| Assessing the sensitivity of surveillance for pneumonia in rural Thailand. | |
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MedLine Citation:
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PMID: 18564697 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We conducted a household survey among Sa Kaeo residents to characterize self-reported health-seeking behavior for pneumonia and the proportion of individuals who seek care at a hospital to determine the coverage of a surveillance system. A 2-stage cluster sample was used to select households. A case of pneumonia was defined as a self-reported history of cough and difficulty breathing for at least 2 days or being given a diagnosis of pneumonia by a healthcare provider in the 12-month period beginning February 1, 2002, and ending January 31, 2003. Interviewers administered a structured questionnaire that asked about clinical illness and utilization of healthcare services. Among 1,600 households, 5,658 persons were surveyed, of whom 62 persons met the case definition. Of the 59 persons with complete data, 53 (90%, 95% CI: 79-96) sought medical care and 47 (80%, 95% CI: 67-89) sought care at a hospital facility in the province. Neither distance nor cost was reported as a barrier to seeking care. Most individuals with self-reported pneumonia sought care at the hospital level. Population-based surveillance can provide reliable estimates of hospitalized, chest radiograph-confirmed pneumonia in Sa Kaeo if adjustments are made to account for the proportion of individuals who access a hospital where radiologic assessment is available. |
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Authors:
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Shadi Chamany; Channawong Burapat; Yupapan Wannachaiwong; Khanchit Limpakarnjanarat; Nakorn Premsri; Elizabeth R Zell; Scott F Dowell; Daniel R Feikin; Sonja J Olsen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Southeast Asian journal of tropical medicine and public health Volume: 39 ISSN: 0125-1562 ISO Abbreviation: Southeast Asian J. Trop. Med. Public Health Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-06-20 Completed Date: 2008-10-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0266303 Medline TA: Southeast Asian J Trop Med Public Health Country: Thailand |
Other Details:
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Languages: eng Pagination: 549-56 Citation Subset: IM |
Affiliation:
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Epidemic Intelligence Service and Preventive Medicine Residency Program, Office of Workforce and Career Development (OWCD), Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Child, Preschool Cluster Analysis Female Humans Infant Male Middle Aged Patient Acceptance of Health Care Pneumonia / diagnosis, epidemiology*, radiography Population Surveillance / methods Rural Health Sensitivity and Specificity Socioeconomic Factors Thailand / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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