Faruque A S, Eusof A, Rahman A S, Zaman K
Bangladesh Med Res Counc Bull. 1984 Dec;10(2):45-52.
This is a report on the study of utilization pattern of a makeshift hospital during a major cholera outbreak, by analyzing data on dehydration status, distance covered, number of deaths averted, and operation-wise comparison with other permanent facilities. To avoid unnecessary deaths due to dehydration and to ensure prompt and adequate care to suddenly accumulated debilitated patients, the makeshift hospital intervened. Subsequent to the intervention, a gradual reduction in patient admissions and cholera case accumulations was noted. Nearly half the cholera cases attending the makeshift hospital came from relatively far (13 + miles). The reporting of the majority (72%) of cholera patients with none-to-mild dehydration indicates an increased awareness of the need for early treatment during a cholera outbreak. Early attendance of diarrhoeal patients probably saved more patients by preventing shock and complications. Para-professionals given a short training accomplished similar efficacy as in a permanent facility. Nearer the affected areas, a simple but effective temporary facility is more effective than a sophisticated facility which is further away and takes several hours to reach, with risk to patients.
这是一份关于在一次重大霍乱疫情期间对一家临时医院使用模式的研究报告，通过分析脱水状况、就诊距离、避免死亡人数以及与其他永久性设施按业务进行的比较等数据得出。为避免因脱水导致不必要的死亡，并确保对突然增多的虚弱患者进行及时、充分的护理，临时医院进行了干预。干预后，患者入院人数和霍乱病例累积数逐渐减少。在临时医院就诊的霍乱病例中，近一半来自相对较远的地方（13英里以上）。大多数（72%）霍乱患者报告为无脱水至轻度脱水，这表明在霍乱疫情期间对早期治疗必要性的认识有所提高。腹泻患者的早期就诊可能通过预防休克和并发症挽救了更多患者。接受短期培训的非专业人员取得了与永久性设施类似的效果。在受灾地区附近，一个简单但有效的临时设施比一个复杂但距离较远且需要数小时才能到达、对患者有风险的设施更有效。
