病例管理在低出生体重儿急性呼吸道感染控制中的应用：一项可行性研究。
Application of case management to the control of acute respiratory infections in low-birth-weight infants: a feasibility study.
作者信息
Datta N, Kumar V, Kumar L, Singhi S
出版信息
Bull World Health Organ. 1987;65(1):77-82.
The feasibility of introducing a case management programme for acute respiratory infections among low-birth-weight infants at the primary health care level was investigated in 37 villages in the Indian state of Haryana. Twenty-one of the villages served as the intervention area, while the remaining 16 formed the control area. All low-birth-weight infants born in the two areas between January 1982 and September 1983 (199 in the intervention area and 211 in the control area) were included in the study. Primary health care workers were contacted in 38% of episodes of acute respiratory infections in the intervention area, in contrast to only 1% of episodes in the control area. Also, the mean duration of infections in the intervention area was significantly lower (P<0.01), while the case fatality was about 33% of that in the control area. The results indicate that the programme can be successfully incorporated into existing primary health care infrastructures.
在印度哈里亚纳邦的37个村庄中，对在初级卫生保健层面为低体重婴儿引入急性呼吸道感染病例管理项目的可行性进行了调查。其中21个村庄作为干预区，其余16个村庄构成对照区。研究纳入了1982年1月至1983年9月期间在这两个区域出生的所有低体重婴儿（干预区199名，对照区211名）。在干预区，38%的急性呼吸道感染发作病例联系了初级卫生保健工作者，而对照区仅有1%的发作病例联系了初级卫生保健工作者。此外，干预区感染的平均持续时间显著更短（P<0.01），而病死率约为对照区的33%。结果表明，该项目能够成功纳入现有的初级卫生保健基础设施。
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