[Effect of vitamin A as an adjuvant therapy for pneumonia in children: a Meta analysis]

Nan Hu1, Qu-Bei Li, Shan-Ye Zou

  • 1Department of Pneumology, Children's Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China. liqubei@126.com.

Insights

Vitamin A supplementation for children with pneumonia improves clinical response and shortens recovery time without increasing adverse effects. This review highlights vitamin A

Area of Science:

  • Pediatric Pulmonology
  • Nutritional Science
  • Evidence-Based Medicine

Background:

  • Pneumonia is a leading cause of childhood mortality globally.
  • Vitamin A deficiency is common in children with pneumonia.
  • The role of vitamin A as an adjuvant therapy for pneumonia requires clarification.

Purpose of the Study:

  • To systematically review and meta-analyze randomized controlled trials (RCTs) investigating the efficacy and safety of vitamin A supplementation in children with pneumonia.

Main Methods:

  • Comprehensive literature search across multiple databases (Cochrane Library, EMbase, PubMed, etc.).
  • Inclusion of 15 RCTs involving 3,021 pediatric patients.
  • Meta-analysis performed using RevMan5.3 software.

Main Results:

  • Vitamin A supplementation did not significantly reduce pneumonia-related mortality.
  • It significantly increased the overall clinical response rate.
  • It shortened the duration of fever, cough, abnormal chest X-ray findings, and hospital stay.

Conclusions:

  • Vitamin A as an adjuvant therapy effectively alleviates clinical symptoms and signs in pediatric pneumonia.
  • It contributes to a reduced length of hospital stay.
  • No increased incidence of adverse reactions was observed with vitamin A supplementation.
Abstract

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