Pattern of Respiratory Diseases among Admitted Children in Pediatric Pulmonology Unit : A Tertiary Center Experiences

Abstract

Background :_The spectrum of respiratory illness is wide and includes diseases of upper and lower airways, communicable and non-communicable types. The variation in pattern of morbidity mortality of respiratory illness may be affected by different environmental and climatic variation in different parts of the world.Objective : The present study intended to explore the pattern of respiratory illnesses seen in Bangladeshi children admitted with respiratory illnesses.Methods :_The present prospective observational study was conducted in children up to 12 years of age admitted with acute respiratory illness in pulmonology unit of Dhaka Shishu (Children) Hospitalfrom July 2012 to July 2013. All children between the age limit with acute respiratory illness were included in the study. A standardized questionnaire was formulated and pretested. Then the data were collected through interview by using the questionnaire. Data were analyzed using SPSS version 17.Results : Total 1169 patients were admitted under pulmonology unit during July 2012 to June 2013 among them 324(27.7%) were admitted with respiratory diseases. Among the respiratory diseases Pneumonia (71.2%), Acute Bronchiolitis (20.1%), Bronchial Asthma (4.2%) and TB (2.7%) were commonest. Bronchopneumonia, Acute Bronchiolitis, Bronchial Asthma and TB was common among under 5 children and less common after 5 years. Male were predominate in every cases. Majority of respiratory cases were belonged to poor socioeconomic status. Pneumonia (50.7%) and Acute Bronchiolitis (58.5%) cases were found during autumn and late autumn. Asthma was common during late autumn and winter and Tuberculosis was common throughout the year. Mortality was higher among pneumonia cases.Conclusions :_Respiratory illness contributes most common cause of admission in tertiary care pediatric hospital. Bronchopneumonia is still the commonest respiratory disease with leading cause of mortality.Northern International Medical College Journal Vol.9(2) Jan 2018: 308-310

Pattern of Respiratory Diseases in Pediatric Unit of a 250 Bedded District Level General Hospital in Bangladesh

“…The cause was unknown, it might be decreased practice of breast feeding the major predisposing factor for respiratory illness. In this study majority of Pneumonia and Bronchiolitis were found during autumn and late Autumn whereas asthma were common in late autumn and winter, similar to the results found in in the study of Begum et al 14 .…”

Spatial Patterns of LRTI among Children in Lahore

“…There is a close association among unhealthy children to a weakened future of the world [2]. Respiratory infections are a L foremost cause of morbidity and mortality in children under five years of age globally [3,4,5,6]. Approximately, 6.6 million children less than 5 years of age die each year in the world; 95% of them are in low-income countries [7] and one third of the total deaths is due to LRTI [8].…”

“…Mungala VK et al also reported bronchopneumonia as the commonest LRTI in their study. In another study by Begum, J et al, (2018) in developing countries Bronchiolitis and Bronchopneumonia are the major contributing respiratory illness. The seasonal variation of the disease varies from season to season and area to area.…”