AustralieFrV1, Main, Curation, bibRecord, 007656

Oxygen is an essential medicine: a call for international action

Identifieur interne : 007656 ( Main/Curation ); précédent : 007655; suivant : 007657

Oxygen is an essential medicine: a call for international action

Auteurs : T. Duke [Australie] ; S. M. Graham [Australie, France] ; M. N. Cherian [Suisse] ; A. S. Ginsburg [États-Unis] ; M. English [Kenya] ; S. Howie [Gambie] ; D. Peel [Royaume-Uni] ; P. M. Enarson [France] ; I. H. Wilson [Royaume-Uni] ; W. Were [Suisse]

Source :

International journal of tuberculosis and lung disease [ 1027-3719 ] ; 2010.

RBID : Pascal:10-0500185

Descripteurs français

Pascal (Inist)
- Hypoxémie, Pneumonie, Pathologie des poumons, Tuberculose, Pathologie de l'appareil respiratoire, Oxygène, Médecine, International, Action, Système santé, Pneumologie.
Wicri :
- topic : Oxygène, Médecine.

English descriptors

KwdEn :
- Action, Health system, Hypoxemia, International, Lung disease, Medicine, Oxygen, Pneumology, Pneumonia, Respiratory disease, Tuberculosis.

Abstract

Dans les pays en développement, l'hypoxémie est habituellement en association avec la mortalité, mais des techniques réalisables et d'un bon taux de coût-efficacité pour faire face à l'hypoxémie ne bénéficient que d'une attention limitée ou nulle au sein des stratégies mondiales actuelles en matière de santé. L'oxygénothérapie a été utilisée en médecine depuis près de cent ans, mais dans les pays en développement, la plupart des nouveau-nés, enfants et adultes gravement malades n'ont pas accès à l'oxygène ou à un test simple de détection de l'hypoxémie. Il a été démontré qu'améliorer l'accès à l'oxygène et à l'oxymétrie de pouls entraîne une réduction de la mortalité par pneumonie de l'enfant jusqu'à 30% dans les contextes à fardeau élevé de pneumonie infantile. Une stratégie d'administration d'oxygène systémique se compare favorablement à d'autres interventions de profil plus élevé pour la survie de l'enfant, tel de nouveaux vaccins. A côté de son utilisation dans le traitement des maladies respiratoires aiguës, l'oxygénothérapie est indispensable pour une prise en charge optimale d'un grand nombre d'autres conditions chez les adultes et les enfants et est essentiel pour la sécurité de la chirurgie, de l'anesthésie et des soins obstétricaux. Les oxyconcentrateurs représentent la source d'oxygène la plus régulière et la moins coûteuse dans les services de santé où la fourniture de courant électrique est fiable. Il est possible de maintenir des oxyconcentrateurs dans les contextes des pays en développement si l'on adopte une approche systématique impliquant les infirmières, les médecins, les techniciens et les administratifs. L'amélioration des systèmes d'oxygène est un point d'entrée pour l'amélioration de la qualité des soins. Vu ces importantes raisons et vu son importance vitale dans la réduction des décès par maladies pulmonaires, l'oxygène mérite une priorité élevée dans l'agenda mondial de la santé au cours de cette Année du Poumon: 2010.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2975100

