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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Severe pneumonia in Mozambican young children: Clinical and radiological characteristics and risk factors
Journal of Tropical Pediatrics, Volume 55, No. 6, Article fmp030, Year 2009
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Description
Background: Pneumonia is a leading cause of hospitalization and death among children in Africa. We describe the clinical presentation of severe pneumonia among hospitalized children in a malaria endemic area with a high prevalence of HIV infection. Methods: As part of a 2-year prospective study of radiologically confirmed pneumonia, chest radiographs, malaria parasite counts and bacterial blood cultures were systematically performed for children 0-23 months admitted with severe pneumonia. Radiographs were interpreted according to WHO guidelines. HIV tests were performed during a 12-month period. Results: Severe pneumonia accounted for 16% of 4838 hospital admissions among children 0-23 months; 43% of episodes had endpoint consolidation, 15% were associated with bacteremia and 11% were fatal. Fever, cough >3 days, crepitations, hypoxemia and absence of malaria parasitemia were associated with radiologically confirmed pneumonia. Nineteen per cent of children with severe pneumonia and 27% with radiologically confirmed pneumonia had clinical malaria. HIV-prevalence was 26% among children hospitalized with severe pneumonia and HIV-testing results. HIV infection, anaemia, malnutrition, hypoxemia and bacteremia were associated with fatal episodes of severe pneumonia. Conclusion: Treatment of admitted children with severe pneumonia is complicated in settings with prevalent HIV and malaria. Children with severe pneumonia and clinical malaria require antibiotic and antimalarial treatment. In addition to vertical programs, integrated approaches may greatly contribute to reduction of pneumonia-related mortality. © The Author [2009]. Published by Oxford University Press. All rights reserved.
Authors & Co-Authors
Sigaúque, Betuel
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Mozambique, Maputo
Instituto Nacional de Saude Maputo
Spain, Barcelona
Universitat de Barcelona
Roca, Anna
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Spain, Barcelona
Universitat de Barcelona
Bassat, Quique
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Spain, Barcelona
Universitat de Barcelona
Morais, Luís
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Quintò, Llorenç L.
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Spain, Barcelona
Universitat de Barcelona
Berenguera, A.
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
MacHevo, Sónia
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Mozambique, Maputo
Faculdade de Medicina
Bardají, Azucena
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Spain, Barcelona
Universitat de Barcelona
Corachan, Montse
Spain, Barcelona
Universitat de Barcelona
Ribó, José Luis
Spain, Barcelona
Hospital Universitari de Bellvitge
Menéndez, Clara
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Spain, Barcelona
Universitat de Barcelona
Schuchat, Anne
United States, Atlanta
Centers for Disease Control and Prevention
Flannery, Brendan L.
United States, Atlanta
Centers for Disease Control and Prevention
Soriano-Gabarró, Montse
United States, Atlanta
Centers for Disease Control and Prevention
Alonso, Pedro Luís
Mozambique, Manhica
Centro de Investigação em Saúde de Manhiça Cism
Spain, Barcelona
Universitat de Barcelona
Statistics
Citations: 57
Authors: 15
Affiliations: 6
Identifiers
Doi:
10.1093/tropej/fmp030
ISSN:
01426338
e-ISSN:
14653664
Research Areas
Food Security
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study