Clinical and bacterial profile of pneumonia in 2 months to 5 years age children: a prospective study done in a tertiary care hospital

2016-10-24T07-40-38Z
Source: International Journal of Contemporary Pediatrics
Madhusudhan Kamatham, Bharathi Sreenivasaiah, Santhimayee Kalivela, Suresh Srinivasa Nadavapalli, Ramesh Babu T, Venkateswara Rao Jampana.
Background: Pneumonia is one of the leading causes of mortality among under-five children contributing to 15% of deaths all over the world. More than 95% of all new cases of pneumonia in children less than 5 years occur in developing countries due to increased prevalence of under nutrition, inadequate coverage of vaccination, lack of exclusive breast feeding, illiteracy etc. Methods: A total 110 subjects with pneumonia aged 2 months to 5 years were included in the study. Pneumonia was diagnosed clinically and classified according to new guidelines of WHO. Nutrition history including breast feeding practices and immunization history was taken. Anthropometry recorded along with thorough clinical examination bacterial cultures of blood, sputum and nasopharyngeal aspirates were done. Chest X-ray was taken for all patients for confirmation. Results: Out of 110 total subjects, Sixty three cases (57.27%) belonged to the revised WHO classification of pneumonia and 47 (42.72%) cases had severe pneumonia. Ninety cases (81.81%) were less than 3 years of age. The percentage of severe pneumonia was higher in children less than 3 years of age with p value


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