ETIOLOGICAL STRUCTURE OF ACUTE COMMUNITY-ACQUIRED PNEUMONIA IN CHILDREN
Journal: Journal of the Grodno State Medical University (Vol.22, No. 1)Publication Date: 2024-03-12
Authors : I. M. Maloletnikova N. S. Paramonova;
Page : 73-77
Keywords : pneumonia; children; etiological structure; frequently ill children;
Abstract
Background. Difficulties in the etiological diagnosis of pneumonia in children are due to its polyetiology. Pneumonia can be caused by both typical bacterial agents and atypical pathogens. The condition of frequently ill children is characterized by a combination of several pathogens, in particular, a viral-bacterial association. The frequent use of antibacterial therapy in a group of frequently ill children should be taken into account when choosing initial therapy in a hospital. Objective. To establish the etiological structure of acute community-acquired pneumonia in frequently ill children. Material and methods. 180 children (1st group 50/180 - children belonged to the group of frequently ill children, 2nd group 130/180 - children did not belong to the group of frequently ill children) with a diagnosis of "acute communityacquired pneumonia" were examined in accordance with the protocol with assessment of the etiological structure. Results. The total number of frequently ill children was 27.8% (50/180). The somatic type of “truly” frequently ill children occurs 2.3 times more often (RR=2.33; 95% CI 1.4720-3.6986; p=0.0003) than the otorhinolaryngological type. The infection index in patients from the group of frequently ill children is 3.0 times higher (p=0.0002), the resistance index is 3.5 times higher (p=0.0012), compared with the group of infrequently ill children. In the group of frequently ill children, there was a higher frequency of acute illnesses during the year and the development of complications from acute respiratory infections. Conclusion. The causative agent of pneumonia was diagnosed in every third patient, in the remaining patients the causative agent was undifferentiated, while atypical pathogens (Chlamydophila рneumoniae and Mycoplasma рneumoniae) were diagnosed 4.7 times more often (RR=4.773; 95% CI 2.9620-7.6901; p=0.0024) than grampositive, gram-negative flora.
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Last modified: 2024-03-12 22:14:20