Assessment of serum sodium levels in patients of lower respiratory tract infections (LRTI) in children at tertiary care center

  • Dr. Shruti Jain JR, Department of Pediatrics, Teerthanker Mahaveer Medical College, Moradabad, Uttar Pradesh, India
  • Dr. Vinod Kumar Assistant Professor, Department of Pediatrics, Teerthanker Mahaveer Medical College, Moradabad, Uttar Pradesh, India
  • Dr. Sangeeta Kapoor Professor, Department of Biochemistry, Teerthanker Mahaveer Medical College, Moradabad, Uttar Pradesh, India
  • Dr. Santosh Bhalke Professor, Department of Pediatrics, Mahaveer Medical College, Moradabad, Uttar Pradesh, India
  • Dr. Shivanshu Gupta JR, Department of Emergency, Teerthanker Mahaveer Medical College, Moradabad, Uttar Pradesh, India
DOI: https://doi.org/10.17511/ijpr.2019.i11.04
Keywords: Hyponatremia, Pneumonia, Lower respiratory tract infections

Abstract

Introduction: Lower respiratory tract infection is an infection beneath the larynx which includes: Pneumonia, Wheeze associated Lower respiratory tract infection, Bronchiolitis and Empyema. The aim of this study was to find out the association among hyponatremia and LRTI in tertiary care center.

Materials and Methods: The sample size was calculated to be a minimum of 50 subjects. Based on clinical signs and symptoms (as defined by WHO) and infiltrates present on chest X-ray diagnosis of LRTI such as Pneumonia, Bronchiolitis was made. Then patients were subjected to routine investigations such as: Complete blood count, Serum electrolyte (serum sodium) at the time of admission, on day 2 and day 3 by Ion selective electrodes.

Results: Mild hyponatremia was found among 11 patients (16.92%), moderate among 9 (13.85%) and severe among 2 (3.08%) patients. Hyponatremia was found to be more common among 1 to 5 years age group as compared to ≥ 2months to 12 months and > 5 to 12 years age groups.

Conclusion: Hyponatremia is a significantly common association among hospitalized children with lower respiratory tract infections and it is mainly due to syndrome of inappropriate antidiuretic hormone secretion (SIADH).

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CITATION
DOI: 10.17511/ijpr.2019.i11.04
Published: 2019-11-30
How to Cite
Jain, S., Kumar, V., Kapoor, S., Bhalke, S., & Gupta, S. (2019). Assessment of serum sodium levels in patients of lower respiratory tract infections (LRTI) in children at tertiary care center. Pediatric Review: International Journal of Pediatric Research, 6(11), 572-576. https://doi.org/10.17511/ijpr.2019.i11.04
Issue
Vol 6 No 11 (2019): NOVEMBER
Section
Original Article

Copyright (c) 2019 Author (s). Published by Siddharth Health Research and Social Welfare Society

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