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- Title
Outcomes of Patients with Respiratory Distress Treated with Bubble CPAP on a Pediatric Ward in Malawi.
- Authors
Machen, Heather E.; Mwanza, Zondiwe V.; Brown, Jocelyn K.; Kawaza, Kondwani M.; Newberry, Laura; Richards-Kortum, Rebecca R.; Oden, Z. Maria; Molyneux, Elizabeth M.
- Abstract
<bold>Objective: </bold>To describe the outcomes of infants and young children with respiratory distress when treated with a novel, low-cost, stand-alone bubble Continuous Positive Airway Pressure (bCPAP) system in a resource-limited setting.<bold>Methods: </bold>A non-randomized, convenience sample study in a pediatric unit in Blantyre, Malawi, 2013. Patients weighing ≤10 kg with respiratory distress were eligible. We compared outcomes for patients with bronchiolitis, pneumonia and Pneumocystis jiroveci pneumonia (PJP) after treatment with bCPAP.<bold>Results: </bold>Seventy percent of patients treated with bCPAP survived. Outcomes were best for patients with bronchiolitis and worst for those with PJP. Most survivors (80%) showed improvement within 24 h. All treating physicians found bCPAP useful, leading to a change in practice.<bold>Conclusions: </bold>Bubble CPAP was most beneficial to patients with bronchiolitis. Children, who were going to get well, tended to get well quickly. Physicians believed the bCPAP system provided a higher level of care than nasal oxygen.
- Subjects
MALAWI; HEALTH outcome assessment; RESPIRATORY distress syndrome; CONTINUOUS positive airway pressure; PEDIATRICS; HOSPITAL wards; PATIENTS
- Publication
Journal of Tropical Pediatrics, 2015, Vol 61, Issue 6, p421
- ISSN
0142-6338
- Publication type
journal article
- DOI
10.1093/tropej/fmv052