Differences in diagnosis, management, and outcomes of acute febrile illness by health facility level in southern Ethiopia.
Sci Rep
; 12(1): 19166, 2022 11 10.
Article
em En
| MEDLINE
| ID: mdl-36357441
ABSTRACT
We assessed the diagnosis, management and outcomes of acute febrile illness in a cohort of febrile children aged under 5 years presenting at one urban and two rural health centres and one tertiary hospital between 11 August 2019 and 01 November 2019. Pneumonia was diagnosed in 104 (30.8%) of 338 children at health centres and 128 (65.0%) of 197 at the hospital (p < 0.001). Malaria was detected in 33 (24.3%) of 136 children at the urban health centre, and in 55 (55.6%) of 99 and 7 (7.4%) of 95 children at the rural health centres compared to 11 (11.6%) of 95 at the hospital. Antibacterials were prescribed to 20 (11.5%) of 174 children without guidelines-specified indications (overprescribing) at health centres and in 7 (33.3%) of 21 children at the hospital (p = 0.013). Antimalarials were overprescribed to 13 (7.0%) of 185 children with negative malaria microscopy at the hospital. The fever resolved by day 7 in 326 (99.7%) of 327 children at health centres compared to 177 (93.2%) of 190 at the hospital (p < 0.001). These results suggest that additional guidance to health workers is needed to optimise the use of antimicrobials across all levels of health facilities.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Malária
/
Antimaláricos
Tipo de estudo:
Diagnostic_studies
/
Guideline
Limite:
Child
/
Humans
/
Infant
País como assunto:
Africa
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article