DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20160144

Study of clinical profile and certain modifiable risk factors associated with acute respiratory infection cases admitted in a tertiary care hospital

Jayashree D. Naik, Swapnil R. Jain, Madhuri P. Mathurkar, Sandeep P. Suryawanshi, Sandesh V. Kamble, Sandeep D. Babar

Abstract


Background: Childhood acute respiratory infection (ARI)/pneumonia is a significant public health problem in India, although robust epidemiological data is not available on its incidence. Mortality due to pneumonia accounts for approximately one-fourth of the total deaths in under five children, in India. The main aim is to assess clinical profile and associated risk factors of ARI cases admitted in tertiary care hospital.  

Methods: A cross-sectional descriptive study conducted in a tertiary care hospital in Western Maharashtra, targeting all ARI cases admitted over a period of 1 yr. in the Pediatric ward at Govt. Medical College and Hospital, Miraj, India from 1 January 2011 to 31 December 2011. A pre- tested structured questionnaire with details regarding clinical picture and risk factors influencing outcome of ARI cases was used to collect the information from person accompanying ARI child preferably mother. Statistical software SPSS 16 for proportions, chi square test and odds ratio are used for statistical analysis.

Results: Out of 352 cases, tonsillar congestion was the most common sign (86.36%) and cough was the most common presenting symptom (91.48%).Majority (72.73%) of  ARI  children had hospital stay for <7 days. Significant risk factors associated with outcome of ARI Cases were Breast feeding and Nutritional status of child.

Conclusions: Nutritional factors, malnutrition, and lack of breast-feeding constitute independent risk factors for pneumonia and interventions include efficient antenatal care, promotion of breast feeding, and appropriate MCH and family welfare services.


Keywords


ARI, Pneumonia, Breast feeding, Immunisation, Vitamin A, Malnutrition

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References


Kishore J. A dictionary of public health.2nd ed. Century Publications, New Delhi, India;2007.

WHO. Health situation in the South-East Asia region. World Health Organisation 1998-2000.

Narain JP. Epidemiology of acute respiratory infections. Indian J Paediatrics. 1987;54(2):153-60.

Wallace RB, Kohatsu N, Last JM, Maxcy-Rosenau-Last Public Health and Preventive Medicine. 15th edition. New York: McGraw-Hill. 2008.

Park K. Park’s textbook of preventive and social medicine, 22nd ed. Banarsidas Bhanot Publishers, Jabalpur, India. 2013:103-4.

Kumar V. Epidemiological methods in acute respiratory infections. Indian J. Paediatrics. 1987;54:205-11.

Tambe MP, Shivaram C, Chandrashekhar Y. Acute respiratory infection in children a survey in the rural community.Indian J Med Sci. 1999;53:249-53.

Reddaiah VP, Kapoor SK. Acute respiratory infection in under five: Experience at comprehensive rural health services project hospital,Ballabgarh. Indian Journal of Community Medicine.1995;20(1):13-8.

Yousif TK, Khaleq BA. Epidemiology of Acute Respiratory Tract Infections (ARI) among Children Under Five Years Old Attending Tikirit General Teaching Hospital. The Middle East Journal of Family Medicine. 2006;4(3):4-23.

Sahu SK, Sathapathy DM, Sahu T, Tripathy RM,Das BC,Pradhan S. A study of acute respiratory infection cases admitted to a tertiary level health centre. Health and Population-Perspectives and Issues. 2002;25(4):186-95.

Ghazal SS, Chowdhary D. Acute respiratory tract infections: epidemiological data, guided case management and outcome in a paediatric hospital in Riyadh. Annals of Saudi Medicine. 1998;18(1):75-8.

Mihrshahi S, Ichikawa N, Shuaib M, Wendy OW, Ampon R, Dibley MJ, et al. Prevalence of exclusive breast feeding in Bangladesh and its association with Diarrhoea and Acute Respiratory Infection. Results of the multiple Indicator cluster survey 2003.J Health Popul Nutr. 2007;25(2):195-204.

Arifeen S, Black RE, Antelman G, Baqui A, Caulfield L, Becker S. Exclusive breast feeding reduces Acute Respiratory Infection and diarrhoea deaths among infants in Dhaka slums. Paediatrics. 2001;108(4):67-75.

Savitha MR, Nandeeshwara SB, Pradeep Kumar MJ, ul-Haque F, Raju CK. Modifiable Risk factors for Acute lower Respiratory Infection. Indian Journal of Paediatrics. 2007;74:477-81.

Broor S, Pandey RM, Ghosh M, Maitrry RS, Lodha R,Singhal T, et al. Risk factors for severe Acute lower Respiratory Tract infection in under five children. Indian Journal of paediatrics. 2001;38(12):1361-8.

Mitra NK. A longitudinal study on ARI among rural under-fives. Indian Journal of Community Medicne. 2001;26(1):8-11.