Clinical profile of children with pneumonia admitted at KIMS hospital, Bangalore, India: a prospective study

Srinivasa S., Nithya E., Varsha Monica Reddy, Shiva Devraj


Background: In India acute respiratory infections are an important public health problem accounting for 15-30 % of under-five mortality. Early detection, timely intervention, standard management and a proper early referral service can reduce the mortality rate. The objective of this study was to study the sociodemographic and clinical profile of children admitted with pneumonia, to study its relation to the duration of stay at the hospital.

Methods: The study was conducted in KIMS hospital, Bangalore from September 2016 to August 2017. Sociodemographic and clinical features of children aged from 2 months to 18 years of age were studied. A total of 92 children who fulfilled the inclusion criteria for community-acquired pneumonia were studied. The patient population comprises mainly of the low-income group from rural areas, urban slums, referred patients from surrounding rural areas, and other centres.

Results: A total of 92 children were studied, 52 boys and 40 girls. 45% children were breastfed for <6 months, and 28% were incompletely immunized. Majority of children belonged to lower socioeconomic group. Passive smoking was present in 38 % of the patients and overcrowding was seen in 50% of children studied. There is a significant association between passive smoking, delayed hospital care, and length of stay.

Conclusions: Present study concluded that ARI was more common in LES children and incompletely immunised children. And children who got early medical attention i.e. <4 days had a lesser duration of hospital stay i.e. <7 days.


Acute respiratory infection, Cough, Lower socioeconomic status

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Thomas J. Sandora, Theodore C. eds. Sectish, Community-Acquired Pneumonia, Nelson Textbook of Pediatrics.19th ed. Elsevier, a division of Reed Elsevier India Private Limited.2012:420.6:1474-1479.

Agrawal Rohit C.eds. IAP Text book of Pediatrics. 5th ed. Vol. 8.6. Jaypee Brothers Medical Publishers (P) Ltd; 2013. Pneumonia. A Parthasarathy; pp. 470–74.

Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, et al. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet. 2010;375(9730):1969-87.

Rudan I, Boschi-Pinto C, Biloglav Z, Mulholland K, Campbell H. Epidemiology and aetiology of childhood pneumonia. Bull World Health Organ. 2008;86(5):408-16.

Frese T, Klauss S, Herrmann K, Sandholzer H. Children and adolescents as patients in general practice - the reasons for encounter. J Clin Med Res. 2011;3:177-82.

Rahman MM, Shahidullah M. Risk factors for acute respiratory infections among the slum infants of Dhaka city. Bangladesh Med Res Counc Bull. 2001;27:55-62.

Bryce J, Busch-Pinto C, Shibuya K, Black R, Johnson H, Liu L, et al. WHO estimates of the causes of death in children. Lancet. 2005;365:1147e-52.

Selvaraj K, Chinnakali P, Majumdar A, Krishnan IS. Acute respiratory infections among under-5 children in India: A situational analysis. J Nat Sci Biol Med. 2014;5:15-20.

Jyotiranjan Champatiray, Jyotiranjan Satapathy, Baikunthanath Kashyap, Dipankar Mondal. Clinico-Aetiological Study of Severe and Very Severe Pneumonia in Two Months to Five Years Children in a Tertiary Health Care Centre in Odisha, India. J Clin Diagn Res. 2017;11(9): SC06-10.

Debnath D, Wanjpe A, Kakrani V, Singru S. Clinical and epidemiological study of acute respiratory infection cases in children below twelve years of age in a tertiary care teaching hospital in Pune, India. Med J Dr D Y Patil University. 2012;5(2):125-28.

Michelow IC, Olsen K, Lozano J, Rollins NK, Duffy LB, Ziegler T, et al. Epidemiology and Clinical Characteristics of Community-Acquired Pneumonia in Hospitalized Children. Pediatr. 2004;113(4):701-07.

Tiewsoh K, Lodha R, Pandey R, Broor S, Kalaivani M, Kabra SK. Factors determining the outcome of children hospitalized with severe pneumonia. BMC Podiatr. 2009;9:15.

Onyango D, Kikuvi G, Amukoye E, Omolo J. Risk factors of severe pneumonia among children aged 2-59 months in western Kenya: A case control study. Pan Afr Med J. 2012;13:45-52.

Broor S, Pandey RM, Ghosh M, Maitreyi RS, Lodha R, Singhal TS, et al. Risk factors for acute lower respiratory tract infections. Indian Pediatr.2001;38:1361-7.

Savitha MR, Nandeeshwara SB, Pradeep MJ, Farhan-ul-haq, Raju CK. Modifiable risk factors for acute lower respiratory tract infections. Indian J Pediatr. 2007;74:477-82.

Naik JD, Jain SR, Mathurkar MP, Suryawanshi SP, Kamble SV, Babar SD. Study of clinical profile and certain modifiable risk factors associated with acute respiratory infection (ARI)cases admitted in a tertiary care hospital. Int J Contempt Podiatr. 2016;3:129-33.

Kumar N, Singh N, Locham KK, Garg R, Sarwal D. Clinical evaluation of acute respiratory distress and chest wheezing in infants. Indian Pediatr. 2002;39: 478-83.

Karambelkar GR, Agarkhedkar S, Karwa S, Singhania S, Mane V. Disease pattern and bacteriology of childhood pneumonia in western India. Int J Pharm Biomed Sci. 2012;3(4):177-80.