Kibera, 75% provided ORT, 43% ORS, and 46% continued feeding. Seeking care at a health facility, risk perception regarding death from diarrhea, and treating a child with oral medications were associated with ORT and ORS use. Availability of oral medication was negatively associated. A minority of caregivers reported that ORS is available in nearby shops. In Kenya, household case management of diarrhea remains inadequate for a substantial proportion of children. Health workers have a critical role in empowering caregivers regarding early treatment with ORT and continued feeding. Increasing community ORS availability is essential to improving diarrhea management.
我们旨在确定与肯尼亚适当腹泻病例管理相关的因素。我们对农村 Asembo 和城市 Kibera 5 岁以下腹泻儿童的照顾者进行了横断面调查。在 Asembo，61%的受访者提供口服补液疗法（ORT），45%提供口服补液盐（ORS），64%继续喂养。在 Kibera，75%提供 ORT，43%提供 ORS，46%继续喂养。在卫生机构就诊、对腹泻死亡风险的认知以及给儿童服用口服药物与 ORT 和 ORS 的使用有关。口服药物的供应情况呈负相关。少数照顾者报告说附近的商店有 ORS。在肯尼亚，相当一部分儿童的家庭腹泻病例管理仍然不足。卫生工作者在鼓励照顾者及早使用 ORT 和继续喂养方面发挥着关键作用。增加社区 ORS 的供应对于改善腹泻管理至关重要。
