Assessment of children for acute respiratory infections in hospital outpatients in Tanzania: what drives good practice?


Chandler, CI; Nadjm, B; Boniface, G; Juma, K; Reyburn, H; Whitty, CJ; (2008) Assessment of children for acute respiratory infections in hospital outpatients in Tanzania: what drives good practice? The American journal of tropical medicine and hygiene, 79 (6). pp. 925-32. ISSN 0002-9637

[img]
Preview
Text - Published Version
License:

Download (115kB) | Preview

Abstract

: Respiratory infections cause significant mortality in developing countries but are frequently undiagnosed. Reasons for this are unclear. We observed 1,081 outpatient consultations with patients less than five years of age in Tanzania. In 554 patients with cough or difficulty breathing, the absolute percentages examined were 5% for respiratory rate counted, 14% chest exposed, and 25% stethoscope used. Decisions to conduct particular examinations did appear to follow clinical logic, with odds ratios of 4.28 for counting respiratory rate (95% confidence interval [CI]=1.75-10.47), 2.57 for exposing the chest (95% CI=1.67-3.95), and 18.91 for using a stethoscope (95% CI=9.52-37.57) in patients with cough or difficulty breathing. Non-clinical variables, including salary level, were also associated with examinations, and history taking was more common among clinicians originating outside the hospital area. Although respiratory examinations are relatively more common in those with cough or difficulty breathing, the absolute rates are low and related to non-clinical and clinical factors.<br/>

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Faculty of Infectious and Tropical Diseases > Dept of Disease Control
Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 19052307
URI: http://researchonline.lshtm.ac.uk/id/eprint/6564

Statistics


Download activity - last 12 months
Downloads since deposit
211Downloads
312Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item