dc.contributor.author |
Jroundi, Imane |
dc.contributor.author |
Mahraoui, Chafiq |
dc.contributor.author |
Benmessaoud, Rachid |
dc.contributor.author |
Moraleda Redecilla, Cinta |
dc.contributor.author |
Benjelloun, Badr Sououd |
dc.contributor.author |
Bassat Orellana, Quique |
dc.date |
2016-06-15T10:58:33Z |
dc.date |
2016-06-15T10:58:33Z |
dc.date |
2015-06-15 |
dc.date |
2016-06-13T15:59:46Z |
dc.identifier.citation |
0778-7367 |
dc.identifier.uri |
http://hdl.handle.net/2445/99541 |
dc.format |
11 p. |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
BioMed Central |
dc.relation |
Reproducció del document publicat a:
http://dx.doi.org/10.1186/s13690-015-0076-x |
dc.relation |
Archives of Public Health, 2015, vol. 73, num.28, p. 1-11 |
dc.relation |
http://dx.doi.org/10.1186/s13690-015-0076-x |
dc.rights |
cc by (c) Jroundi et al., 2015 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.rights |
http://creativecommons.org/licenses/by/3.0/es/ |
dc.subject |
Infeccions respiratòries |
dc.subject |
Marroc |
dc.subject |
Respiratory infections |
dc.subject |
Morocco |
dc.title |
Knowledge gaps on paediatric respiratory infections in Morocco,
Northern Africa |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/publishedVersion |
dc.description.abstract |
BACKGROUND: The burden of acute respiratory infections (ARI)
among Moroccan children remains significant. However, scarce
information is available regarding trends in its epidemiology
and etiology, or regarding its associated prognostic factors.
The purpose of this work was to review available data on the
burden of ARI among children under five years of age in Morocco.
METHODS: A systematic review was conducted for the period
1997-2014 using the PRISMA proposed methodology. Various online
databases were screened, in addition to physical libraries of
Moroccan medical schools, and official reports of the Moroccan
Ministry of Health. Search queries in English and French
languages included: Respiratory Tract Infections, pneumonia,
epidemiology, etiology, microbiology, mortality and Morocco. The
documents were included for analysis when they reported original
data on the incidence, distribution, or a clinical description
of the diseases or their etiology or described clinical
management or national preventive strategies. RESULTS:
Thirty-two documents were included in the final analysis. 21 of
which had been published. In 2012, ARI caused 13% of paediatric
deaths, half of the consultations at health facilities and third
of the paediatric admissions. The microorganisms more frequently
identified among hospitalized children were Streptococcus
pneumoniae (38%) and Haemophilus influenza type b (Hib) (15%).
The MOH introduced Hib vaccines into the national immunization
program (PNI) in 2007and the 13-valent vaccine against
pneumococcus in 2010. The national first line antibiotics
recommended for non-severe ambulatory treatment is Amoxicillin.
Studies of antibiotic resistance showed from 1998 to 2008 a 22%
increase in the rate of penicillin non-susceptibility among
Streptococcus pneumoniae isolates. Viral respiratory infections
and the role attributed to air pollution in the incidence of ARI
have been poorly characterized. CONCLUSIONS: Further efforts
should be made towards the development of adequate surveillance
programs to better clarify the epidemiology, etiology,
antimicrobial susceptibility patterns and the effectiveness of
the preventives and curatives strategies in place against
paediatric ARIs in Morocco. Additionally, a holistical approach
should be used to identify the heath determinants of ARIs among
children. |