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Saturday, February 20, 2010

Classification ARI In Toddlers

ARI is a cause of illness the highest infant mortality in Indonesia. Criteria for respiratory patients in a stylist is laksanaannya toddlers with symptoms of cough and / or difficulty breathing. The pattern of this patient procedure consists of 4 parts, namely:
1. Examinationb. Determination of whether or not there danger signsc. Determination of disease classificationd. Medical
In determining the classification of disease divided into two groups for age groups until about 2 months and 5 years for the age groups less than 2 months.


a. For age groups less than 2 months to 5 years in the above classification:

 · Severe pneumonia
· Pneumonia
· Not pneumonia
b. For age groups less than 2 months were divided into classifications:
· Severe pneumonia
· Not pneumonia
Classification not include groups of pneumonia patients with a cough toddler who showed no symptoms of increased frequency of breath, and do not indicate a withdrawal of the chest wall into the bottom. Thus the classification is not pneumonia include respiratory diseases other than pneumonia as the common cold cough (common cold), Pharyngitis, tonsillitis.
The pattern applied ISPA guidelines are intended for managing severe pneumonia patients, pneumonia, common cold and cough. This means that the handling of disease covered by ISPA P2 Program is a severe pneumonia, pneumonia, common cold and cough, while others such as respiratory disease Pharyngitis, tonsillitis, and otitis not been covered by this program. According to pneumonia in classifying degrees as follows:
2. Severe pneumonia
Based on a cough or difficulty in breathing or shortness of breath accompanied by chest wall traction in the lower part (chest indrawing) of children aged 2 years - <5 years. As for age groups <2 months, the classification of severe pneumonia characterized by rapid breathing (fast brething), the respiratory frequency of 60 times permenit or more, or the existence of a strong pull on the lower chest wall into the (severe chest indrawing).
3. Pneumonia
Based on the existence of cough and difficulty breathing or breathing rapidly with the appropriate age. Limit fast breathing (fast brething) in children aged 2 months to <1 year was 50 times or more permenit while for children aged 1 to <5 years is 40 times or more per minute or
4. Not Pneumonia
Patient groups include infants with cough who do not show symptoms of increased frequency of breath and did not show any traction of the chest wall into the bottom. Thus the classification is not a disease includes pneumonia, other respiratory diseases such as cough pneumonia outside of the common cold (common cold), phryngitis, tonsilitas, otitis or respiratory diseases other non pnumonia.
For managing patients in a hospital or health facility of reference for the group aged 2 months to <5 years old, also known diagnosis of very severe pneumonia is a cough or difficulty breathing, accompanied by symptoms of central cyanosis and can not drink.

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