Managing severe infection in infancy in resource poor settings

Reducing childhood mortality in resource-poor regions depends on effective interventions to decrease neonatal mortality from severe infection, which contributes up to a half of all neonatal deaths. There are key differences in resource-poor, compared to resource-rich, countries in terms of diagnosis...

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Main Authors: Seale, A, Berkley, J
格式: Conference item
出版: ELSEVIER 2013
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author Seale, A
Berkley, J
author_facet Seale, A
Berkley, J
author_sort Seale, A
collection OXFORD
description Reducing childhood mortality in resource-poor regions depends on effective interventions to decrease neonatal mortality from severe infection, which contributes up to a half of all neonatal deaths. There are key differences in resource-poor, compared to resource-rich, countries in terms of diagnosis, supportive care and treatment. In resource-poor settings, diagnosis is based on identifying clinical syndromes from international guidelines; microbiological investigations are restricted to a few research facilities. Low levels of staffing and equipment limit the provision of basic supportive care, and most facilities cannot provide respiratory support. Empiric antibiotic treatment guidelines are based on few aetiological and antimicrobial susceptibility data. Research on improving health care systems to provide effective supportive care, and implementation of simple pragmatic interventions, such as low-cost respiratory support, are essential, together with improved surveillance to monitor emerging drug resistance and treatment failures. Reductions in mortality will also be achieved through prevention of infection; including emerging vaccination and anti-sepsis strategies.
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spelling oxford-uuid:ecd8e485-047e-4c47-8f7a-61c6c6e9f1e32022-03-27T11:20:33ZManaging severe infection in infancy in resource poor settingsConference itemhttp://purl.org/coar/resource_type/c_5794uuid:ecd8e485-047e-4c47-8f7a-61c6c6e9f1e3Symplectic Elements at OxfordELSEVIER2013Seale, ABerkley, JReducing childhood mortality in resource-poor regions depends on effective interventions to decrease neonatal mortality from severe infection, which contributes up to a half of all neonatal deaths. There are key differences in resource-poor, compared to resource-rich, countries in terms of diagnosis, supportive care and treatment. In resource-poor settings, diagnosis is based on identifying clinical syndromes from international guidelines; microbiological investigations are restricted to a few research facilities. Low levels of staffing and equipment limit the provision of basic supportive care, and most facilities cannot provide respiratory support. Empiric antibiotic treatment guidelines are based on few aetiological and antimicrobial susceptibility data. Research on improving health care systems to provide effective supportive care, and implementation of simple pragmatic interventions, such as low-cost respiratory support, are essential, together with improved surveillance to monitor emerging drug resistance and treatment failures. Reductions in mortality will also be achieved through prevention of infection; including emerging vaccination and anti-sepsis strategies.
spellingShingle Seale, A
Berkley, J
Managing severe infection in infancy in resource poor settings
title Managing severe infection in infancy in resource poor settings
title_full Managing severe infection in infancy in resource poor settings
title_fullStr Managing severe infection in infancy in resource poor settings
title_full_unstemmed Managing severe infection in infancy in resource poor settings
title_short Managing severe infection in infancy in resource poor settings
title_sort managing severe infection in infancy in resource poor settings
work_keys_str_mv AT sealea managingsevereinfectionininfancyinresourcepoorsettings
AT berkleyj managingsevereinfectionininfancyinresourcepoorsettings