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首页> 外文期刊>Digestive Diseases and Sciences >A Half Century of Oral Rehydration Therapy in Childhood Gastroenteritis: Toward Increasing Uptake and Improving Coverage
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A Half Century of Oral Rehydration Therapy in Childhood Gastroenteritis: Toward Increasing Uptake and Improving Coverage

机译:儿童胃肠炎中的半个世纪的口腔补液治疗:升高摄取和提高覆盖范围

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摘要

Termed by the Lancet, as "potentially the most important medical advance of the twentieth century," therapy with oral rehydration solutions (ORSs) has been essential to reducing mortality in children less than 5 years (under five) with infectious gastroenteritis and diarrhea. The target of the diarrhea-control programs in the 1990s was to achieve ORS use in 80% of diarrhea cases by the year 2000. Nevertheless, nearly 20 years later, global uptake remains limited to only a third of the cases. Our analysis shows that from 1990 to 2017, mean ORS coverage in Countdown countries [the 81 Countdown-to-2030 priority countries, which together account for 95% of maternal deaths and 90% of under-five deaths] increased from 30% to nearly 40%. Flawed government policies, inadequate supplies, and lack of awareness among health workers and communities all contributed to this shortfall in coverage. Moreover, imperfect measurement methodology is implicated in questionable coverage data. A multipronged approach focusing on the manufacture, supply, training, and behavioral change is essential to ensure that ORS is used in all epidemic diarrhea cases globally, especially in the under-five population.
机译:被柳叶刀称为“潜在的二十世纪最重要的医学进展”,口服再水解解决方案(ORSS)的治疗对于减少少于5年(五岁以下)的儿童的死亡率至关重要,具有传染性胃肠炎和腹泻。 20世纪90年代的腹泻控制方案的目标是在2000年内达到80%的腹泻病例中的使用。然而,近20年后,全球摄取仍然仅限于案件的三分之一。我们的分析表明,从1990年到2017年,倒计时国家的平均值或覆盖范围40%。有缺陷的政府政策,供应不足,卫生工作者和社区缺乏意识,所有人都涉及这种覆盖范围。此外,不完美的测量方法涉及可疑的覆盖数据。专注于制造,供应,培训和行为变革的多强手方法对于确保在全球所有流行性腹泻病例中使用,特别是在五个以下人口中。

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