Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 14803

Original article / research
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : SC06 - SC10

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

Jyotiranjan Champatiray, Jyotiranjan Satapathy, BaikunthaNath Kashyap, Dipankar Mondal

1. Associate Professor, Department of Paediatrics, SVPPGIP and SCB Medical College and Hospital, Cuttack, Odisha, India. 2. Senior Resident, Department of Paediatrics, SVPPGIP and SCB Medical College and Hospital, Cuttack, Odisha, India. 3. Senior Resident, Department of Paediatrics, SVPPGIP and SCB Medical College and Hospital, Cuttack, Odisha, India. 4. Junior Resident, Department of Paediatrics, SVPPGIP and SCB Medical College and Hospital, Cuttack, Odisha, India.

Correspondence Address :
Dr. Jyotiranjan Champatiray,
Plot 708, Mahanadi Vihar, PO-Nuabazar, Cuttack-753004, Odisha, India.
E-mail: jrcray@rediffmail.com

Abstract

Introduction: Pneumonia is a major cause of mortality under fiveyear-old children. In spite of recent advances in management, there is paucity of data on clinical, aetiological profile of severe and very severe pneumonia among under five-year-old children in developing countries.

Aim: To determine the clinico-aetiological factors of severe and very severe pneumonia and its outcome in children aged two -months to five-years in a tertiary health care centre in Odisha, India.

Materials and Methods: This was a prospective observational study. All the patients between two-months to five-years age admitted to SCB Medical College, Cuttack, Odisha, India, were screened for features of severe and very severe pneumonia based on WHO diagnostic criteria, over a one year period. Out of 10300 patients admitted to our hospital during the study period; 141 cases were included in the study. Their clinical parameters were recorded and were followed up till discharge or death. Continous variables were analyzed using Student t-test or Mann-Whitney U test whereas categorical data were analyzed using Pearson Chi square test or Fischer Exact test.

Results: Out of 141 patients included in the study, cough, tachypnea and chest retractions were present in 100% cases while fever in 97.1% (137) cases. In 17% (24) cases, bacterial pathogen was isolated. Most common organism being Staphylococcus aureus 8.51% (12) followed by Streptococcus pneumonie 6.4% (9). Higher mortality 11.34% (16) was found among patients presenting after three days of illness (p=0.048). About 17% (24) patients developed complications. Common complications were sepsis 5.6% (8), CCF 4.2% (6) and empyema 4.2% (6). Higher mortality 22 (15.6%) was observed in very severe pneumonia group (p=0.003).

Conclusion: The incidence of severe and very severe pneumonia was higher in infancy. Rainy and winter season were associated with higher incidence of disease. Bottle feeding practice and smoking were significantly associated with more severe disease. Death rate was high among patients admitted to hospital after three days of onset of illness, so early referral is indicated for better outcome.

Keywords

Chest retraction, Cough, Fever, Tachypnea

How to cite this article :

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. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2018 Jan 23 ]; 11:SC06-SC10. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=SC06-SC10&id=10595

DOI and Others

DOI: 10.7860/JCDR/2017/26027.10595

Date of Submission: Dec 15, 2016
Date of Peer Review: Mar 16, 2017
Date of Acceptance: Jul 25, 2017
Date of Publishing: Sep 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • SCOPUS
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com