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Assessment of respiratory rate and chest indrawing in children with ARI by primary care physicians in Egypt.
Bull World Health Organ. 1993; 71(5):523-7.BW

Abstract

In a baseline study for training purposes, two indicators of acute respiratory infections (the respiratory rate (RR) and chest indrawing) were assessed by Ministry of Health physicians in Egypt using a WHO test videotape. Chest indrawing, as defined by the WHO Acute Respiratory Infections (ARI) programme, was not widely recognized by current health personnel. Viewing a WHO training videotape led to significantly more correct assessments of chest indrawing compared with a group that had not viewed this videotape. The accuracy of using a timer versus a watch, and a 30-second versus 60-second counting interval was also evaluated. Rates counted over 60 seconds were more accurate than 30-second counts although the difference between them was not clinically significant. Counting of rates using timers with audible cues was comparable to using watches with second hands. Careful training of primary health workers in the assessment of RR and chest indrawing is essential if these clinical findings are to be used as reliable indicators in pneumonia treatment algorithms.

Authors+Show Affiliations

Department of Pediatrics, University of Maryland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

8261555

Citation

Gadomski, A M., et al. "Assessment of Respiratory Rate and Chest Indrawing in Children With ARI By Primary Care Physicians in Egypt." Bulletin of the World Health Organization, vol. 71, no. 5, 1993, pp. 523-7.
Gadomski AM, Khallaf N, el Ansary S, et al. Assessment of respiratory rate and chest indrawing in children with ARI by primary care physicians in Egypt. Bull World Health Organ. 1993;71(5):523-7.
Gadomski, A. M., Khallaf, N., el Ansary, S., & Black, R. E. (1993). Assessment of respiratory rate and chest indrawing in children with ARI by primary care physicians in Egypt. Bulletin of the World Health Organization, 71(5), 523-7.
Gadomski AM, et al. Assessment of Respiratory Rate and Chest Indrawing in Children With ARI By Primary Care Physicians in Egypt. Bull World Health Organ. 1993;71(5):523-7. PubMed PMID: 8261555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of respiratory rate and chest indrawing in children with ARI by primary care physicians in Egypt. AU - Gadomski,A M, AU - Khallaf,N, AU - el Ansary,S, AU - Black,R E, PY - 1993/1/1/pubmed PY - 1993/1/1/medline PY - 1993/1/1/entrez KW - Africa KW - Arab Countries KW - Communication KW - Delivery Of Health Care KW - Developing Countries KW - Diseases KW - Education KW - Egypt KW - Examinations And Diagnoses KW - Health KW - Health Personnel KW - Health Services KW - Infections KW - Mass Media KW - Mediterranean Countries KW - Northern Africa KW - Physical Examinations And Diagnoses KW - Physicians KW - Primary Health Care KW - Research Report KW - Respiratory Infections--prevention and control KW - Tape Recordings KW - Training Activities KW - Training Programs KW - Videotapes SP - 523 EP - 7 JF - Bulletin of the World Health Organization JO - Bull World Health Organ VL - 71 IS - 5 N2 - In a baseline study for training purposes, two indicators of acute respiratory infections (the respiratory rate (RR) and chest indrawing) were assessed by Ministry of Health physicians in Egypt using a WHO test videotape. Chest indrawing, as defined by the WHO Acute Respiratory Infections (ARI) programme, was not widely recognized by current health personnel. Viewing a WHO training videotape led to significantly more correct assessments of chest indrawing compared with a group that had not viewed this videotape. The accuracy of using a timer versus a watch, and a 30-second versus 60-second counting interval was also evaluated. Rates counted over 60 seconds were more accurate than 30-second counts although the difference between them was not clinically significant. Counting of rates using timers with audible cues was comparable to using watches with second hands. Careful training of primary health workers in the assessment of RR and chest indrawing is essential if these clinical findings are to be used as reliable indicators in pneumonia treatment algorithms. SN - 0042-9686 UR - https://www.unboundmedicine.com/medline/citation/8261555/Assessment_of_respiratory_rate_and_chest_indrawing_in_children_with_ARI_by_primary_care_physicians_in_Egypt_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/8261555/ DB - PRIME DP - Unbound Medicine ER -