Is it possible to prevent the consequences of congenital cytomegalovirus infection?
Congenital CMVI is one of the most common intrauterine infections in the world and occurs on average in 0.2–2.5% of live births, and in developed countries, in 0.6–0.7% of newborns.…

Continue reading →

Children need to be sick
And this paradoxical thing once became a discovery for me. That a child needs to survive about 50 snot episodes to form a mature immune system. Fifty! Necessary! That is,…

Continue reading →

There are many reasons and risk factors for a decrease in immunity
There are many reasons and risk factors for a decrease in immunity. A transient decrease in immunity is caused by insufficient protein and energy nutrition, a deficiency in the consumption…

Continue reading →

Integrated Management of Childhood Illness (IMCI) Strategy for Children Under Five

More than 7.5 million children worldwide die each year before they reach the age of five. Most of them come from poor communities and live in the poorest countries. These children are more likely than others to suffer from malnutrition and from infectious diseases such as neonatal sepsis, measles, diarrhea, malaria and pneumonia.

Effective strategies for the prevention and treatment of sick children are available, but do not reach them. One reason for this is that medical services are often too far away or too expensive. Medical institutions in these conditions are often insufficiently equipped and do not have well-trained medical personnel. In addition, sick children can have several diseases at the same time, and this can cause difficulties for health workers in the diagnosis and treatment.

In the 1990s, the World Health Organization (WHO) developed a strategy called Integrated Management of Childhood Illness (IMCI) to address these challenges. This strategy is aimed at preventing death and disease and at the same time improving the quality of medical care for sick children under the age of five. It consists of three parts.

• Continuing education for health workers through training and guidelines (clinical guidelines).

• Improving the organization and management of health systems, including access to supplies.

• Visiting homes and communities to introduce proper parenting and nutrition practices, while encouraging parents to bring their children to the clinic when the children become ill.

WHO encourages countries to adapt IMCI strategies to suit their national circumstances. Priority childhood illnesses and methods of care may vary by country.

What are the main results of this review?

This Cochrane review includes four studies evaluating the effectiveness of an IMCI strategy. These studies have been conducted in Tanzania, Bangladesh and India. The IMCI strategy has been used differently in different studies. For example, a study from Tanzania trained health workers and improved drug supplies, but did not include home visits or social events; a study from Bangladesh introduced new health workers while training existing health workers; and two Indian studies specifically targeted newborns as well as older children.

This review showed that the use of IMCI:

• may result in fewer deaths of children from birth to five years (low confidence in evidence);

• may have little or no effect on the number of children with stunted growth (low confidence in evidence);

• likely to have little or no effect on the number of children suffering from malnutrition (moderate confidence in evidence);

• likely to have little or no effect on the number of children receiving measles vaccine; and

• May lead to mixed results regarding the effect on the number of parents seeking help for their child when he or she is sick.

We don’t know if any of the IMCIs affects how healthcare providers treat common diseases because confidence in the evidence was rated as very low.

We do not know whether IMCI has any influence on the number of mothers who exclusively breast-feed their children, because the confidence in the evidence was rated as very low.

None of the studies included evaluated the satisfaction of mothers and other users of the IMCI strategy.

An integrated approach to the treatment of acute respiratory viral infections
Acute respiratory viral infections (ARVI) remain the most common diseases in the world, including among the children's population. In the Russian Federation, acute respiratory viral infections occupy a leading place…

...

Drug treatment
Drug treatment carried out in a complex of recreational activities should be based on the necessary minimum and determined by the type of nosology. Modern features of the course of…

...

Center for Pediatrics
Kidney diseases are treated using modern methods - according to the latest literature. Pediatric nephrologists take part in scientific studies, write popular science articles on children's kidney diseases, and have…

...

PSYCHOLOGICAL CAUSES OF CHILD DISEASES
Each childhood illness has its own psychological causes, eliminating which you can completely cure the child. Psychologists and psychotherapists have already discovered some correspondences of the psychological problems of the…

...