Sengupta B, Dasgupta S, Saha I, Mandal A K, Palodhi P K
NRS Medical College and Hospital, Calcutta.
J Indian Med Assoc. 1998 Apr;96(4):104-5, 108.
The performance of the Diarrhoeal Training cum Treatment Unit (DTTU) of NRS Medical College and Hospital, Calcutta, in a 2-year period was evaluated by record analysis. The study revealed that 73.6% cases out of a total 4349 could be successfully managed at the oral rehydration therapy (ORT) area and only 16.5% cases required indoor admission. Rest of the cases (9.9%) with "no dehydration" were sent home with advice. There were 84.7% cases out 3919 dehydration cases who could be successfully treated by ORT and only 15.3% required intravenous (i.v.) therapy. A definite decline was also evident in the proportion of diarrhoea cases requiring antibiotic therapy (13.5% in 1991 to 6.8% in 1992). The case fatality rate due to diarrhoea was 1.7% in 1992. Had all cases of diarrhoea with dehydration being admitted and treated with i.v. fluids and antibiotics, the estimated cost would have been Rs 14.2 lakhs, which with ORT, actually cost Rs 2.4 lakhs. Thus estimated total cost reduction was to the extent of Rs 11.8 lakhs in a 2-year period.
通过记录分析对加尔各答NRS医学院和医院腹泻培训与治疗单元（DTTU）在两年期间的表现进行了评估。研究显示，在总共4349例病例中，73.6%的病例可在口服补液疗法（ORT）区域得到成功处理，仅16.5%的病例需要住院治疗。其余“无脱水”的病例（9.9%）在给予建议后被送回家。在3919例脱水病例中，84.7%的病例可通过ORT成功治疗，仅15.3%的病例需要静脉注射治疗。需要抗生素治疗的腹泻病例比例也有明显下降（从1991年的13.5%降至1992年的6.8%）。1992年腹泻的病死率为1.7%。如果所有脱水腹泻病例都住院并用静脉输液和抗生素治疗，估计费用将达142万卢比，而采用ORT实际花费24万卢比。因此，估计在两年期间总共节省了118万卢比。