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Action</term>
<term>Health system</term>
<term>Hypoxemia</term>
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<term>Lung disease</term>
<term>Medicine</term>
<term>Oxygen</term>
<term>Pneumology</term>
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<front><div type="abstract" xml:lang="fr">Dans les pays en développement, l'hypoxémie est habituellement en association avec la mortalité, mais des techniques réalisables et d'un bon taux de coût-efficacité pour faire face à l'hypoxémie ne bénéficient que d'une attention limitée ou nulle au sein des stratégies mondiales actuelles en matière de santé. L'oxygénothérapie a été utilisée en médecine depuis près de cent ans, mais dans les pays en développement, la plupart des nouveau-nés, enfants et adultes gravement malades n'ont pas accès à l'oxygène ou à un test simple de détection de l'hypoxémie. Il a été démontré qu'améliorer l'accès à l'oxygène et à l'oxymétrie de pouls entraîne une réduction de la mortalité par pneumonie de l'enfant jusqu'à 30% dans les contextes à fardeau élevé de pneumonie infantile. Une stratégie d'administration d'oxygène systémique se compare favorablement à d'autres interventions de profil plus élevé pour la survie de l'enfant, tel de nouveaux vaccins. A côté de son utilisation dans le traitement des maladies respiratoires aiguës, l'oxygénothérapie est indispensable pour une prise en charge optimale d'un grand nombre d'autres conditions chez les adultes et les enfants et est essentiel pour la sécurité de la chirurgie, de l'anesthésie et des soins obstétricaux. Les oxyconcentrateurs représentent la source d'oxygène la plus régulière et la moins coûteuse dans les services de santé où la fourniture de courant électrique est fiable. Il est possible de maintenir des oxyconcentrateurs dans les contextes des pays en développement si l'on adopte une approche systématique impliquant les infirmières, les médecins, les techniciens et les administratifs. L'amélioration des systèmes d'oxygène est un point d'entrée pour l'amélioration de la qualité des soins. Vu ces importantes raisons et vu son importance vitale dans la réduction des décès par maladies pulmonaires, l'oxygène mérite une priorité élevée dans l'agenda mondial de la santé au cours de cette Année du Poumon: 2010.</div>
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<series><title level="j" type="main">International journal of tuberculosis and lung disease</title>
<title level="j" type="abbreviated">Int. j. tuberc. lung dis.</title>
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<imprint><date when="2010">2010</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Action</term>
<term>Health system</term>
<term>Hypoxemia</term>
<term>International</term>
<term>Lung disease</term>
<term>Medicine</term>
<term>Oxygen</term>
<term>Pneumology</term>
<term>Pneumonia</term>
<term>Respiratory disease</term>
<term>Tuberculosis</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Hypoxémie</term>
<term>Pneumonie</term>
<term>Pathologie des poumons</term>
<term>Tuberculose</term>
<term>Pathologie de l'appareil respiratoire</term>
<term>Oxygène</term>
<term>Médecine</term>
<term>International</term>
<term>Action</term>
<term>Système santé</term>
<term>Pneumologie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Oxygène</term>
<term>Médecine</term>
</keywords>
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<front><div type="abstract" xml:lang="fr">Dans les pays en développement, l'hypoxémie est habituellement en association avec la mortalité, mais des techniques réalisables et d'un bon taux de coût-efficacité pour faire face à l'hypoxémie ne bénéficient que d'une attention limitée ou nulle au sein des stratégies mondiales actuelles en matière de santé. L'oxygénothérapie a été utilisée en médecine depuis près de cent ans, mais dans les pays en développement, la plupart des nouveau-nés, enfants et adultes gravement malades n'ont pas accès à l'oxygène ou à un test simple de détection de l'hypoxémie. Il a été démontré qu'améliorer l'accès à l'oxygène et à l'oxymétrie de pouls entraîne une réduction de la mortalité par pneumonie de l'enfant jusqu'à 30% dans les contextes à fardeau élevé de pneumonie infantile. Une stratégie d'administration d'oxygène systémique se compare favorablement à d'autres interventions de profil plus élevé pour la survie de l'enfant, tel de nouveaux vaccins. A côté de son utilisation dans le traitement des maladies respiratoires aiguës, l'oxygénothérapie est indispensable pour une prise en charge optimale d'un grand nombre d'autres conditions chez les adultes et les enfants et est essentiel pour la sécurité de la chirurgie, de l'anesthésie et des soins obstétricaux. Les oxyconcentrateurs représentent la source d'oxygène la plus régulière et la moins coûteuse dans les services de santé où la fourniture de courant électrique est fiable. Il est possible de maintenir des oxyconcentrateurs dans les contextes des pays en développement si l'on adopte une approche systématique impliquant les infirmières, les médecins, les techniciens et les administratifs. L'amélioration des systèmes d'oxygène est un point d'entrée pour l'amélioration de la qualité des soins. Vu ces importantes raisons et vu son importance vitale dans la réduction des décès par maladies pulmonaires, l'oxygène mérite une priorité élevée dans l'agenda mondial de la santé au cours de cette Année du Poumon: 2010.</div>
