Oxygen is essential, life-saving, supportive treatment for children with hypoxaemia but is not available in many resource-constrained health facilities. We conducted a cross-sectional survey of oxygen availability and nurses' skills for oxygen administration at the paediatric wards of 11 district hospitals in eastern Uganda. Functional oxygen delivery was available at the paediatric wards of only 2 of 11 (18%) hospitals. Of the six concentrators found, two did not function at all and two produced a stream of O2 <80% pure. Most nurses (76%) had adequate knowledge on how to use a concentrator, but the majority did not know how to use a pulse oximeter or administer cylinder oxygen. All nurses felt the need for further training on O2 administration and equipment. Given the large number of childhood pneumonia deaths occurring in resource-limited settings, improving availability of oxygen and nursing skills to administer oxygen could lead to substantial gains in global child survival.
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http://dx.doi.org/10.1093/tropej/fmx033 | DOI Listing |
Front Pediatr
January 2025
Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Ga-Rankuwa, South Africa.
Introduction: Surveillance of antibiotic use is crucial for identifying targets for antibiotic stewardship programs (ASPs), particularly in pediatric populations within countries like Pakistan, where antimicrobial resistance (AMR) is escalating. This point prevalence survey (PPS) seeks to assess the patterns of antibiotic use in pediatric patients across Punjab, Pakistan, employing the WHO AWaRe classification to pinpoint targets for intervention and encourage rational antibiotic usage.
Methods: A PPS was conducted across 23 pediatric wards of 14 hospitals in the Punjab Province of Pakistan using the standardized Global-PPS methodology developed by the University of Antwerp.
Heliyon
January 2025
The First Affiliated Hospital of Shantou University Medical College, 57 Changping Road, Shantou City, Guangdong Province, 515000, China.
Background: Due to their young age and limited ability to communicate, pediatric patients in internal medicine wards are at risk of nursing assessment errors, which can lead to adverse events and disputes.
Objective: To explore the application effect of modified pediatric early warning score (PEWS) in the early identification of critically ill children in pediatric general wards.
Design: A single-blind, two-arm randomized controlled trial was conducted using a convenience sampling method.
Appl Nurs Res
February 2025
Nursing Department, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan.
Background: The Patient Infotainment Terminal (PIT) plays a pivotal role in Smart Health, enabling hospitals to actively pursue the objective of fostering Shared Decision-Making. By providing General information, Medical information, and Entertainment options, the system fosters effective patient-clinician communication and significantly elevates the standard of care.
Objective: This study aimed to investigate how registered nurses utilized the PIT and prioritized functions based on their perception of importance and satisfaction to find out high-importance but low-satisfaction PIT functions.
Malar J
January 2025
Department of Parasitology-Mycology and Tropical Medicine, Université Des Sciences de La Santé de Libreville, BP 4009, Libreville, Gabon.
Background: The negative impact of COVID-19 pandemic on healthcare service utilization has been reported in several countries. In Gabon, data on the preparedness for future pandemic are lacking. The aim of the present study was to assess the trends of hospital attendance, malaria and self-medication prevalences as well as ITN use before and during Covid-19 first epidemic waves in a paediatric wards of a sentinel site for malaria surveillance, in Libreville, Gabon.
View Article and Find Full Text PDFLancet Child Adolesc Health
February 2025
University College London Great Ormond Street Institute of Child Health, London, UK.
Background: There are challenges in providing high quality care for children and young people who are admitted to acute medical wards for mental health concerns. Although there is concern that these admissions are increasing, national data describing these patterns are scarce. We aimed to describe trends in these admissions in England over a 10-year period, and to identify factors associated with repeat admission and length of stay.
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