Shimouchi A, Yaohua D, Zhonghan Z, Rabukawaqa V B
Department of Preventive Medicine, Kyoto Prefectural University of Medicine, Japan.
Clin Infect Dis. 1995 Dec;21 Suppl 3:S213-17. doi: 10.1093/clind/21.supplement_3.s213.
This article summarizes the implementation and efficacy of the World Health Organization's standard case management program for pediatric pneumonia in three counties in China and in the Western Division of Fiji. The information provided through this program was simple enough to be understood by parents and health care workers with a basic educational background. The program reduced mortality from pneumonia even when implemented through the existing health care system in a relatively poor county in China. The factors important in the success of the program included improved recognition of the signs of childhood pneumonia by parents, earlier presentation of children with these signs to health care facilities, availability of antimicrobial agents at the primary health care level, and rational decisions by health care workers about the use of these agents.
本文总结了世界卫生组织针对中国三个县及斐济西部行政区儿童肺炎的标准病例管理项目的实施情况和成效。通过该项目提供的信息简单易懂，具有基础教育背景的家长和医护人员都能理解。即使在中国一个相对贫困的县通过现有的医疗体系实施该项目，肺炎死亡率也有所降低。该项目成功的重要因素包括家长对儿童肺炎症状的识别能力提高、出现这些症状的儿童更早前往医疗机构就诊、基层医疗保健机构有抗菌药物供应以及医护人员对这些药物使用的合理决策。
