Epidemiological study of childhood pneumonia in our department

Written by Gáll Zsuzsanna, Sánta Réka, Moréh Zsuzsanna, Cucerea Manuela, Simon Márta

Introduction: Childhood pneumonia is an important cause of mortality in the developing world and of morbidity even in developed countries. We performed this retrospective study to investigate the predisposing factors, epidemiological characteristics of pneumonia in children.

Methods: There were 488 children included in this study, admitted with pneumonia to the Paediatric Department of County Hospital Tg Mures, between 2014-2016.

Results: The vast majority (79.92%) was under 5 years-old, with average age of 3.16±2.99 years. The male:female ratio was 1.13. 74.4% of the cases were admitted to the hospital in the cold autumn-winter months. Imagistics evidenced in 45.14% bronchopneumonia, in 32.57% interstitial and in 22.29% confluent, lobar pneumonia. Deficiency diseases were present in 244 children: anaemia in 38.9%, rickets in 4.71% and malnutrition in 6.35% of the cases. Introduction of antibiotics was necessary in 330 cases, brochodilators at 179 children, oxygen supplementation in 78, and corticosteroid therapy in 76 cases.

Conclusions: Pneumonia is more common in children younger than five years of age than in older children and adolescents. Only the complicated forms of pneumonia needs admittance, which explains the frequent use of antibiotics in this study group. The presence of deficiency diseases and refusal of immunisation leads to higher incidence of pneumonia and other severe infections.

 

Keywords: pneumonia, children, epidemiology

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