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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Prevention and treatment strategies used for the community management of childhood fever in Kampala, Uganda.
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Prevention and treatment strategies used for the community management of childhood fever in Kampala, Uganda.

机译：乌干达坎帕拉用于儿童发烧社区管理的预防和治疗策略。

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To assess malaria-related prevention and treatment strategies in an urban parish of Kampala, Uganda, a questionnaire was administered to 339 randomly selected primary caregivers of children 1-10 years of age. Our study population was relatively stable and well educated, with better access to health services than many in Africa. Ownership of an insecticide-treated net (ITN) was reported by 11% of households and was predicted only by greater household wealth (highest quartile versus lowest quartile: odds ratio [OR] 21.8; 95% confidence interval [CI], 2.74-173). Among women, 5% reported use of an ITN and 11% used intermittent preventive therapy (IPT) during their last pregnancy. Use of appropriate IPT during pregnancy was predicted only by completion of secondary education or higher (OR, 2.87; 95% CI, 1.13-7.21). Children of 123 (36%) caregivers had experienced an episode of fever in the past 2 weeks. Of these, 22% received an anti-malarial that could be considered "adequate" (combination therapy or quinine). Only 1% of febrile children received adequate treatment at the correct dose within 24 hours of onset of fever. The only independent predictor of treatment with an adequate anti-malarial was accessing a clinic or hospital as the first source of care. In this urban area, use of appropriate malaria control measures occurs uncommonly.
机译：为了评估乌干达坎帕拉市一个教区与疟疾有关的预防和治疗策略，对339个随机选择的1-10岁儿童的主要看护人进行了问卷调查。我们的研究人群相对稳定且受过良好教育，与非洲许多人相比，能够更好地获得保健服务。据报道，有11％的家庭拥有经杀虫剂处理的网（ITN），但只有通过增加家庭财富（最高四分位数与最低四分位数：优势比[OR] 21.8; 95％置信区间[CI]，2.74-173）预测）。在妇女中，有5％的妇女报告在上一次怀孕期间使用了ITN，有11％的妇女使用了间歇性预防治疗（IPT）。仅在完成中学或更高学历时才预测在怀孕期间使用适当的IPT（OR，2.87; 95％CI，1.13-7.21）。在过去的2周中，有123名（36％）护理人员的孩子出现了发烧现象。其中，有22％的人接受了抗疟疾治疗，被认为是“足够的”（联合疗法或奎宁）。发烧后24小时内，只有1％的发热儿童以正确的剂量接受了适当的治疗。唯一有足够抗疟疾治疗的独立预测因素是前往诊所或医院作为第一护理来源。在这个城市地区，很少采取适当的疟疾控制措施。

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