Journal Reaction Paper
The Definition of Pneumonia, the Assessment of Severity, and Clinical Standardization in the Pneumonia Etiology Research for Child Health Study.
ABSTRACT:
To develop a case definition for the Pneumonia Etiology Research for Child Health (PERCH) project, we sought a widely acceptable classification that was linked to existing pneumonia research and focused on very severe cases. We began with the World Health Organization's classification of severe/very severe pneumonia and refined it through literature reviews and a 2-stage process of expert consultation. PERCH will study hospitalized children, aged 1-59 months, with pneumonia who present with cough or difficulty breathing and have either severe pneumonia (lower chest wall indrawing) or very severe pneumonia (central cyanosis, difficulty breastfeeding/drinking, vomiting everything, convulsions, lethargy, unconsciousness, or head nodding). It will exclude patients with recent hospitalization and children with wheeze whose indrawing resolves after bronchodilator therapy. The PERCH investigators agreed upon standard interpretations of the symptoms and signs. These will be maintained by a clinical standardization monitor who conducts repeated instruction at each site and by recurrent local training and testing. [ABTRACT FROM AUTHOR]
SUMMARY:
The journal discussed about the possible causes of pneumonia in children by conducting research about pneumonia in different studies that has been conducted in the past. It also discussed hospitalized pneumonia, was how the onset broadly to target pneumonia cases throughout the health care system. Integrated management of childhood illness , definition was incorporated into the Integrated
Management of Childhood Illnesses (IMCI) strategy[15], which provides triage and management guidelines at the primary healthcare level, and into the WHO guidelines for the management of children in hospital. WHO Radio logically confirmed pneumonia,. clinical signs in young infants ,how
ABSTRACT:
To develop a case definition for the Pneumonia Etiology Research for Child Health (PERCH) project, we sought a widely acceptable classification that was linked to existing pneumonia research and focused on very severe cases. We began with the World Health Organization's classification of severe/very severe pneumonia and refined it through literature reviews and a 2-stage process of expert consultation. PERCH will study hospitalized children, aged 1-59 months, with pneumonia who present with cough or difficulty breathing and have either severe pneumonia (lower chest wall indrawing) or very severe pneumonia (central cyanosis, difficulty breastfeeding/drinking, vomiting everything, convulsions, lethargy, unconsciousness, or head nodding). It will exclude patients with recent hospitalization and children with wheeze whose indrawing resolves after bronchodilator therapy. The PERCH investigators agreed upon standard interpretations of the symptoms and signs. These will be maintained by a clinical standardization monitor who conducts repeated instruction at each site and by recurrent local training and testing. [ABTRACT FROM AUTHOR]
SUMMARY:
The journal discussed about the possible causes of pneumonia in children by conducting research about pneumonia in different studies that has been conducted in the past. It also discussed hospitalized pneumonia, was how the onset broadly to target pneumonia cases throughout the health care system. Integrated management of childhood illness , definition was incorporated into the Integrated
Management of Childhood Illnesses (IMCI) strategy[15], which provides triage and management guidelines at the primary healthcare level, and into the WHO guidelines for the management of children in hospital. WHO Radio logically confirmed pneumonia,. clinical signs in young infants ,how