Clinical study of pneumonia with wheeze in children
Abstract
Introduction: In developing world, important reason for morbidity and mortality in children are acute respiratory tract infections. Annually about 3.8 million children die because of acute respiratory illnesses mostly in developing world. Pneumonia is often associated with wheeze in significant number of cases.
Objective: The study was aimed to assess the clinical and epidemiological profile of admitted patients with diagnosis of Pneumonia in department of paediatrics with or without wheeze on the basis of age and sex.
Methods: A retrospective observational study in Department of paediatrics, Gandhi Medical College and associated Hospital from May 2013 to May 2015. Children admitted in department of paediatrics aged up to 12 years with clinical manifestations suggestive of pneumonia were included (fever, cough, rapid breathing, crepitation and wheeze). Patients with history of Tuberculosis, Asthma and associated cardiac problems were excluded. Outcome was assessed on the basis of magnitude of problem and morbidity.
Results: A total of two thousand eight hundred and forty seven children with diagnosis of pneumonia were admitted and out of them seven hundred and sixty seven (27%) children had wheeze. Most of the children having pneumonia with wheeze come under the age group of 2 to 12 months. Male children are affected more than female children.
Conclusion: In significant number of children, pneumonia is associated with wheeze, especially in the age group of 2-12 months. It is also common in children with age group of 1-5 yrs. Therefore, pneumonia is a significant cause of morbidity in children. Morbidity may further increase when pneumonia is associated with wheeze.
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