%0 Journal Article
%T Diagnosis and management of febrile children using the WHO/UNICEF guidelines for IMCI in Dhaka, Bangladesh
%A Factor
%A S.H.
%A Schillinger
%A J.A.
%A Kalter
%A H.D.
%A Saha
%A S.
%A Begum
%A H.
%A Hossain
%A A.
%A Hossain
%A M.
%A Dewitt
%A V.
%A Hanif
%A M.
%A Khan
%A N.
%A Perkins
%A B.
%A Black
%A R.E.
%A Schwartz
%A B.
%J Bulletin of the World Health Organization
%D 2001
%I World Health Organization
%R 10.1590/S0042-96862001001200005
%X objective: to determine whether the fever module in the who/unicef guidelines for the integrated management of childhood illness (imci) identifies children with bacterial infections in an area of low malaria prevalence. methods: physicians assessed a systematic sample of 669 sick children aged 2-59 months who presented to the outpatient department of dhaka shishu hospital, bangladesh. findings: had imci guidelines been used to evaluate the children, 78% of those with bacterial infections would have received antibiotics: the majority of children with meningitis (100%), pneumonia (95%), otitis media (95%) and urinary tract infection (83%); and 50% or less of children with bacteraemia (50%), dysentery (48%), and skin infections (30%). the current fever module identified only one additional case of meningitis. children with bacteraemia were more likely to be febrile, feel hot, and have a history of fever than those with dysentery and skin infections. fever combined with parental perception of fast breathing provided a more sensitive fever module for the detection of bacteraemia than the current imci module. conclusions: in an area of low malaria prevalence, the imci guidelines provide antibiotics to the majority of children with bacterial infections, but improvements in the fever module are possible.
%K fever [drug therapy]
%K bacterial infections [diagnosis]
%K bacterial infections [drug therapy]
%K meningitis
%K bacterial [diagnosis]
%K meningitis
%K bacterial [drug therapy]
%K pneumonia
%K bacterial [diagnosis]
%K pneumonia
%K bacterial [drug therapy]
%K otitis media [diagnosis]
%K otitis media [drug therapy]
%K urinary tract infections [diagnosis]
%K urinary tract infections [drug therapy]
%K bacteremia [diagnosis]
%K bacteremia [drug therapy]
%K dysentery [diagnosis]
%K dysentery [drug therapy]
%K skin diseases
%K infectious [diagnosis]
%K skin diseases
%K infectious [drug therapy]
%K malaria [diagnosis]
%K antibiotic prophylaxis [utilization]
%K child
%K delivery of health care
%K integrated
%K guidelines
%K evaluation studies
%K bangladesh.
%U http://www.scielosp.org/scielo.php?script=sci_abstract&pid=S0042-96862001001200005&lng=en&nrm=iso&tlng=en