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Predictors of severe illness in children under age five with concomitant infection with pneumonia and diarrhea at a large hospital in Dhaka, Bangladesh.
Southeast Asian J Trop Med Public Health ; 2008 Jul; 39(4): 719-27
Article in English | IMSEAR | ID: sea-32890
ABSTRACT
We compared the socio-demographic and clinical outcomes as predictors in severely ill hospitalized under-five diarrheal children with and without pneumonia. We studied 496 under-five children with diarrhea admitted to the Special Care Ward (SCW) of Dhaka Hospital of International Center for Diarrheal Disease Research, Bangladesh from 1999 to 2004. Children with pneumonia, in addition to their diarrhea, constituted the study group (cases), and those who did not have pneumonia constituted the comparison (control) group. The individual predictors of pneumonia in children were a history of cough (OR 2.19, 95% CI 1.30-3.72, p=0.002), fever (OR 1.73, 95% CI 1.19-2.53, p=0.003), and rapid breathing (OR 2.45, 95% CI 1.49-4.03, p<0.001). Hypothermia (6% vs 2%; p=0.02), hyponatremia (41% vs 27%; p=0.003) and dehydrating diarrhea (81% vs 69%, p=0.003) were more frequent in control children. On logistic regression analyses, the case fatality among children with pneumonia was nearly two times (OR, 1.88 CI, 1.12-3.15, p= 0.02) than that of controls. Formulation of guidelines and implementation of a more comprehensive approach to managing pneumonia among severely ill diarrheal children is necessary to reduce childhood deaths in Bangladesh.
Subject(s)
Full text: Available Index: IMSEAR (South-East Asia) Main subject: Pneumonia / Prognosis / Bangladesh / Severity of Illness Index / Female / Humans / Male / Infant, Newborn / Case-Control Studies / Comorbidity Type of study: Etiology study / Practice guideline / Observational study / Prognostic study Country/Region as subject: Asia Language: English Journal: Southeast Asian J Trop Med Public Health Year: 2008 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Main subject: Pneumonia / Prognosis / Bangladesh / Severity of Illness Index / Female / Humans / Male / Infant, Newborn / Case-Control Studies / Comorbidity Type of study: Etiology study / Practice guideline / Observational study / Prognostic study Country/Region as subject: Asia Language: English Journal: Southeast Asian J Trop Med Public Health Year: 2008 Type: Article