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Predictive risk factors for complicated pneumonia in Malaysian children

Jian Min Ooi1, Kah Peng Eg2,3, Karuthan Chinna4

  • 1Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Journal of Paediatrics and Child Health
|September 11, 2018
PubMed

Insights

Complicated community-acquired pneumonia (CAPc) in Malaysian children is linked to Chinese ethnicity, less breastfeeding, no outpatient antibiotics, and parental smoking. These factors can help reduce CAPc burden.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Complicated community-acquired pneumonia (CAPc), including pleural effusion and empyema, is increasing in Southeast Asian children.
  • The underlying reasons for this rise in CAPc are not well understood.

Purpose of the Study:

  • To identify baseline characteristics associated with CAPc in Malaysian children.
  • To explore risk factors and clinical parameters linked to CAPc development.

Main Methods:

  • Retrospective study of children aged 2-16 years admitted with community-acquired pneumonia.
  • Data collected from University Malaya Medical Centre between 2012 and 2014.

Main Results:

  • Out of 343 children, 58 (17%) developed CAPc.
  • Risk factors identified: Chinese ethnicity, reduced breastfeeding, no outpatient antibiotics, parental smoking.
  • Clinical indicators: increased respiratory rate and thrombocytosis.

Conclusions:

  • Identified modifiable risk factors for CAPc in Malaysian children.
  • Findings can inform strategies to decrease the incidence and severity of pneumonia complications.
Abstract

Keywords:
complicated pneumoniapaediatricsrisk factors

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