急性呼吸道感染卫生机构调查

Health Organization Survey of Acute Respiratory Infections

评估全国ARI控制规划的执行情况.方法 以山西和四川两省的6个县医院、14个乡卫生院和51个村卫生室为样本,进行了ARI标准病例管理质量评估.结果 在调查的卫生机构中,57%都能提供标准的ARI病例管理;肺炎占ARI病例的13%,均获得了抗生素治疗;75%的轻度肺炎和感冒咳嗽病例获得了家庭护理指导;只有8%的感冒咳嗽患儿仍用抗生素治疗.结论 全国ARI防治规划在大部分地区获得了成功,但仍需加大投入,加强对卫生工作人员的复训、监督和指导.

To evaluate the implementation of National ARI Control Programme. Methods Six county hospitals, fourteen township hospitals and fifty five village health stations were selected as the sample size to evaluate the quality of standard ARI case management. Results Among the surveyed health facilities, 57% of them were capable of providing standard ARI case management, all pneumonia cases , accounting for 13% of ARI, were treated with antibiotics and 75% of mild pneumonia cases and cough or cold cases were given home care advice. Only 8% of cough or cold cases were treated with antibiotics. Conclusions The National ARI Control Programme has been successful in most areas, but it still need to increase the input and strengthen the refresh training, supervision and management for health workers.