</front>
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<wicri:regionArea> Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="A2"> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cherian, M N" sort="Cherian, M N" uniqKey="Cherian M" first="M. N." last="Cherian">M. N. Cherian</name>
<affiliation wicri:level="1"><nlm:aff id="A3"> Department of Essential Health Technologies, World Health Organization, Geneva, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea> Department of Essential Health Technologies, World Health Organization, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ginsburg, A S" sort="Ginsburg, A S" uniqKey="Ginsburg A" first="A. S." last="Ginsburg">A. S. Ginsburg</name>
<affiliation wicri:level="2"><nlm:aff id="A4"> PATH, Seattle, WA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> PATH, Seattle, WA</wicri:regionArea>
<placeName><region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="English, M" sort="English, M" uniqKey="English M" first="M." last="English">M. English</name>
<affiliation wicri:level="1"><nlm:aff id="A5"> Kenya Medical Research Institute/Wellcome Trust Research Programme, Nairobi, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea> Kenya Medical Research Institute/Wellcome Trust Research Programme, Nairobi</wicri:regionArea>
<wicri:noRegion>Nairobi</wicri:noRegion>
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</author>
<author><name sortKey="Howie, S" sort="Howie, S" uniqKey="Howie S" first="S." last="Howie">S. Howie</name>
<affiliation wicri:level="1"><nlm:aff id="A6"> Medical Research Council, Banjul, The Gambia</nlm:aff>
<country xml:lang="fr">Gambie</country>
<wicri:regionArea> Medical Research Council, Banjul</wicri:regionArea>
<wicri:noRegion>Banjul</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Peel, D" sort="Peel, D" uniqKey="Peel D" first="D." last="Peel">D. Peel</name>
<affiliation wicri:level="3"><nlm:aff id="A7"> Ashdown Consultants, Hartfield, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea> Ashdown Consultants, Hartfield, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Enarson, P M" sort="Enarson, P M" uniqKey="Enarson P" first="P. M." last="Enarson">P. M. Enarson</name>
<affiliation wicri:level="3"><nlm:aff id="A2"> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wilson, I H" sort="Wilson, I H" uniqKey="Wilson I" first="I. H." last="Wilson">I. H. Wilson</name>
<affiliation wicri:level="3"><nlm:aff id="A8"> World Federation of Societies of Anaesthesiologists, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea> World Federation of Societies of Anaesthesiologists, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Were, W" sort="Were, W" uniqKey="Were W" first="W." last="Were">W. Were</name>
<affiliation wicri:level="1"><nlm:aff id="A9"> Department of Child and Adolescent Health, World Health Organization, Geneva, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea> Department of Child and Adolescent Health, World Health Organization, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease</title>
<idno type="ISSN">1027-3719</idno>
<idno type="eISSN">1815-7920</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
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<front><div type="abstract" xml:lang="en"><title>SUMMARY</title>
<p id="P2">Hypoxaemia is commonly associated with mortality in developing countries, yet feasible and cost-effective ways to address hypoxaemia receive little or no attention in current global health strategies. Oxygen treatment has been used in medicine for almost 100 years, but in developing countries most seriously ill newborns, children and adults do not have access to oxygen or the simple test that can detect hypoxaemia. Improving access to oxygen and pulse oximetry has demonstrated a reduction in mortality from childhood pneumonia by up to 35% in high-burden child pneumonia settings. The cost-effectiveness of an oxygen systems strategy compares favourably with other higher profile child survival interventions, such as new vaccines. In addition to its use in treating acute respiratory illness, oxygen treatment is required for the optimal management of many other conditions in adults and children, and is essential for safe surgery, anaesthesia and obstetric care. Oxygen concentrators provide the most consistent and least expensive source of oxygen in health facilities where power supplies are reliable. Oxygen concentrators are sustainable in developing country settings if a systematic approach involving nurses, doctors, technicians and administrators is adopted. Improving oxygen systems is an entry point for improving the quality of care. For these broad reasons, and for its vital importance in reducing deaths due to lung disease in 2010: Year of the Lung, oxygen deserves a higher priority on the global health agenda.</p>
</div>
</front>
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Oxygen is an essential medicine: a call for international action

Oxygen is an essential medicine: a call for international action

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