5036
Al Shaimaa Fouad Mohamed Kamal
Outcome of pneumonia in infants and children admitted in Abu El-Rish Hospital
Community acquired pneumonia - children - co-morbid - RSV - mortality.
Background: Community acquired pneumonia is more severe and more prevalent in developing than in developed countries. In Egypt, pneumonia accounts for 11% of deaths in children aged less than 5 years old. Objectives: This study was undertaken to evaluate the prognosis and outcome of pneumonia among Egyptian infants and children below 5 years old. Patients and methods: This cross sectional study was conducted on 50 infants and children from 1 month old up to 5 years old who were admitted in Cairo University Pediatric Hospital with clinical and/or radiological diagnosis of pneumonia.Results: Infants less than 1 year old were the most affected by pneumonia (70%) in our study group. Bacterial pneumonia and mixed (bacterial and viral; due to RSV) infections constituted a large proportion among identifiable causes of infections (36% and 12% of patients, respectively). Factors significantly associated with mortality were age in months, respiratory distress grades, grade of hypoxemia, O2 saturation, PO2 and quantitative RSV IgG, need for ICU admission, complications, recurrence of pneumonia and hospital stay duration (p ˂0.05). The survival probabilities of complicated cases decreased to 64.8% at the 25th day of hospitalization, using K-M test.Conclusion: Pneumonia is a common cause of morbidity and mortality among Egyptian infants and children less than 5 years old, especially in the first year of life. Patients with co-morbid diseases as well as patients with bacterial pneumonia had more severe form of pneumonia, with more complications and more duration of hospital stay. Radiographic findings, CBC and blood culture results cannot be considered dependable tools inidentification of etiological causes or prognosis of pneumonia, in infants and children.
2015
M.Sc
Cairo
Medicine