在刚果民主共和国每周通报的某些疾病的临床和流行病学方面:以卢本巴希三家医院为例

Basema Kindja Marie-France, M. Patricia, Ramazani Mupuluzi Theophile, Kampentenga Tshitenga Serges, K. Pascal, Matungulu Matungulu Charles, Ilunga Kandolo Simon, Kabyla Ilunga Benjamin
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摘要

引言:一般认为,成本等同于费用,换句话说,我们所说的成本是指必须花在某事上的钱。因此,我们经常谈论卫生成本,而实际上我们指的是卫生支出,即卫生系统框架内发生的所有货币支出。方法:这是一项描述性横断面研究,目的是分析2019年第一季度中国医疗中心、卡隆多综合转诊医院和卡图巴综合转诊医院的203名0 - 5岁儿童每周通报的0 - 5岁儿童疾病的成本和临床和流行病学方面。结果:中国医疗中心疟疾治疗平均费用为60.2美元,Kamalondo综合转诊医院为69美元,Katuba综合转诊医院为77.6美元。与临床体征相比,所有患者(100.0%)表现为发热,75.0%表现为皮疹,仅有50.0%表现为身体虚弱。在确定的203例病例中,疟疾(88例)、伤寒(78例)、急性呼吸道感染(33例)和麻疹(4例)。结论:预防是对抗大多数传染病的最佳方式,这些传染病对个人和集体都造成了巨大的损害。迫切需要进行卫生教育,使人民了解个人和集体卫生措施以及与眼前环境有关的风险,特别是缺乏饮用水、卫生设施、体面住房和健康生活环境是发展中国家五岁以下儿童健康状况不佳的因素之一。
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Clinical and Epidemiological Aspects of Certain Diseases with Weekly Notification in the Democratic Republic of Congo (DRC): Case of Three Hospitals in Lubumbashi
Introduction: In popular opinion, costs are equated with expenses, in other words, by costs we mean amounts that have to be spent on something. So, we often talk about health costs, when in fact we mean health expenditure, that is, all monetary expenses incurred in the framework of the health system. Methodology: This is a descriptive cross-sectional study with an analytical aim on the cost and the clinical and epidemiological aspects of diseases with weekly notification in children aged 0 - 5 years at the Chrina Medical Center, at the General Referral Hospital of Kamalondo and at the Katuba General Referral Hospital on 203 children aged 0 - 5 years during the first quarter of 2019. Results: The average cost of treating malaria at Chrina Medical Center is $60.2, it is $69 at Kamalondo General Referral Hospital and $77.6 at Katuba General Referral Hospital. Compared to clinical signs, all patients (100.0%) presented with Fever, 75.0% presented with Rash and only 50.0% presented with physical asthenia. Out of 203 cases identified malaria (88 cases), typhoid fever (78 cases), acute respiratory infections (33 cases) as well as measles (4 cases). Conclusion: Prevention is the best way to fight most of the communicable diseases which cause enormous damage both individually and collectively. There is an urgent need for health education to inform and educate the population on individual and collective hygienical measures as well as the risks related to the immediate environment, in particular, the lack of access to drinking water, sanitation, decent housing and a healthy living environment is among the factors behind the poor health of children under five in developing countries.
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