Burden of acute lower respiratory infection in children in Thailand in 2010: have we achieved the national target in under-five morbidity and mortality?
J Med Assoc Thai
; 95 Suppl 7: S87-96, 2012 Jul.
Article
en En
| MEDLINE
| ID: mdl-23130440
ABSTRACT
BACKGROUND:
National reports indicate that morbidity and mortality from pneumonia among Thai children has decreased dramatically since the turn of the millennia; notwithstanding, pneumonia remains the leading cause of admission and death in Thai children under five years of age.OBJECTIVE:
To assess the burden and pattern of acute lower respiratory infection in under-fives in Thailand from the health data in 2010. MATERIAL ANDMETHOD:
Information on respiratory infection using the ICD10 J09-J22 was evaluated for the number of OPD visits, admissions, mortality, monthly incidence and co-morbidities of the mortality.RESULTS:
73% of all OPD visits with ALRI were in under-fives one-fourth of whom required hospitalization. Pneumonia is the leading cause of both admissions and mortality (3.22% and 11.29/100,000 population for this age group, respectively). The highest mortality was in the first year of life (39/100,000). One-fourth of the children (168/639) died within 24 hours of admission and septicemia was the most common co-morbidity.CONCLUSION:
The respective morbidity and mortality of pneumonia in under-fives fell far short of national targets. To achieve these targets, many key aspects are needed; such as, strengthening the knowledge of healthcare personnel, the cost-effectiveness researches on the causative organism detection and the expanding coverage of the preventable-vaccine.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Infecciones del Sistema Respiratorio
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Med Assoc Thai
Año:
2012
Tipo del documento:
Article
País de afiliación:
Tailandia