Critical care of tropical disease in low income countries: Report from the Task Force on Tropical Diseases by the World Federation of Societies of Intensive and Critical Care Medicine

被引:19
作者
Baker, Tim [1 ,2 ]
Khalid, Karima [3 ]
Acicbe, Ozlem [4 ]
McGloughlin, Steve [5 ]
Amin, Pravin [6 ]
机构
[1] Queen Elizabeth Cent Hosp, Dept Anaesthesia & Intens Care, POB 95, Blantyre, Malawi
[2] Karolinska Inst, Dept Publ Hlth Sci, Global Hlth Hlth Syst & Policy, Stockholm, Sweden
[3] MUHAS, Muhimbili Ortopaed & Neurosurg Inst MOI, Dept Anaesthesia & Crit Care, Dar Es Salaam, Tanzania
[4] Van Teaching & Res Hosp, Intens Care Unit, Van, Turkey
[5] Alfred Hosp, Intens Care Unit, Melbourne, Vic, Australia
[6] Bombay Hosp Inst Med Sci, Dept Crit Care Med, Bombay, Maharashtra, India
关键词
Tropical medicine; Critical care; Developing countries; Neglected diseases; Quality of health care; Quality improvement; GLOBAL BURDEN; SEVERE SEPSIS; SYSTEMATIC ANALYSIS; MORTALITY; MANAGEMENT; UNIT; PREVALENCE; INFECTION; INJURIES; ILLNESS;
D O I
10.1016/j.jcrc.2017.11.028
中图分类号
R4 [临床医学];
学科分类号
100218 [急诊医学];
摘要
Tropical disease results in a great burden of critical illness. The same life-saving and supportive therapies to maintain vital organ functions that comprise critical care are required by these patients as for all other diseases. In low income countries, the little available data points towards high mortality rates and big challenges in the provision of critical care. Improving critical care in low income countries requires a focus on hospital design, training, triage, monitoring & treatment modifications, the basic principles of critical care, hygiene and the involvement of multi-disciplinary teams. As a large proportion of critical illness from tropical disease is in low income countries, the impact and reductions in mortality rates of improved critical care in such settings could be substantial. (C) 2017 Published by Elsevier Inc.
引用
收藏
页码:351 / 354
页数:4
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