Table 6. Detail of treatment and follow-up of young infants with PSBI signs according to their clinical sub-categories (N = 370).
Parameters | Total PSBI cases | Critical illness (CI) | Clinical severe infection (CSI)* | Fast breathing only (7–59 days) |
---|---|---|---|---|
A. Case Management and outcome of the PSBI cases who were treated at a government primary health facility (PHC and CHC) | ||||
4.1. Number of PSBI cases treated | n = 150 | n = 6 | n = 120 | n = 24 |
4.2. No of PSBI cases who completed recommended simplified antibiotic treatment | 68(45.3) | 2(33.3) | 47(39.2) | 19(79.2) |
4.3. Doses of antibiotic received—Gentamicin | ||||
• 7 injections | 58(38.7) | 3(50.0) | 55(45.8) | - |
• ≥2<7 injections | 24(16.0) | 2(33.3) | 21(17.5) | 1(4.2) † |
• 1 injection | 6(4.0) | 1(16.7) | 5(4.2) | - |
• 0 injection | 62(41.3) | 0(0.0) | 39(32.5) | 23 (96) |
4.4 Doses of antibiotic received—Amoxicillin | ||||
• 14 doses | 102(68.0) | 4(66.7) | 79(65.8) | 19(79.2) |
• 7–13 doses | 22(14.7) | 0(0.0) | 17(14.2) | 5(20.8) |
• ≥1< 7 doses | 4(2.7) | 1(16.7) | 3(2.5) | 0(0.0) |
• 0 dose of amoxicillin | 22(14.7) | 1(16.7) | 21(17.5) | 0(0.0) |
4.5. Follow-up visits of PSBI cases during treatment (simplified antibiotic regimen) | ||||
• Follow-up on Day 4 | 117(78.0) | 6(100) | 93(77.5) | 18(75.0) |
• Completed all follow-up visits (Day 4 and Day 7) | 92(61.3) | 4(66.7) | 77(64.2) | 11(45.8) |
• Partial followed-up (Either day 4 or Day 7) | 26(17.3) | 2(33.3) | 17(14.2) | 7(29.2) |
• No follow-up | 32(21.3) | 0(0.0) | 26(21.7) | 6(25.0) |
4.6. Treatment outcomes for PSBI cases (simplified antibiotic regimen) | ||||
• Declared as ‘Clinical treatment success’ | 145(96.7) | 6(100.0) | 116(96.7) | 23(95.8) |
• Declared as ‘Clinical treatment failure’‡ | 4(2.7) | 0(0.0) | 3(2.5) | 1(4.2) |
• Death | 1(0.7) | 0(0.0) | 1(0.8) | 0(0.0) |
B. Treatment outcome of PSBI cases treated at the District hospital/Tertiary Hospital (based on follow up on day 14 after diagnosis of the illness) | n = 65 | n = 19 | n = 39 | n = 7 |
• Recovered | 61(93.8) | 16(84.2) | 38(97.4) | 7(100) |
• Still sick | 2(3.1) | 1(5.3) | 1(2.6) | - |
• Outcome unknown | - | - | - | - |
• Died | 2(3.1) | 2(10.5) | - | - |
C. Treatment outcome of PSBI cases treated by a private provider (based on follow up on day 14 after diagnosis of the illness) § | n = 155 | |||
• Recovered | 154(99.4) | - | - | - |
• Still sick | - | - | - | - |
• Outcome unknown | 1(0.6) | - | - | - |
• Died | - | - | - | - |
*Includes one infant 0–6 days old with fast breathing (severe pneumonia)
†One fast breathing only (7–59 days) case received injection gentamicin
‡ Definition of Treatment Failure: the appearance of any new sign of CI or CSI up to day 8 of treatment (worsening) or persistence of all presenting signs of CSI or CI on day 4 or persistence of any presenting sign by day 8 of treatment
§Case classification was not known for cases managed at a private facility