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Underlying Diseases and Causative Microorganisms of Recurrent Pneumonia in Children: A 13-Year Study in a University
Tuğçe Tural-Kara1, Halil Özdemir1, Nihan Yıldız2
1Department of Pediatric Infectious Diseases, Ankara University Medical School, Ankara, Turkey.
Insights
Recurrent pneumonia in children is often linked to underlying health issues and viral infections like rhinovirus. Early diagnosis and tailored treatments considering these factors are crucial for better outcomes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Pneumonia is a leading cause of child mortality globally, especially in developing nations.
- Recurrent pneumonia poses a significant challenge in pediatric healthcare.
- Identifying causes of recurrent pneumonia is vital for effective management.
Purpose of the Study:
- To investigate the prevalence and underlying causes of recurrent pneumonia in hospitalized children.
- To identify common infectious agents associated with recurrent pneumonia.
- To inform treatment strategies for pediatric recurrent pneumonia.
Main Methods:
- Retrospective review of pediatric pneumonia hospitalizations from January 2003 to December 2015.
- Inclusion criteria focused on patients meeting established recurrent pneumonia definitions.
- Analysis of patient records to identify underlying diseases and infectious agents.
Main Results:
- Out of 1395 hospitalized pneumonia patients, 129 (9.2%) had recurrent pneumonia.
- Underlying diseases were identified in 73.6% of recurrent pneumonia cases, with aspiration syndrome being most common (21.7%).
- Rhinovirus (30.5%), adenovirus (17.2%), and respiratory syncytial virus (13.9%) were the predominant infectious agents.
Conclusions:
- Underlying medical conditions are a significant cause of recurrent pneumonia in children.
- Viral infections, particularly rhinovirus, are frequently implicated in recurrent pediatric pneumonia.
- Treatment should be individualized based on underlying pathology, clinical status, and diagnostic data.
Abstract:
Pneumonia is a significant cause of death for children, particularly those in developing countries. The records of children who were hospitalized because of pneumonia between January 2003 and December 2015 were retrospectively reviewed, and patients who met the recurrent pneumonia criteria were included in this study. During this 13-year period, 1395 patients were hospitalized with pneumonia; of these, 129 (9.2%) met the criteria for recurrent pneumonia. Underlying diseases were detected in 95 (73.6%) patients, with aspiration syndrome (21.7%) being the most common. Rhinovirus (30.5%), adenovirus (17.2%) and respiratory syncytial virus (13.9%) were the most frequent infectious agents. These results demonstrate that underlying diseases can cause recurrent pneumonia in children. Viruses are also commonly seen in recurrent pneumonia. Appropriate treatments should be chosen based on an analysis of the underlying disease, the patient's clinical condition and the laboratory and radiological data.
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