Clinical Findings and Radiological Evaluation of WHO-Defined Severe Pneumonia Among Hospitalized Children.

Autor:	Karim R; Pediatrics Department, Hayatabad Medical Complex Peshawar, Peshawar, PAK., Afridi JK; Pediatrics Department, Hayatabad Medical Complex Peshawar, Peshawar, PAK., Lala GE; Pediatrics Department, Hayatabad Medical Complex Peshawar, Peshawar, PAK., Yar SR; Pediatrics Department, Hayatabad Medical Complex Peshawar, Peshawar, PAK., Zaman MB; Pediatrics Department, Khyber Teaching Hospital Peshawar, Peshawar, PAK., Afridi BK; Medicine, Khyber Medical College, Peshawar, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Jan 15; Vol. 15 (1), pp. e33804. Date of Electronic Publication: 2023 Jan 15 (Print Publication: 2023).
DOI:	10.7759/cureus.33804
Abstrakt:	Background: The leading infectious cause of death in children worldwide is pneumonia. Pneumonia claimed the lives of 740,180 kids under the age of five in 2019, accounting for 14% of all fatalities and 22% of deaths in kids between the ages of 1 and 5. Children and families worldwide are affected by pneumonia, but South Asia and Africa have the highest fatality rates. Objective: This study aims to determine the clinical risk factors and radiological assessment of the World Health Organization (WHO)-defined severe pneumonia in Pakistani hospitalized children. Material and Methods: This cross-sectional study was carried out in the pediatric department of the Hayatabad Medical Complex between January 2021 and December 2021. The study included kids who had a fever, cough, and fast or difficulty breathing between the ages of 2 and 60 months. All of the included clinical pneumonia cases were acquired in the community. Results: A total of 360 clinically confirmed patients with pneumonia who presented with fever, cough, and fast or difficulty breathing were enrolled. Age ranged between 2 and 60 months, with a mean age of ±31 months. There were 168 (46.7%) males and 192 (53.3%) females. About 232 (64.4%) had radiological pneumonia, while the rest of the pneumonia cases 128 (35.5%) were without a radiological diagnosis. The most common presenting complaint was noisy breathing 119 (33%), followed by refusal of feeds 81 (22.5%), lethargy 69 (19.2%), seizure 40 (11.1%), nasal drainage 29 (8%), and abdominal pain 22 (6.1%). Conclusion: The most specific clinical finding of radiographic pneumonia was bronchial breathing, while tachypnea was the most sensitive sign. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Karim et al.)
Databáze:	MEDLINE
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