Study of risk factors associated with childhood pneumonia in children admitted in tertiary care hospital
DOI:
https://doi.org/10.18203/2349-3291.ijcp20250396Keywords:
Childhood pneumonia, Risk factors, Vaccination, Malnutrition, Indoor pollution, Maternal educationAbstract
Background: Childhood pneumonia remains a major cause of morbidity and mortality in children under five, especially in resource-limited settings like India. This study analysed risk factors influencing pneumonia outcomes among 200 children aged 1 month to 5 years, admitted to a tertiary care hospital from July 2023 to July 2024.
Methods: A total of 200 children aged 1 month to 5 years, admitted with clinical symptoms of pneumonia, were enrolled. Comprehensive demographic and clinical data were collected for each patient. This included a detailed history of symptoms, immunization status, nutritional status, and maternal education levels. Collected data were analysed using standard statistical methods.
Results: Key findings identified incomplete immunization, malnutrition, indoor air pollution, and low maternal education as significant contributors to disease severity and prolonged hospital stays. Fully vaccinated children had better outcomes, while malnutrition and indoor pollution were associated with severe disease and delayed recovery.
Conclusions: Targeted interventions to improve vaccination coverage, nutrition, and maternal education, along with reducing indoor pollution, are essential to alleviate the burden of childhood pneumonia and improve child health outcomes.
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References
Goli S, Kriti S, Anand VK, Dash A. Childhood Pneumonia and Its Risk Factors in India. 2022. Available at: https://ssrn.com/abstract=4332607. Accessed on 24 November 2024.
Rudan I, Boschi-Pinto C, Biloglav Z, Mulholland K, Campbell H. Epidemiology and etiology of childhood pneumonia. Bull World Health Organ. 2008;86(5):408-16. DOI: https://doi.org/10.2471/BLT.07.048769
Kumar SG, Majumdar A, Kumar V, Naik BN, Selvaraj K, Balajee K. Prevalence of acute respiratory infection among under-five children in urban and rural areas of puducherry, India. J Nat Sci Biol Med. 2015;6(1):3-6. DOI: https://doi.org/10.4103/0976-9668.149069
Marangu D, Zar HJ. Childhood pneumonia in low-and-middle-income countries: An update. Paediatr Respir Rev. 2019;32:3-9. DOI: https://doi.org/10.1016/j.prrv.2019.06.001
Obaro SK, Madhi SA. Bacterial pneumonia vaccines and childhood pneumonia: are we winning, refining, or redefining? Lancet Infect Dis. 2006;6(3):150-61. DOI: https://doi.org/10.1016/S1473-3099(06)70411-X
Fathima P, Blyth CC, Lehmann D, Lim FJ, Abdalla T, de Klerk N, et al. The Impact of Pneumococcal Vaccination on Bacterial and Viral Pneumonia in Western Australian Children: Record Linkage Cohort Study of 469589 Births, 1996-2012. Clin Infect Dis. 2018;66(7):1075-85. DOI: https://doi.org/10.1093/cid/cix923
Varghese R, Veeraraghavan B, Jeyaraman Y, Kumar G, Arora NK, Balasubramanian S. Pneumococcal conjugate vaccine rollout in India: Expectations and challenges. Indian J Med Microbiol. 2019;37(2):141-6. DOI: https://doi.org/10.4103/ijmm.IJMM_19_320
Gavi-The Vaccine Alliance. India completes national introduction of pneumococcal conjugate vaccine. Available at: https://www.gavi.org/news/media-room/india-completes-national-introduction-pneumococcal-conjugate-vaccine. Accessed on 24 October 2024.
Farooqui H, Jit M, Heymann DL, Zodpey S. Burden of Severe Pneumonia, Pneumococcal Pneumonia and Pneumonia Deaths in Indian States: Modelling Based Estimates. PLoS One. 2015;10(6):e0129191. DOI: https://doi.org/10.1371/journal.pone.0129191
Yellanthoor RB, Shah VKB. Prevalence of Malnutrition Among Under-Five Year Old Children With Acute Lower Respiratory Tract Infection Hospitalized at Udupi District Hospital. Arch Pediatr Infect Dis. 2014;2(2):203-6. DOI: https://doi.org/10.5812/pedinfect.14373
Kirolos A, Blacow RM, Parajuli A, Welton NJ, Khanna A, Allen SJ, et al. The impact of childhood malnutrition on mortality from pneumonia: a systematic review and network meta-analysis. BMJ Glob Health. 2021;6(11):e007411. DOI: https://doi.org/10.1136/bmjgh-2021-007411
Parvez MM, Wiroonpanich W, Naphapunsakul M. The effects of educational program on child care knowledge and behaviours of mothers of children under five years with pneumonia. Bangl J Med Sci. 2010;9(3):136-42. DOI: https://doi.org/10.3329/bjms.v9i3.6468
Keskinoglu P, Cimrin D, Aksakoglu G. The impact of passive smoking on the development of lower respiratory tract infections in children. J Trop Pediatr. 2007;53(5):319-24. DOI: https://doi.org/10.1093/tropej/fmm037
Mishra V, Retherford RD. Cooking smoke increases the risk of acute respiratory infection in children. Natl Fam Health Surv Bull. 1997;(8):1-4.
Naz L, Ghimire U. Assessing the prevalence trend of childhood pneumonia associated with indoor air pollution in Pakistan