Professional Nursing Today - Volume 11, Issue 3, 2007
Volume 11, Issue 3, 2007
Author L.C. SnymanSource: Professional Nursing Today 11, pp 8 –10 (2007)More Less
Many pregnant women die each year in South Africa as a result of pregnancy and childbirth. Non-pregnancy related infections, complications of hypertension, obstetric haemorrhage, pregnancy-related sepsis and pre-existing maternal disease are the five common causes for maternal deaths in South Africa. A large proportion of these deaths are preventable. Many deaths can be avoided if the problems are recognized and treated sooner rather than later. Midwives play a crucial role in the care of pregnant women, from the first antenatal visit right through to the delivery and the postpartum period. Midwives are the one group of health care workers than can impact on this problem.
The burden of pneumococcal disease in children - advances in the fight of this epidemic : paediatricsAuthor P.M. PrakashSource: Professional Nursing Today 11, pp 25 –28 (2007)More Less
Streptococcus pneumoniae, the most important cause of acute otitis media, pneumonia, septicaemia and meningitis worldwide, comes in 90 different serotypes. Only a few serotypes cause most of the serious disease. Different serotypes are distinguished by difference in the complex sugars that made up the bacteria's capsule that provide protection against the host's specific defenses. The burden of invasive pneumococcal disease in South Africa subjects is estimated to be 100 and 200 per 100 000. The conjugate pneumococcal vaccine has been shown to be effective in reducing invasive pneumococcal disease due to vaccine serotypes in all countries where it has been introduced. This benefit has extended to unvaccinated subjects. Reduction in penicillin resistance pneumococcus related to vaccine serotypes has been recorded. Replacement disease by non vaccine serotype has eroded the benefit of the vaccine. Industry, donors and governments need to interact to ensure accelerated implementation of this vaccine in developing countries.
Author G. GreenSource: Professional Nursing Today 11, pp 30 –33 (2007)More Less
Asthma is an inflammatory disease and the standard of therapy is the use of regular anti-inflammatory drugs, often, but not always, inhaled. Diagnosis of asthma often rests on clinical parameters in young children and it should be remembered that in these children wheeze is not always due to asthma. In older children objective diagnostic tests should be employed. Attention to regular use of therapy (adherence) as well as inhaler technique is of paramount importance in children.