Submitted: 11 Oct 2017
Revised: 01 Dec 2017
Accepted: 01 Dec 2017
First published online: 02 Dec 2017
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Health Promot Perspect. 2018;8(1):88-91.
doi: 10.15171/hpp.2018.11
PMID: 29423367
PMCID: PMC5797313
  Abstract View: 169
  PDF Download: 177

Case Report

Management of severe childhood pneumonia by day care approach in developing countries

Yasmin Jahan 1 * , SM Atiqur Rahman 1, Abu Sayeed Chowdhury 1, Md Moshiur Rahman 1

1 Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan
2 School of Health, University of New England, Australia
Yasmin Jahan, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan. Email:


Background: Background: Pneumonia is a major cause of child mortality among children under 5 years, worldwide. Pneumonia infection may be caused by bacteria, viruses, or fungi in single or in both lungs. According to recent criteria developed by the World Health Organization(WHO) in September (2013), pneumonia can be classified into severe pneumonia, pneumonia and no pneumonia. Most of the deaths occur from severe pneumonia.Methods: Disease management of severe childhood pneumonia requires early identification,prompt referral and the availability of intensive quality care. Under 5 years old children with severe pneumonia should receive day care, with antibiotic treatment, feeding, and supportive care with similar 24-hour hospital treatment.Discussion: Considering that difficulties, International Centre for Diarrheal Disease Research,Bangladesh (ICDDR, B) initiated Day Care Approach (DCA) model, as an innovative, safe,effective and less expensive alternative to hospital management of severe childhood pneumonia.A 24 months old girl came to the health care center with severe breathing difficulty, cough,history of fever and head nodding. The management described below was continued daily until there was clinical improvement; no fever, no fast breathing, no lower chest wall in drawing, no danger signs, no rales on auscultation, and no hypoxemia. Conclusion: Considering the WHO case management protocol for severe pneumonia, DCA recommends that diagnosis of severe pneumonia should be based primarily on visible clinical parameters. On that basis, severe childhood pneumonia can be successfully managed at daycare clinics including for children with hypoxemia who is required prolong (4-6 hours) oxygen therapy.
Citation: Jahan Y, Rahman SA, Chowdhury AS, Rahman MM. Management of severe childhood pneumonia by day care approach in developing countries. Health Promot Perspect. 2018;8(1):88-91. doi: 10.15171/hpp.2018.11.
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