Dutchuk O. V.

CLINICAL AND PARACLINICAL CHARACTERISTICS OF COMMUNICATED PNEUMONIA IN CHILDREN OF EARLY AGE, BASED ON ANALYSIS OF MEDICAL DOCUMENTATION AND OWN CLINICAL OBSERVATIONS

---

Show/Download

About the author:

Dutchuk O. V.

Heading:

PEDIATRICS

Type of article:

Scientific article

Annotation:

This article discusses community-acquired pneumonia's clinical and paraclinical features in young children. Despite modern clinical guidelines and protocols for treating this pathology, many problematic issues related to the clinical features and methods of diagnosing pneumonia still need to be clarified. Our study aimed to determine the peculiarities of community-acquired pneumonia in young children. The study is based on the analysis of medical records of inpatients aged 1 to 3 years diagnosed with community-acquired pneumonia who were treated in a specialized department at the Municipal Non-Profit Enterprise “Ivano-Frankivsk Regional Children's Clinical Hospital of the Ivano-Frankivsk Regional Council”. The data obtained can help improve the disease's diagnosis, treatment and prevention, considering the region's peculiarities. According to the survey results, the average age of all patients, according to a retrospective analysis of medical records, was 1 ± 1.5 years, regardless of the severity of the disease. When analyzing the features of clinical manifestations of pneumonia at the time of admission to the hospital, the main symptoms and risk factors for complications were identified. The main risk factors for complications of community-acquired pneumonia were previous use of antibiotics, presence of comorbidities, and non-compliance with the vaccination schedule. Studying these cases can help identify the main trends in morbidity, possible complications of this pathology, and the effectiveness of treatment.

Tags:

Bibliography:

1. Ministerstvo okhorony zdorov’ya Ukrayiny. Pnevmoniyi u ditey. Klinichna nastanova, zasnovana na dokazakh. Kyyiv: MOZ Ukrayiny; 2022. 61 s. Dostupno: https://www.dec.gov.ua/wp-content/uploads/2022/08/2022_1380 _kn_pnevmoniyi_u_ditej.pdf. [in Ukrainian].
2. Rueda ZV, Aguilar Y, Maya MA, López L, Restrepo A, Garcés C, et al. Etiology and the challenge of diagnostic testing of communityacquired pneumonia in children and adolescents. BMC Pediatrics. 2022;22(1):169. DOI: https://doi.org/10.1186/s12887-022-03235-z.
3. Raj Kumar BK, Shrestha S, Adhikari S, Shristi M. Pneumonia among Children Admitted to the Department of Medicine in a Tertiary Care Centre: A Descriptive Cross-sectional Study. Journal of Nepal Medical Association. 2022;60(253):785-8. DOI: https://doi.org/10.31729/ jnma.7859.
4. Nathan AM, Teh CSJ, Jabar KA, Teoh BT, Tangaperumal A, Westerhout C, et al. Bacterial pneumonia and its associated factors in children from a developing country: A prospective cohort study. PLOS ONE. 2020;15(2):e0228056. DOI: https://doi.org/10.1371/journal. pone.0228056.
5. Fan F, Jun LV, Yang Q, Jiang F. Clinical characteristics and serum inflammatory markers of community-acquired mycoplasma pneumonia in children. The clinical respiratory journal. 2023;17(7):607-17. DOI: https://doi.org/10.1111/crj.13620.
6. Meyer Sauteur PM, Theiler M, Buettcher M, Seiler M, Weibel L, Berger C. Frequency and Clinical Presentation of Mucocutaneous Disease Due to Mycoplasma pneumoniae Infection in Children With Community-Acquired Pneumonia. JAMA Dermatology. 2020;156(2):144. DOI: https://doi.org/10. 1001/jamadermatol.2019.3602.
7. Negash AA, Asrat D, Abebe W, Hailemariam T, Hailu T, Aseffa A, et al. Bacteremic Community-Acquired Pneumonia in Ethiopian Children: Etiology, Antibiotic Resistance, Risk Factors, and Clinical Outcome. Open Forum Infectious Diseases. 2019;6(3):ofz029. DOI: https://doi. org/10. 1093/ofid/ofz029.
8. Marangu D, Zar H. Childhood pneumonia in low-and-middle-income countries: An update. Paediatric Respiratory Reviews. 2019;32(32):3- 9. DOI: https://doi.org/10.1016/j.prrv.2019.06.001.
9. Nascimento-Carvalho CM. Community-acquired pneumonia among children: The latest evidence for an updated management. Journal de Pediatria. 2019;96(1):29-38. DOI: https://doi.org/10.1016/j.jped.2019.08.003.
10. Wang T, Xu Q, Dai G, Hong Y, Chen Z, Lu M, et al. Clinical characteristics of children with airway malacia complicated by pneumonia. BMC infectious diseases. 2021;21(1):902. DOI: https://doi.org/10.1186/s12879-021-06603-9.
11. Mokiia-Serbina SO, Lytvynova TV, Shelevytska VA, Zabolotnia NI. Virusni pnevmonii u ditei doshkilnoho viku: aktualni aspekty klinikoparaklinichnoi diahnostyky ta likuvannia. Zdorovia dytyny. 2024;19(1):40-49. DOI: https://doi.org/10.22141/2224-0551.19.1.2024.1670. [in Ukrainian].
12. Rees CA, Basnet S, Gentile A, Gessner BD, Kartasasmita CB, Lucero M, et al. An analysis of clinical predictive values for radiographic pneumonia in children. BMJ Global Health. 2020;5(8):e002708. DOI: https://doi.org/10. 1136/bmjgh-2020-002708.

Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 3, 174, 360-367 pages, index UDC 616-07+616.24-002+613.953

DOI:

10.29254/2077-4214-2024-3-174-360-367