A STUDY ON THE RELATIONSHIP OF THE COMMONLY
ENCOUNTERED DISEASES IN PEDIATRIC WARD FOR 6 YEARS AND INTEGRATED
MANAGEMENT OF CHILDHOOD ILLNESS£¨IMCI)
Mai ZG,
Liang SX, Gu HL
The First
People¡¯s Hospital of Foshan City, Guangdong, China
Objective: With analysis of the
commonly encountered diseases in pediatric ward for 6 years, to explore the
role played by large hospital in integrated management of childhood illness
(IMCI).
Methods: From 1995-2000, 3 468
cases of pneumonia, diarrhea, malnutrition, measles and malaria (5
diseases), 1 week-5 years old, were hospitalized in pediatrics and
department of infection respectively. The case reports were analyzed
retrospectively.
Results: Of the 3468 cases,
62.14% and 34.08% were suffered from pneumonia and diarrhea respectively.
Only 3.03% of cases had malnutrition, which accounted for 62.12% in 557
cases of the 5 diseases diagnosed as complications (If the children
suffered from more then one kind of the 5 diseases, the diseases, except
for the first one, were diagnosed as complications). In the 1 week~2 months
cases hospitalized in pediatrics, the late neonatal hyperbilirubinemia
accounted for 43.78% and was the second cause of death, the delayed vitamin
K deficiency was the 3th cause of death. In the 2 months~5 years cases
hospitalized in pediatrics, the acute upper respiratory tract infection
accounted for 16.75%, the intracranial infection was the second cause of
death. The cases of the 5 diseases accounted for 21.61% and 2.08% in the
cases hospitalized in pediatrics and department of infection respectively
at the same time. The hospitalized cases accounted for 1.17% in the
outpatients in pediatrics.
Conclusions: In guangdong province,
China, IMCI must include late neonatal hyperbilirubinemia, delayed vitamin
K deficiency and acute upper respiratory tract infection, intracranial
infection in child of 1 week~2 months and 2 months~5 years respectively in
addition to pneumonia, diarrhea and malnutrition. To reducing the rate of
death, training the teaching staff and providing technique are the duty of
large hospital taken part in IMCI. It is necessary to make the outpatient
department more effective and strengthen the cooperation of pediatrics and
infection department.