SEVERE PNEUMONIA

Background: The signs and symptoms of pneumonia are often nonspecificand widely vary based on the patient’s age and the infectious organisms involved. IMNCI hasimproved case improved diagnose of pneumonia. This study was conducted to study thefrequency of correctly diagnosed cases of severe pneumonia by IMNCI classification in childrenbetween 2 – 59 months of age. Study Design: Cross sectional study. Setting: Departmentof Pediatrics, Mayo Hospital, Lahore. Period: January to June 2013. Methodology: Total155 cases were included through Non probability purposive sampling. Chest radiographswere taken within the first 6 hours from Radiology Department and reports were obtained forevidence of pneumonia. Data was entered and analyzed in SPSS version 16. Age, weight,height were presented as mean ± standard deviation. Sex and radiological findings of severepneumonia were presented as frequency tables and percentages. Results: The mean age ofpatients was 12.76±11.54 months. There were 47.1% females and 52.9% males. Out of 155patients 134(86.5%) had pneumonia on CXR where as only 21(13.5%) appeared with normalstatus which were already positive on IMNCI. Only 21 (13.5%) appeared with bilateral patchof consolidation, 62 (40%) appeared with Unilateral patch of consolidation, 11 (7.1%) wereappeared with Bronchopneumonia, 30 (19.4%) were appeared with lung collapse condition and(12.9%) were appeared with Pleural Effusion. Conclusion: Clinical assessment of pneumonia inchildren on IMNCI is equivalent to the assessment on chest X-ray.