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Original Research Article Pneumonia is an infection in the lungs. It can cause breathing problems, a fever, coughing and wheezing. Pneumonia can affect people of any age, but babies and young children are at higher risk because their immune systems are not yet fully developed. Hence the current study was planned to evaluate the prevalence of the pneumonia in children and assess the level of serum sodium in affected children. The aim of our study was to assess the Serum sodium levels in children in pneumonia and the scenario of pneumonia in children in Bangladesh. The study was planned in the department of Pediatrics, the department of paediatrics, M Abdur Rahim Medical College, Dinajpur, Bangladesh during the period from January 2018 To December 2018. One hundred and twenty five (125) study subjects were selected purposively. At the time of admission, the patient’s clinical history was recorded in prefixed preform. Venous blood sampling was obtained from each patient enrolled in the study and sent for estimation of serum electrolytes, glucose levels, X-Ray Chest. Data were analyzed by using SPSS version 21. The highest Serum Sodium level for Pneumonia ((mEq/L)) in (131-135) range was 100(40%), higher (135-140) range was 85(34%), high (126-130) range was 60(24%) and lowest (120-125) range was 5(2%). Hyponatremia is quite common in community acquired pneumonia cases that needed hospitalization. Initial measurement of serum sodium is recommended in all hospitalized pneumonia patients. Regular follow up of serum sodium level during the period of hospital stay should be considered to pick up the high risk cases at an early stage. Based on the above findings it can be concluded that regular estimation of serum electrolyte concentration and 30% has been curtailed from the regular daily intake fluid volume to guide appropriate fluid and electrolyte management of children with severe pneumonia requiring hospitalization.

Hyponatremia in Children with Pneumonia: Study in a Tertiary Care Hospital, Dinajpur, Bangladesh