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    Applying lessons learnt from research of child pneumonia management in Vietnam.

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    Author
    Nguyen, TKP; Bui, BBS; Ngo, QC; Fitzgerald, DA; Graham, SM; Marais, BJ
    Date
    2020-10-08
    Source Title
    Paediatric Respiratory Reviews
    Publisher
    Elsevier BV
    University of Melbourne Author/s
    Graham, Stephen
    Affiliation
    Paediatrics (RCH)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Nguyen, T. K. P., Bui, B. B. S., Ngo, Q. C., Fitzgerald, D. A., Graham, S. M. & Marais, B. J. (2020). Applying lessons learnt from research of child pneumonia management in Vietnam.. Paediatr Respir Rev, https://doi.org/10.1016/j.prrv.2020.09.005.
    Access Status
    This item is embargoed and will be available on 2021-10-08
    URI
    http://hdl.handle.net/11343/257659
    DOI
    10.1016/j.prrv.2020.09.005
    Abstract
    Pneumonia is the leading cause of paediatric hospitalisation in Vietnam, placing a huge burden on the health care system. Pneumonia is also the main reason for antibiotic use in children. Unfortunately many hospital admissions for child pneumonia in Vietnam are unnecessary and inappropriate use of antibiotics is common, as in the rest of Asia, with little awareness of its adverse effects. We explored the value of an alternative approach that, instead of focusing on the identification of children with severe bacterial pneumonia, focuses on the identification of children with 'unlikely bacterial pneumonia' to improve patient care and rational antibiotic use. Implementing improved models of care require pragmatic management algorithms that are well validated, but it is ultimately dependent on financial structures, management support and evidence-based training of healthcare providers at all relevant levels. Apart from better case management, sustained reductions in the pneumonia disease burden also require increased emphasis on primary prevention.

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