Table 1 Definitions for quality of care indicators
Pneumonia | Dehydration | |
|---|---|---|
Correctness of treatment | a) Antibiotic choice consistent with guidelines – Benzyl penicillin monotherapy for severe pneumonia in HIV negative and Benzyl penicillin and Gentamicin for very severe pneumonia and severe pneumonia in HIV positive children | a) Fluid choice consistent with guidelines – Hartman’s solution. |
b) Antibiotic dosing consistent with guidelines – 50 000 IU per kg four times a day for Benzyl penicillin and 7.5 mg twice daily for Gentamicin while allowing a 20% margin of error in the correctness of the dose prescribed. | b) Fluid volume consistent with guidelines – (+/- 20%) 80-120 mls/kg if not given fluid bolus for shock management or 56–120 mls per kg if fluid bolus for shock management is given. | |
a) Fluid duration consistent with guidelines - 5–6 hours for patients ages 2–11 months and 2.5-3 hours in patients aged 12–59 months. | ||
b) Fluid therapy consistent with guidelines – correct choice of fluid, fluid volume and over the correct duration. |