أهمية برنامج ال IMCI في تصنيف الأطفال و معالجتهم من عمر شهرين حتى عمر خمس سنوات

الملخص EN

The rationalization of antibiotics use remains a priority in public health especially in pediatrics .

the aim of the study was to evaluate the role of IMCI program in the assessment and management in children from 2 months to 5 years in out patient department.

Patients & methods: A cross sectional study was carried out in July 2008 at AL ASSAD university hospital.

Children with fever, cough ,diarrhea ,pharyngitis and otitis media were included (who did not receive an antibiotic before consultation ).

Patients were assessed by 2 groups of doctors in insu (by the habitual management and by IMCI).

The statistical tests used were Mac Nemar and 2 c .

Results : there were 112 patients (64 boys and 48 girls) .

The major complains were: 73 fever ,37 pharyngitis ,35 diarrhea,19 otitis media and 15 cough.

By the IMCI we found 8 pharyngitis (vs37) and 37 cold (vs7).

There were 2.5 medicaments per prescription (vs 1.4 by IMCI) With P < 0.05 .

The use of antibiotic was not justifiable in 82 cases and thus the reduction with IMCI was significant P<0.001 for antiemetics P <0.001 and intramuscular injections P<0.02 .

Conclusion : the IMCI in children under 5 years has changed the assessments for respiratory infections and pharyngitis.

A significant reduction was obtained for the prescription of oral antibiotics, anti emetics and for intramuscular injections .