Decreased consumption of antimicrobial drugs after implementation of a new antibiotic policy in 1990.
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Biomedical subjects
Publications and source records attributed to O Balint.
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Human rabies encephalitis is of particular interest of the doctors working in developing countries. When a person has been exposed to a suspect or rabid animal or human being specific antirabid treatment should be given. Ten of the twelve rabid children seen at Arthur Davison Hospital for Children over a 6 year period are described and the literature on treatment reviewed.
Twenty-three cases of Sleeping Sickness in children have been analysed at the Arthur Davison Hospital and Mukinge Hospital during the past five years. The overall mortality was 34.8%. This was especially high when trypanosomes were found in the CSF (43.8%), in patients with a CSF cell count greater than 101/cumm (50.0%), and in patients with associated protein calorie malnutrition (PCM) (30.0%). Some clinical features of sleeping sickness (SS) in children are discussed and the therapeutic approach reviewed. The importance of early diagnosis is stressed.
The frequency of infectious diseases in 6543 children hospitalised in the year 1974-75 in Arthur Davidson Hospital is analysed. Airborne infections including pneumonias and bronchopneumonias were found in 53.7% of the children and in 79.4% of those who died. Measles was found in 1112 children with a mortality rate of 15.6%. Measles and Malaria were among the top five killer diseases in Arthur Davidson Hospital. Of the airborne infections, measles, tuberculosis, laryngotracheobronchitis and pyogenic meningitis are the worst. Some problems concerning prevention and diagnosis are stressed. Improvement in the diagnosis of infectious diseases will depend on improvement in laboratory facilities.