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Persistent pneumonia in children
Rakesh Lodha1, Madhavi Puranik, Uma Chandra
1Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India.
Insights
Persistent pneumonia in Indian children often stems from underlying conditions like asthma and post-tubercular bronchiectasis. Identifying these causes is crucial for effective treatment and management in pediatric respiratory care.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Infectious Diseases
Background:
- Persistent pneumonia is a significant cause of pediatric morbidity in India.
- Identifying underlying predisposing factors is essential for effective management.
Purpose of the Study:
- To investigate the clinical profile of children with persistent pneumonia.
- To determine the common predisposing causes of persistent pneumonia in Indian children.
Main Methods:
- Retrospective review of clinical data and investigations.
- Evaluation of 19 children with persistent pneumonia over 5 years at a tertiary care center in North India.
Main Results:
- Underlying causes were identified in 84.2% of cases.
- Asthma and post-tubercular bronchiectasis were the most frequent causes, each accounting for 26.3%.
Conclusions:
- Asthma and post-tubercular bronchiectasis are key underlying conditions contributing to persistent pneumonia in children.
- Comprehensive evaluation is vital to uncover treatable causes of persistent pneumonia.
Abstract:
With the aim to study the clinical profile and describe the predisposing causes of persistent pneumonia in Indian children, the clinical details and the investigations of children presenting with persistent pneumonia to Pediatric/Chest Clinic services of a tertiary care center in north India were reviewed. Nineteen children (16 boys) were evaluated for persistent pneumonia over a period of 5 years. Based on the clinical features and the results of the investigations, underlying illness could be identified in 16 (84.2%) children. The most frequent underlying causes for persistent pneumonia in children were asthma (26.3%) and post-tubercular bronchiectasis (26.3%).
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