Assessment of Difference in the Clinical and Microbial Spectrum of Community-Acquired Pneumonia among Egyptian Children | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 121, Volume 86, Issue 1, January 2022, Pages 748-754 PDF (467.63 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2022.216038 | ||
| Authors | ||
| Abdelrazek Mohamed Elshiekh; Rabab Mohamed El Behedy; Ghada El Siad Amro; Salem Faraj Salem Alayan* | ||
| Abstract | ||
| Background: Community-acquired pneumonia (CAP) is a significant cause of respiratory morbidity and mortality in children, especially in developing countries. Chest radiography and rapid viral testing may be helpful when the diagnosis is unclear. Objective: This study aimed to find pattern community-acquired pneumonia (CAP) pathogen after introduction of Haemophilus influenzae type B (HIB) vaccine in Egypt and also to provide an update on the evaluation, diagnosis and treatment of CAP in children. Patients and methods: A cross sectional study that was conducted on 54 patients with pneumonia infection. Participation to this study was offered to all consecutive children aged 2 months to 7 years old presenting with CAP according to the WHO criteria. All cases with CAP were subjected to full history, clinical examination, radiological plan chest X-ray and laboratory and microbiological investigations. Results: The mean age was 1.79 years and mean weight was 9.61 Kg, more than half of them were male (57.4%). About 94.4% of the studied group had respiratory distress (RD) Grade I followed 70.4% had Grade II, 46.3% had grade III. The mean hemoglobin (Hb) level was 11.06 gm/dl, mean hematocrit was 32.44%, while mean neutrophil was 6.61%. Additionally, the mean platelets count was 345.81 × 103/mm3 mean CRP was 43.26 mg/dl, and the median of PCT was 1.13. All 64.8% of the studied group had disease less than 1 week ago. Regarding oxygen support 14.8% needed ventilator. Finally 22.2% were admitted to ICU. Conclusion: Bacteremia is an unusual complication of CAP in hospitalized children. Our study suggests that approximately 1% of admitted children with CAP are bacteremic. | ||
| Keywords | ||
| CAP; Egyptian Children; Microbiological Investigations | ||
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