Abstract
During a community-based study in four rural villages in Pakistan, 617 cases of acute respiratory infections (ARI) in children younger than 5 years of age were assessed, classified and managed according to the WHO ARI case management guidelines. Of these, 509 (82.5%) had 'cough and cold' without clinical evidence of pneumonia, 95 pneumonia, two severe pneumonia and 11 otitis media. Of the 509 without clinical evidence of pneumonia but with cough and cold, 491 (96.5%) were successfully treated without antibiotics and only 18 (3.5%) of these children needed antimicrobial therapy on follow-up. Of the 95 cases of pneumonia, 87 (91.4%) showed a satisfactory clinical response to oral cotrimoxazole and only eight (8.4%) required a change of antibiotic.
MeSH terms
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Acute Disease
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Amoxicillin / administration & dosage
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Amoxicillin / therapeutic use
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Ampicillin / administration & dosage
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Ampicillin / therapeutic use
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Child, Preschool
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Common Cold / complications
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Common Cold / diagnosis
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Common Cold / therapy*
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Drug Combinations
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Female
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Follow-Up Studies
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Humans
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Infant
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Infant, Newborn
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Male
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Pakistan
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Pneumonia / diagnosis
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Pneumonia / drug therapy*
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Pneumonia / etiology
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Practice Guidelines as Topic
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Respiratory Tract Infections / diagnosis*
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Respiratory Tract Infections / therapy
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Rural Health
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Trimethoprim, Sulfamethoxazole Drug Combination / administration & dosage
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Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use*
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World Health Organization
Substances
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Drug Combinations
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Ampicillin
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Amoxicillin
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Trimethoprim, Sulfamethoxazole Drug Combination