Pneumonia and poverty: a prospective population-based study among children in Brazil

Thörn, Licia; Minamisava, Ruth; Nouer, Simonne S.; Ribeiro, Luiza Helena Vilela; Andrade, Ana Lúcia

doi:10.1186/1471-2334-11-180

Cited by 50 publications

(51 citation statements)

References 35 publications

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“…The mean WBC count was 15784/mm 3 . CBC differential was available for 266 patients and showed a mean ANC of 10886/mm 3 .…”

Section: Laboratory Resultsmentioning

confidence: 99%

“…The mean WBC count was 15784/mm 3 . CBC differential was available for 266 patients and showed a mean ANC of 10886/mm 3 . CRP was measured on 215 patients (80.2%); it had a mean of 10.7 mg/dl.CRP increased with increasing duration of symptoms (p< 0.05).…”

Section: Laboratory Resultsmentioning

confidence: 99%

“…About half of affected children worldwide receive appropriate medical care [1,2]. Even though children in developing countries suffer the highest burden of the disease [3][4][5], children in developed countries continue to face high disease burden despite better nourishment and immunizations [6].…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of Community-Acquired Pneumonia in Hospitalized Lebanese Children and their Correlation

Kamel

Curi

et al. 2017

JPNC

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Aim: To study the radiological findings of community-acquired pneumonia in correlation with clinical signs and symptoms, as well as laboratory findings in children and adolescents hospitalized. Material and methods:We retrospectively reviewed the medical records of children who were hospitalized for community-acquired pneumonia. A descriptive study was followed by a correlation study of patients' clinical signs and symptoms, physical examination, and laboratory studies, with the patients' radiologic finding. Results:We reviewed the medical records of 268 pediatric patients who met criteria. The most common symptoms were cough (94.4%) and fever (89.9%). Crackles (36.9%) heard and focal infiltrate (37.7%) were the most common findings on physical exam and radiologic imaging, respectively. Among the laboratory studies performed, only C-reactive protein was found to be elevated with prolonged duration of symptoms (p< 0.05). With the exception of abdominal pain (p=0.009), there were no significant differences relating patient symptoms with radiologic findings. Conclusion:In this study, no clinical or laboratory finding could be sufficient for the diagnosis and therapeutic decision as found in previous studies. Newer laboratory tests and etiologic search methods should be made available, until then, a high clinical index of suspicion is useful in our developing country.

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“…The mean WBC count was 15784/mm 3 . CBC differential was available for 266 patients and showed a mean ANC of 10886/mm 3 .…”

Section: Laboratory Resultsmentioning

confidence: 99%

Section: Laboratory Resultsmentioning

confidence: 99%

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Characteristics of Community-Acquired Pneumonia in Hospitalized Lebanese Children and their Correlation

Kamel

Curi

et al. 2017

JPNC

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“…(6) In Brazil, a continental country with wide cultural, social, economic and environmental diversity, pneumonia is always one of the main causes of hospitalizations. (7) For this reason, it is important to consider environmental and climate influences in the hospital morbidity profile of this problem. (6) A study conducted in the United States observed higher rates of outpatient services (between 32.3 and 46.9 per 1,000) for bacterial pneumonia among children younger than five years.…”

Section: Discussionmentioning

confidence: 99%

Análise da tendência das taxas de internações por pneumonia bacteriana em crianças e adolescentes

