Related Experiment Video
Updated: Jun 23, 2026
11:17
Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
IMCI approach in tertiary hospitals, India
Ritu Jain1, Shally Awasthi, Avivar Awasthi
1Department of Pediatrics, Chhatrapati Shahuji Maharaj Medical University, Lucknow, India.
Indian Journal of Pediatrics
|April 22, 2009
Summary
Physician diagnoses and Integrated Management of Childhood Illness (IMCI) algorithm diagnoses showed low agreement for pneumonia in children. Refinements to the IMCI algorithm are needed for accurate diagnosis and management.
Area of Science:
- Pediatrics
- Infectious Diseases
- Clinical Diagnostics
Background:
- The Integrated Management of Childhood Illness (IMCI) algorithm aims to standardize child healthcare.
- Accurate diagnosis is crucial for effective management of childhood illnesses.
Purpose of the Study:
- To compare physician diagnoses with IMCI algorithm diagnoses in hospitalized children aged 2-59 months.
- To assess the concordance between diagnostic methods for common childhood illnesses.
Main Methods:
- A comparative study involving 222 children aged 2-59 months admitted with IMCI danger signs.
- Physician diagnoses and IMCI algorithm diagnoses were recorded and compared.
Main Results:
- Low agreement was found for pneumonia diagnoses (Kappa=0.74).
- The IMCI algorithm diagnosed very severe febrile disease in 95.9% of fever cases, while physicians used varied diagnoses like malaria, meningitis, and sepsis.
- Significant differences in diagnostic rates for pneumonia were observed between physicians and the IMCI algorithm (p=0.015).
Conclusions:
- The IMCI algorithm requires refinement, particularly for diagnosing febrile illnesses.
- Low concordance necessitates improvements in the IMCI algorithm for better clinical decision-making.
- Standardization of diagnostic criteria in pediatric care is essential.
Related Concept Videos
01:21Tertiary Healthcare System
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
01:20Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:28Hospitals-I
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
01:27Nursing Clinical Information System
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include: