| Abstrakt: |
Backgrownd : Pneumonia is a significant causes of respiratory morbidity and mortality in children especially in developing countries worldwide is the leading causes of death in children younger than 5 year. Sever pneumonia characterized by high fever and difficulty breathing and can be fatal it is critical there fore to assess the severity of condition during initial bedside assessment in emergency department by using pediatric respiratory severity score. The PRESS score which depend on respiratory rate,wheezing,accessory muscle use,spo2 and difficulty feeding. Aim: This study done to evaluate the role of The Pediatric respiratory severity score ( PRESS) as screening test for assessment of severity of pneumonia. Patient and method: Convenient sample hospital based selective study done on patient attending emergency department at Salah Aldeen General Hospital who complain from shortness of breathing during the period from May 2017 to 13November 2017 .The study included 52 children there age from 0-60 month .Each patient included in the study were assessed by prepared questionnaire from parents include (name,age,sex, residence,type of feeding screening done by general examination including respiratory rate and sings of dyspnia that include tachypnea, use of accessory muscle, wheeze,and chest indrawing . Each patient examined for chest examination looking for crepitation and ronchi,each patient where assessed by Acute Respiratory infection World health Organization program ( ARI) . Each patient also assessed by pediatric respiratory severity score (PRESS) that include respiratory rate wheezing, accessory muscle use, feeding difficulties,and SPO2 level above 95%.And each patient assessed by community acquired pneumonia (CAP) score. The diagnosis of pneumonia when done by CXR with x-ray report from experience radiologist . Results: The total number of cases 52 case32 (62%) male and 20 (38% )female. Most of study cases from urban 31 (60%) and age 3-12 month age was23 (44%) most of cases had tachypnea 35(67%) and with bottle feeding 28(54%). Most of cases had history of upper respiratory tract infection 42(81%) and 30(58%) of cases not taken vaccination. According to community acquired pneumonia ( CAP) severity score. Most of cases with mild to moderate CAP 29 (56%) and according to acute respiratory infection (ARI) program found most of cases with very severe illness 28(54%) and according to pediatric respiratory severity score PRESS where found most of cases with sever pneumonia 26 (50%) according to radiological finding most of cases where multifocal pneumonia 24 (46%). Conclusion: The PRESS was sensitive as ARI score but the specoificity was similar to CAP score . So it is recommended that the use of PRESS score for assessment of pneumonis in children 0-6 months age. [ABSTRACT FROM AUTHOR] |
