Open AccessA study of clinical, bacteriological and radiological profile of severe pneumonia in children
Author(s) -
Uday Kumar Neelagiri
Publication year - 2021
Publication title -
perspectives in medical research
Language(s) - English
Resource type - Journals
eISSN - 2348-229X
pISSN - 2348-1447
DOI - 10.47799/pimr.0803.07
Subject(s) - medicine , pneumonia , pediatrics , pallor , physical examination , tachypnea , blood culture , prospective cohort study , intensive care medicine , antibiotics , microbiology and biotechnology , biology , tachycardia
Pneumonia continues to pose a threat to health of children indeveloped and developing countries despite improvements insocioeconomic status, immunization and early diagnosis andtreatment. Universality, vulnerability and frequency ofoccurrence of ALRTI in children are well recognized all overthe world.Methods: This prospective clinical study of severe pneumoniaconducted on n=150 children who were admitted to pediatricwards and PICU in PIMS, Nagunoor, Karimnagar. A detailedexamination of each child including anthropometry was carriedout. During the general physical examination, emphasis waslaid on assessing general condition of the child, respiratoryrate (counted over 1 minute), presence of fever and other signssuch as cyanosis and pallor. Detailed systematic examinationof the respiratory, cardiovascular and central nervous systemwas done. Any associated illness such as septicemia, meningitisand congestive cardiac failure if present was noted.Result: In this prospective study, n=150 cases of severepneumonia were studied. In the present study, majority ofcases (53%) were less than one year of age. majority of thecases were diagnosed as Bronchopneumonia (66.67%), Lobarpneumonia was diagnosed in 18.6% of cases and pneumoniaand its complications in 9.3% of cases. In the present study,radiological findings were present in 80.66% of cases Bacterialpneumonia was detected in 62.67%, viral pneumonia in 14%.Culture was positive in only of cases. S. pneumonia was themost common organism isolated (6 cases) followed by S. aureus(n=5 cases) and Klebsiella (n=3 case). n the present study,antibiotics were given in all cases.Conclusion : In this study we found Bronchopneumonia is thepredominant form of presentation in infants and preschoolchildren. Among the risk factors studied, previous history ofsimilar illness, inappropriate immunization for age, anemia,PEM grade 3 and 4, were found significant causes for severepneumonia.