Treating severe acute malnutrition seriously
Treating severe acute malnutrition seriously
复制标题
DOI：
10.1136/adc.2006.098327
复制
发表时间：
2007-05-01
影响因子：
5.2
通讯作者：
Collins, Steve
中科院分区：
文献类型：
--
作者：
Collins, Steve
严重急性营养不良（SAM）影响着大约1300万5岁以下的儿童，每年与1200万可预防的儿童死亡有关。在大多数发展中国家，治疗SAM的医院的病死率（CFR）保持在20-30%，需要护理的人中很少有人真正获得治疗。最近，以社区为基础的治疗护理（CTC）方案将大多数SAM病例仅作为门诊病人治疗，大大减少了CFR，增加了接受护理的人数。该中心使用即食食疗食品，旨在增加获得服务的机会，促进早期就诊和遵约，从而提高覆盖率和康复率。初步数据表明，这种以中心为基础和以社区为基础的护理相结合的做法具有成本效益，应纳入主流儿童生存方案。
Severe acute malnutrition (SAM) affects approximately 13 million children under the age of 5 and is associated with 1 2 million preventable child deaths each year. In most developing countries, case fatality rates (CFRs) in hospitals treating SAM remain at 20-30% and few of those requiring care actually access treatment. Recently, community-based therapeutic care (CTC) programmes treating most cases of SAM solely as outpatients have dramatically reduced CFRs and increased the numbers receiving care. CTC uses ready-to-use therapeutic foods and aims to increase access to services, promoting early presentation and compliance, thereby increasing coverage and recovery rates. Initial data indicate that this combination of centre-based and community-based care is cost effective and should be integrated into mainstream child survival programmes.