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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Standardized diagnosis of pneumonia in developing countries
Pediatric Infectious Disease Journal, Volume 11, No. 2, Year 1992
Notification
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Description
The World Health Organization recommends the use of raised respiratory rate and chest wall indrawing to enable health workers in developing countries to diagnose pneumonia. We evaluated the current World Health Organization guidelines for management of the child with cough or difficult breathing in Manila, Philippines and Mbabane, Swaziland using an identical protocol in both countries. Raised respiratory rate was defined as ≧50/minute for children ages 2 to 12 months and ≧40/minute for children 12 months to 5 years. Chest wall indrawing was defined as inward movement of the bony structures of the lower chest wall with inspiration. In the Philippines raised respiratory rate or chest wall indrawing, when applied by a pediatrician, was found to have a sensitivity of 0.81 and specificity of 0.77 for predicting pneumonia as determined by a pediatrician with the aid of a chest roentgenogram. In Swaziland the sensitivity was 0.77 and the specificity was 0.80. When applied by health workers the sensitivity was similar but the specificity was lower. The current World Health Organization ARI case management guidelines predicted pneumonia with similar sensitivity and specificity in two very different developing countries, the Philippines and Swaziland. © 1992 by Williams and Wilkins.
Authors & Co-Authors
Mulholland, Edward Kim
Gambia, Banjul
Medical Research Council Laboratories Gambia
Simoẽs, Eric A.F.
United States, Aurora
University of Colorado School of Medicine
Costales, M. O.D.
Philippines, Manila
Department of Health Manila
Mc Grath, E. J.
Unknown Affiliation
Manalac, E. M.
Philippines, Manila
Department of Health Manila
Gove, Sandy
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 159
Authors: 6
Affiliations: 4
Identifiers
Doi:
10.1097/00006454-199202000-00004
ISSN:
08913668
e-ISSN:
15320987
Research Areas
Infectious Diseases
Maternal And Child Health
Study Locations
Eswatini