Improving antimicrobial use among health workers in first-level facilities: results from the multi-country evaluation of the Integrated Management of Childhood Illness strategy.
Improving antimicrobial use among health workers in first-level facilities: results from the multi-country evaluation of the Integrated Management of Childhood Illness strategy.
复制标题
改善一级机构卫生工作者抗菌药物的使用：儿童疾病综合管理战略多国评估的结果。
DOI：
10.1590/s0042-96862004000700008
复制
发表时间：
2004
影响因子：
11.1
通讯作者：
O. Fontaine
中科院分区：
文献类型：
--
作者：
E. Gouws;J. Bryce;J. Habicht;J. Amaral;G. Pariyo;J. Schellenberg;O. Fontaine
目的
本研究的目的是评估儿童疾病综合管理（IMCI）病例管理培训对在一级机构治疗幼儿的卫生保健工作者使用抗菌药物的影响。抗微生物药物是一种重要的儿童生存干预措施。确保需要这些药物的五岁以下儿童及时正确地获得这些药物可以挽救他们的生命。只有在必要时才开这些药物，并确保接受这些药物的人完成整个疗程，可以减缓抗菌素耐药性的发展。
方法
对通过在巴西、乌干达和坦桑尼亚联合共和国随机选择的一级保健设施进行的观察调查收集的数据进行了统计分析。这些调查是作为儿童疾病综合管理的有效性、成本和影响多国评价的一部分进行的。
结果
三个儿童监测中心的结果表明，接受过儿童疾病综合管理培训的卫生工作者护理的儿童比接受未经儿童疾病综合管理培训的卫生工作者护理的儿童更有可能获得正确的抗菌药物处方。他们也更有可能在离开卫生设施之前接受第一剂药物，让他们的护理人员建议如何服用药物，并让护理人员在离开卫生设施时能够正确描述如何在家中给药。
结论
儿童疾病综合管理病例管理培训是一项有效的干预措施，可改善低收入和中等收入国家前往一级保健设施就诊的患病儿童合理使用抗菌药物的情况。
OBJECTIVE
The objective of this study was to assess the effect of Integrated Management of Childhood Illness (IMCI) case management training on the use of antimicrobial drugs among health-care workers treating young children at first-level facilities. Antimicrobial drugs are an essential child-survival intervention. Ensuring that children younger than five who need these drugs receive them promptly and correctly can save their lives. Prescribing these drugs only when necessary and ensuring that those who receive them complete the full course can slow the development of antimicrobial resistance.
METHODS
Data collected through observation-based surveys in randomly selected first-level health facilities in Brazil, Uganda and the United Republic of Tanzania were statistically analysed. The surveys were carried out as part of the multi-country evaluation of IMCI effectiveness, cost and impact (MCE).
FINDINGS
Results from three MCE sites show that children receiving care from health workers trained in IMCI are significantly more likely to receive correct prescriptions for antimicrobial drugs than those receiving care from workers not trained in IMCI. They are also more likely to receive the first dose of the drug before leaving the health facility, to have their caregiver advised how to administer the drug, and to have caregivers who are able to describe correctly how to give the drug at home as they leave the health facility.
CONCLUSIONS
IMCI case management training is an effective intervention to improve the rational use of antimicrobial drugs for sick children visiting first-level health facilities in low-income and middle-income countries.
DOI：
--
发表时间：
--
期刊：
--
影响因子：
--
作者：
G. Jones;R. Steketee;G. Jones;R. Steketee;R. Black;Z. Bhutta;S. Morris;Bellagio Child;Survival Study Group
通讯作者：
G. Jones;R. Steketee;G. Jones;R. Steketee;R. Black;Z. Bhutta;S. Morris;Bellagio Child;Survival Study Group