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The functioning of oxygen concentrators in resource-limited settings: a situation assessment in two countries

Identifieur interne : 006632 ( Main/Exploration ); précédent : 006631; suivant : 006633

The functioning of oxygen concentrators in resource-limited settings: a situation assessment in two countries

Auteurs : S. F. La Vincente [Australie] ; D. Peel [Royaume-Uni] ; S. Carai [Suisse] ; M. W. Weber [Indonésie] ; P. Enarson [France] ; E. Maganga [Malawi] ; G. Soyolgerel [Mongolie] ; T. Duke [Australie, Guinée]

Source :

RBID : Pascal:11-0237864

Descripteurs français

English descriptors

Abstract

SETTING: The paediatric wards of hospitals in Malawi and Mongolia. OBJECTIVE: To describe oxygen concentrator functioning in two countries with widespread, long-term use of concentrators as a primary source of oxygen for treating children. DESIGN: A systematic assessment of concentrators in the paediatric wards of 15 hospitals in Malawi and nine hospitals in Mongolia. RESULTS: Oxygen concentrators had been installed for a median of 48 months (interquartile range [IQR] 6-60) and 36 months (IQR 12-96), respectively, prior to the evaluation in Malawi and Mongolia. Concentrators were the primary source of oxygen. Three quarters of the concentrators assessed in Malawi (28/36) and half those assessed in Mongolia (13/25) were functional. Concentrators were found to remain functional with up to 30 000 h of use. However, several concentrators were functioning very poorly despite limited use. Concentrators from a number of different manufacturers were evaluated, and there was marked variation in performance between brands. Inadequate resources for maintenance were reported in both countries. CONCLUSION: Years after installation of oxygen concentrators, many machines were still functioning, indicating that widespread use can be sustained in resource-limited settings. However, concentrator performance varied substantially. Procurement of high-quality and appropriate equipment is critical, and resources should be made available for ongoing maintenance.


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">SETTING: The paediatric wards of hospitals in Malawi and Mongolia. OBJECTIVE: To describe oxygen concentrator functioning in two countries with widespread, long-term use of concentrators as a primary source of oxygen for treating children. DESIGN: A systematic assessment of concentrators in the paediatric wards of 15 hospitals in Malawi and nine hospitals in Mongolia. RESULTS: Oxygen concentrators had been installed for a median of 48 months (interquartile range [IQR] 6-60) and 36 months (IQR 12-96), respectively, prior to the evaluation in Malawi and Mongolia. Concentrators were the primary source of oxygen. Three quarters of the concentrators assessed in Malawi (28/36) and half those assessed in Mongolia (13/25) were functional. Concentrators were found to remain functional with up to 30 000 h of use. However, several concentrators were functioning very poorly despite limited use. Concentrators from a number of different manufacturers were evaluated, and there was marked variation in performance between brands. Inadequate resources for maintenance were reported in both countries. CONCLUSION: Years after installation of oxygen concentrators, many machines were still functioning, indicating that widespread use can be sustained in resource-limited settings. However, concentrator performance varied substantially. Procurement of high-quality and appropriate equipment is critical, and resources should be made available for ongoing maintenance.</div>
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