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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Community case management of childhood diarrhea in a setting with declining use of oral rehydration therapy: findings from cross-sectional studies among primary household caregivers, Kenya, 2007.
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Community case management of childhood diarrhea in a setting with declining use of oral rehydration therapy: findings from cross-sectional studies among primary household caregivers, Kenya, 2007.

机译：在口服补液疗法使用减少的情况下，儿童腹泻的社区病例管理：2007年，肯尼亚主要家庭护理人员的横断面研究结果。

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摘要

We sought to determine factors associated with appropriate diarrhea case management in Kenya. We conducted a cross-sectional survey of caregivers of children < 5 years of age with diarrhea in rural Asembo and urban Kibera. In Asembo, 61% of respondents provided oral rehydration therapy (ORT), 45% oral rehydration solution (ORS), and 64% continued feeding. In Kibera, 75% provided ORT, 43% ORS, and 46% continued feeding. Seeking care at a health facility, risk perception regarding death from diarrhea, and treating a child with oral medications were associated with ORT and ORS use. Availability of oral medication was negatively associated. A minority of caregivers reported that ORS is available in nearby shops. In Kenya, household case management of diarrhea remains inadequate for a substantial proportion of children. Health workers have a critical role in empowering caregivers regarding early treatment with ORT and continued feeding. Increasing community ORS availability is essential to improving diarrhea management.
机译：我们试图确定与肯尼亚适当的腹泻病例管理相关的因素。我们对Asembo农村地区和Kibera农村地区5岁以下腹泻儿童的照顾者进行了横断面调查。在Asembo中，有61％的受访者提供了口服补液疗法（ORT），45％的口服补液溶液（ORS）和64％的持续喂养。在Kibera，有75％的人提供ORT，43％的ORS和46％的继续喂养。在医疗机构寻求护理，腹泻致死的风险感知以及口服药物治疗儿童与ORT和ORS的使用有关。口服药物的可用性呈负相关。少数护理人员报告说，附近的商店有ORS。在肯尼亚，腹泻的家庭病例管理仍然不足以使大部分儿童受益。卫生工作者在赋予看护者权利有关ORT早期治疗和持续喂养的关键作用。社区ORS可用性的提高对于改善腹泻管理至关重要。

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