Study Supports Home Care for Severe Pneumonia in Children (2/2)

The treatment failed in eighty-seven children in the hospitalized group and seventy-seven in the home group. These children were then given another therapy.During the study, five children died, four of them in the hospital group.

W.H.O. medical officer Shamim Qazi says the new findings will help children, families and hospitals. Children may get other infections in a hospital. Many hospitals are already overcrowded. And treatment at home would be less costly.

The study confirmed the findings of three other studies in Africa, Asia, Europe and Latin America. These showed that in hospitals, oral antibiotics were just as effective as injectable antibiotics in treating severe pneumonia in children. A few cases are so severe they will still need hospital care. But Doctor Qazi says the W.H.O will be updating its guidelines this year with the new evidence.

Boston University professor Donald Thea led the research in Pakistan. Doctor Thea says a change could lead to new training for community health workers. If they learn how to treat severe pneumonia in young children locally, then more children are likely to survive.

参考译文：

在入院组和家庭组中分别有83名和77名患儿治疗失败。这些患儿接下来接受另外一种治疗。在研究期间，5名儿童死亡，其中4名属于入院组。

世界卫生组织的卫生官员沙米姆·卡齐说这些新发现将有助于儿童、家庭和医院。儿童可能会在医院中受到其他感染。很多医院都已人满为患， 并且家庭治疗花费更少。

这项研究证实了在非洲、亚洲、欧洲和拉丁美洲另外3项研究的发现。这些发现表明，口服抗生素治疗重症肺炎儿童和静脉注射抗生素一样有效。少数重症病例仍然需要医院护理。但是卡齐医生说世界卫生组织今年会随着新证据的出现而更新指南。

波士顿大学的唐纳德·希亚教授在巴基斯坦主持这项研究。希亚博士说这个改变可能导致对社区卫生工作人员进行重新培训。如果他们懂得如何在当地治疗重症肺炎的幼儿，那么更多的儿童就有可能活下来。

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