et al. 2015

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Objective: To analyze distribution and tendency of hospital admissions rates for bacterial pneumonia in children and adolescents. Methods: This ecological, time series study included secondary data obtained from the Hospital Information System of the SUS. We calculated hospital admission coefficients for 10,000 inhabitants triennially. For the analysis of tendency, a model of polynomial regression was used. Results: Most hospital admissions occurred in the East health macro-region between the second and fourth triennial periods. Rates were higher for children age one to four years and in male patients throughout the study period. We observed an increased tendency toward hospital admission in children younger than one year. Conclusion: Hospital admission rates for pneumonia differ by health macro-region, age and sex. The region with the highest incidence was the East region, and boys aged one to four years were more affected. A growing tendency was seen in children younger than one year. ResumoObjetivo: Analisar a distribuição e a tendência das taxas de internações por pneumonia bacteriana em crianças e adolescentes. Métodos: Estudo ecológico de séries temporais com dados secundários obtidos no Sistema de Informações Hospitalares do Sistema Único de Saúde. Foram calculados coeficientes de internação para 10.000 habitantes, por triênio. Para análise de tendência utilizaram-se modelos de regressão polinomial. Resultados: As maiores taxas de internação ocorreram na Macrorregião de Saúde Oeste, entre o segundo e o quarto triênio. As taxas foram maiores na faixa etária de um a quatro anos e no sexo masculino, durante todo o período. Observou-se tendência crescente das internações em crianças menores de um ano. Conclusão: As taxas de internação por pneumonia diferem por macrorregional de saúde, idade e sexo, sendo maior na região oeste, em crianças do sexo masculino e com idade entre um e quatro anos, com tendência crescente entre os menores de um ano.

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“…In addition to malnutrition, a dense home environment can increase the spread of viruses and bacteria that indicate unhealthy home quality thereby contributing to an increased risk of childhood pneumonia (Thorn, 2011). Environmental conditions are an important component in the process of the occurrence of public health disorders.…”

Section: The Association Between Indoormentioning

confidence: 99%

Indoor Smoke Exposure and Other Risk Factors of Pneumonia among Children Under Five in Karanganyar, Central Java

Nikmah

Rahardjo

Qadrijati

2017

J EPIDEMIOL PUBLIC HEALTH

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Background: Globally, pneumonia is an infectious disease with high morbidity and mortality rates. It causes one of five deaths in children under five years old worldwide. Approximately 61 million new cases of pneumonia in Sout East Asia occur annually. This study aimed to examine risk factors of pneumonia among children under five in Karanganyar, Central Java. Subjects and Method: This was an analytic observational study with case control design. The study was conducted in Karanganyar District, Central Java, from October to November, 2017. Study subjects were selected by fixed disease sampling consisting of 68 children under five years old with pneumonia and 136 without pneumonia. The dependent variable was pneumonia. The independent variables were nutritional status, exclusive breastfeeding, maternal stress, type of labour, maternal education, maternal job status, family income, number of children, quality of house, quality of environment, and indoor smoke exposure. The data was collected by questionnaire and analyzed by path analysis. Results: The risk of pneumonia increased with indoor smoke exposure (b= 2.57; 95% CI= 1.54 to 3.60; p< 0.001), number of children ≥3 (b= 1.34; 95% CI= 0.45 to 2.24; p= 0.003), and maternal stres during pregnancy (b= 1.02; 95% CI= 0.16 to 1.88; p= 0.019). The risk of pneumonia decreased with good house environment (b= −0.95; 95% CI= −1.80 to -0.09; p= 0.030), healthy behavior (b= −1.21; 95% CI= −2.09 to −0.33; p= 0.007), and good nutritional status (b= −1.91; 95% CI= −2.92 to −0.90; p<0.001). The risk of pneumonia was indirectly affected by exclusive breastfeding, history of Caesarean section , maternal education, maternal working outside the house, family income, and good quality of house. Conclusion: The risk of pneumonia increases with indoor smoke exposure, but decreases with good house environment, healthy behavior, and good nutritional status.

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Pneumonia and poverty: a prospective population-based study among children in Brazil

Cited by 50 publications

References 35 publications

Characteristics of Community-Acquired Pneumonia in Hospitalized Lebanese Children and their Correlation

Characteristics of Community-Acquired Pneumonia in Hospitalized Lebanese Children and their Correlation

Análise da tendência das taxas de internações por pneumonia bacteriana em crianças e adolescentes

Indoor Smoke Exposure and Other Risk Factors of Pneumonia among Children Under Five in Karanganyar, Central Java

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