Prevalence of Sever Pneumonia in Children 2-59 Months for One Year in Pediatric Department of Mirwais Regional Hospital, Kandahar, Afghanistan
DOI:
https://doi.org/10.53555/bp.v7i1.1514Keywords:
Severe pneumonia, children, Kandahar, mortalityAbstract
Respiratory diseases remain a major cause of morbidity and mortality in children especially among children less than five years old. To study the demographic profile and the clinical profile that they presented with, as well as the outcome of the severe pneumonia in children from 2months to 5years who were admitted to pediatric department of Mirwais regional Hospital, Kandahar Afghanistan. This cross-sectional study was conducted in Mirwais Regional hospital pediatric ward Kandahar Afghanistan the data of all the patients of sever pneumonia who were from 2months to 5 years, who were admitted from severe pneumonia in MRH in pediatric ward from 10 November 2018 to 9 November 2019 were collected, compiled and analyzed from the Medical Records of each case at Hospital. Information obtained from the patient mother was coded and entered into computer software. After that, the data were analyzed with SPSS version 22. 0. Multivariate Logistic Regression Model was used for finding factors association with pneumonia mortality. Out of the 462 cases of severe pneumonia, 256 (55.4%) were males and 206 (44.6%) were females. Their ages varied from 2months to 5 years the median age was five months (range 2-59 months). The overall mortality rate was 57(12.75) % and of 390 (87.24.82%) patients were cured. Regarding to residency 202(43.7%) urban and, 260(62. 3%) were rural resident. More number of cases were admitted during the winter and fall season. 380 (82.1%) patients were in the age group of 2- 12 month. Out of 462 patient the patients 199 (43%) had malnutrition out of malnutrition children 132(28.57%) had severe malnutrition P-value (0.0001 OR=4.73). About 103 (22.2%) patients were completely immunized according to their age, 51(11%) didn’t take any vaccination and the remaining 308(66.5) were partially vaccinated. 167 (36.1%) patients were exclusively breastfed. The prevalence and case fatality of severe pneumonia was higher in infancy. Although boys were at high risk of sever pneumonia than girls, our analyses show that there is an underlying burden of sever pneumonia between 2 – 59 months. Rainy and winter, dry and dusty fall season were associated with higher prevalence of disease.
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