enfermedades diarreicas agudas en pediatria pdf

The percentage of under-five diarrhoea deaths as related to total under-five deaths was reduced from 17.8% in 1980 to 4.9% in 2015. We used the Lives Saved Tool (LiST) to help explain the reasons for the decline in diarrhoea mortality from 1980 to 2015 and to predict additional reduction with further scale up of diarrhoea-related interventions by 2030.ResultsIn Peru under-five diarrhoea mortality declined from 23.3 in 1980 to 0. We received input from individuals familiar with implementation of diarrhoea-related policies and programmes. We reviewed different datasets on child mortality, and on coverage of diarrhoea-related interventions. We documented trends in childhood diarrhoea mortality from 1980 to 2015, along with trends in coverage of diarrhoea-related interventions and risk factors, to identify the main drivers of mortality reduction.MethodsWe conducted desk reviews on social determinants, policies and programmes, and diarrhoea-related interventions implemented during the study period.

No moderate or severe cases of malnutrition were detected.BackgroundChildhood diarrhoea mortality has declined substantially in Peru in recent decades.

The nutritional status was adequate in most cases: weight-for-age was below the 5th percentile in 11♵% of subjects and the height-for-age was normal in all. It was found that adequate hygienic habits were not associated with a decreased risk of developing diarrhoea and that about 60% of children did not have diarrhoea throughout the study period. Of the episodes, 44♲% were associated with pathogenic bacteria, 14♴% with rotavirus, 38♴% with parasites and in 27♹% no enteropathogens were identified. The mean monthly incidence of diarrhoea was 7♱ episodes per 100 children. The characteristics of clinical course, hygienic practices in the family, and monthly anthropometric measurements of infants and toddlers were also recorded. Faecal samples for bacteriological, parasitological and rotavirus studies were obtained during each episode. Medical activities and data collection were carried out at a Field Station and by means of twice-weekly visits to each home, at which time cases of diarrhoea were recorded and investigated. All of them had a child under 7 years of age. A group of 168 families who lived in a peri-urban slum in Santiago were surveyed for 9 months.

Enfermedades diarreicas agudas en pediatria pdf