2010
DOI: 10.1542/peds.2009-3631
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Randomized Controlled Trial of Day Care Versus Hospital Care of Severe Pneumonia in Bangladesh

Abstract: Severe childhood pneumonia without severe malnutrition can be successfully managed at day care clinics, except for children with hypoxemia who require prolonged oxygen therapy.

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Cited by 22 publications
(30 citation statements)
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“…Similarly, in a pediatric outpatient and emergency unit in Malawi, directed trainings based on IMCI to improve triage and emergency care resulted in streamlined healthcare delivery and a 10% decrease in pediatric in‐hospital mortality . Modifications of IMCI have also been shown to improve pneumonia outcomes when implemented in the community setting . Moreover, economic analyses have found IMCI protocolized care to be cost effective and comparable to preventive interventions such as routine childhood pneumococcal conjugate immunization .…”
Section: Syndromic Management Of Sick Children In Resource‐limited Sementioning
confidence: 99%
“…Similarly, in a pediatric outpatient and emergency unit in Malawi, directed trainings based on IMCI to improve triage and emergency care resulted in streamlined healthcare delivery and a 10% decrease in pediatric in‐hospital mortality . Modifications of IMCI have also been shown to improve pneumonia outcomes when implemented in the community setting . Moreover, economic analyses have found IMCI protocolized care to be cost effective and comparable to preventive interventions such as routine childhood pneumococcal conjugate immunization .…”
Section: Syndromic Management Of Sick Children In Resource‐limited Sementioning
confidence: 99%
“…In a recent trial in Bangladesh [56], children (2-59 months old) with severe pneumonia (WHO criteria) but without severe malnutrition and/or other complications, were randomized to be treated with injectable ceftriaxone either as 'day-care' or hospitalized. After treatment, both groups had comparable duration of symptoms, oxygen therapy and duration of stay; suggesting that severe pneumonia without malnutrition could be managed as day-care without admission.…”
Section: Choice Of Antibioticmentioning
confidence: 99%
“…Most children with CAP can be treated with oral therapy (Addo-Yobo et al, 2004). WHO recommends home care for cases that are not 'severe' including those with chest indrawing, though randomized trial evidence for the safe home treatment of pneumonia with chest indrawing is largely from South Asia (Ashraf et al, 2010;Hazir et al, 2008) and further evidence from elsewhere, notably Africa, would be beneficial.…”
Section: Managementmentioning
confidence: 99%