Risk factors for a poor outcome among children admitted with clinically severe pneumonia to a university hospital in Rabat, Morocco

Jroundi, Imane; Mahraoui, Chafiq; Benmessaoud, Rachid; Moraleda, Cinta; Tligui, H.; Seffar, Myriam; Kettani, S.; Benjelloun, Badr Sououd; Chaacho, Saad; Muñoz-Almagro, Carmen; Ruiz, Joaquı́m; Alonso, Pedro L.; Bassat, Quique

doi:10.1016/j.ijid.2014.07.027

Cited by 48 publications

(61 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…6 In our study ALRI among infants was 53.5% which in accordance with previous studies by Savitha et al, Broor et al and Sehgal et al where infants with ALRI accounted about 52-62%. 7,8,11 This age group is particularly susceptible due to waning of maternally conferred immunity towards the latter half of infancy.…”

Section: Discussionsupporting

confidence: 93%

Clinical profile and outcome of acute lower respiratory tract infection in children aged between 2 months to 5 years

Kumar

Badakali

Mirji

et al. 2016

Int J Contemp Pediatr

View full text Add to dashboard Cite

INTRODUCTIONAcute lower respiratory tract infections (ALRTI) are leading cause of morbidity and mortality in young children.1 Acute respiratory infections (ARI) is the most commonchildhood illness. Recent estimates from the world health organization (WHO) suggest that ALRTI is responsible for 20% of deaths in under five children which account for more than 2 million under five children dying of acute respiratory infection annually, of which 90% occur in developing countries. 2ALRTI is the leading cause of under-5 childhood morbidity in the world, with nearly 156 million new episodes each year, of which India accounts for a bulk of 43 million. It was estimated that worldwide, 7-13% of ABSTRACT Background: Acute respiratory infection is a leading cause of morbidity and mortality in under five children in developing countries. Hence, the present study was undertaken to study the clinical profile and factors predicting the outcome. Methods: Hospital based case series study conducted at HSK hospital & Research centre. The study conducted from 01 March 2014 to 31 August 2015. 200 ALRI cases in the age group of 2 months to 5 years as per WHO criteria for pneumonia fulfilling the study criteria were evaluated for clinical profile and outcome as per predesigned proforma. Data collected was analyzed using chi square test. Results: We found higher incidence of ALRTI cases among infants (53.5%) and male (58%) children. Majority had PEM (60.5%) and anemia (73.5%). Parental smoking, period of EBF and gestation at delivery were significantly associated with severity of pneumonia (p <0.05). 1.5%, 77.5% and 21% had pneumonia, severe and very severe pneumonia with mean duration of hospital stay of 5, 7.43 and 10.36 days. Need of change in antibiotics and duration of stay were significantly associated with pneumonia severity (p <0.05). 56.5% cases required oxygen and 4.5% required mechanical ventilation. Bronchopneumonia (33.5%) was the most common diagnosis and sepsis (6%) was the most frequent complication. Mortality was 3%. Conclusions: Present study has identified prevalence of various risk factors among ALRI cases and predictors of severity and outcome. ARI burden and severity can be reduced by promoting EBF and immunization, effective management of malnutrition, improving the living standards and educating parents about hazards of smoking.

show abstract

Section: Discussionsupporting

confidence: 93%

Clinical profile and outcome of acute lower respiratory tract infection in children aged between 2 months to 5 years

Kumar

Badakali

Mirji

et al. 2016

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

“…The mean age of onset of pneumonia, which varies according to authors [ [19], is between 11.7 and 19.7 months. The common denominator concerning age is that it is within 24 months [6] [7] [8].…”

Section: Discussionmentioning

confidence: 99%

“…A child whose mother has no education is 1.5 times more likely to die before the age of 5 than the mother whose education is at least secondary. Jroundi and Demers [19] [23] note no link between socio-demographic characteristics and death.…”

Section: A R Okoko Et Al Open Journal Of Pediatricsmentioning

confidence: 99%

Pneumonia of Children under 5 Years of Age in Brazzaville (Republic of Congo)

Okoko¹,

Hossie²,

N’djobo-Mamadoud³

et al. 2017

OJPed

View full text Add to dashboard Cite

Pneumonia is one of the prime causes of morbidity and mortality in children under five years of age. Objectives: To determine the frequency of pneumonia, to identify the causative organisms and the factors associated with death in children under 5 years of age. Methods: A prospective cohort study was performed in children 1 to 59 months hospitalized for pneumonia between January and June 2016 in CHUB pediatric wards. Results: A total of 237 children were hospitalized for pneumonia, i.e. 12.3% of hospitalizations.There were 133 boys (56%) and 104 girls (44%) with a mean age of 15.9 ± 13.8 months. The average time elapsed between onset of symptoms and hospitalization was 7.2 ± 6.1 days. The alveolar syndrome 185 cases (81%), alveolo-interstitial 34 cases (15%), alveolar and pleural 9 cases (4%) were the main radiological translations. Blood cultures were positive in 74 cases (31%) and the bacteria identified were: Streptococcus pneumoniae 42 cases (17.5%), Staphylococcus Aureus 23 cases (9.6%) and Klebsiella pneumoniae 9 cases (3.7%). HIV serology was positive in 19 cases (8%). Fifty-eight (58) children (24%) died. Factors associated with death were respiratory distress, hypoxemia and hypothermia. Conclusion: Pneumonia of children under 5 years of age is frequent and severe prognosis. Their mastery requires the strengthening of the national respiratory disease control program and the knowledge of risk factors.

show abstract

“…Lazzerini et al 34 showed that pneumonia related fatality rates increase in cases with malnutrition. A study by Jroundi et al 33 supported these findings showing that prognosis is worse in children with weight-for-age Z score <1SD. Ahanchian et al 13 pointed out that nutritional support will decrease the recurrence of lower respiratory tract infections in children.…”

Section: Discussionmentioning

confidence: 86%

“…29 Previous studies reported that ETS for Gambian and Alaskan children and smoking of the mother for Finnish children are related with invasive pneumococcal disease. 30---32 Jroundi et al 33 showed that smoking in the house was associated with a worse prognosis in children with pneumonia. As expected, ETS was a significant risk factor for severe pneumonia from our study.…”

Section: Discussionmentioning

confidence: 99%

Does atopy affect the course of viral pneumonia?

Erdem

Can

Girit

et al. 2018

Allergologia et Immunopathologia

View full text Add to dashboard Cite

show abstract

Risk factors for a poor outcome among children admitted with clinically severe pneumonia to a university hospital in Rabat, Morocco

Abstract: The early identification of factors associated with a poor prognosis could improve management strategies and the likelihood of survival of Moroccan children with severe pneumonia.

Cited by 48 publications

References 33 publications

Clinical profile and outcome of acute lower respiratory tract infection in children aged between 2 months to 5 years

Clinical profile and outcome of acute lower respiratory tract infection in children aged between 2 months to 5 years

Pneumonia of Children under 5 Years of Age in Brazzaville (Republic of Congo)

Does atopy affect the course of viral pneumonia?

Contact Info

Product

Resources

About