Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh

Bibliographic Data

ID15717680
AuthorsK A T M Ehsanul Huq (0000-0002-7637-0759, Hiroshima University, corresponding author), Michiko Moriyama (0000-0002-9190-8705, Hiroshima University), Ryota Matsuyama (0000-0002-7296-0129, Hiroshima University), Mohammod Jobayer Chisti (0000-0001-9958-3071, International Centre for Diarrhoeal Disease Research), Md Moshiur Rahman (0000-0002-5475-986X, Hiroshima University), Nur Alam (0000-0002-7591-9033, International Centre for Diarrhoeal Disease Research), Nur Haque Alam (International Centre for Diarrhoeal Disease Research (icddr,b), Dhaka 1212, Bangladesh)
Year2021
Volume8
Issue9
Pages778-778
Publication date2021-09-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children8090778
PMID34572210
OpenAlexW3196780907
LanguageEN
References cited29

Severe pneumonia with co-morbidity of malnutrition is one of the leading causes of death among children younger than five years of age. We aimed to compare the clinical features related to recovery from severe pneumonia in malnourished and well-nourished under-five children. A significantly lesser proportion of malnourished children compared to well-nourished recovered from rapid breathing (86.5% vs. 90.2%; p = 0.035), chest wall in-drawing (90.5% vs. 93.9%; p = 0.019), and fever (92.2% vs. 95.2%; p = 0.021) on day six after admission to health-care facilities. Malnourished children with severe pneumonia had significantly more rapid breathing (Adjusted Odds Ratio (AOR)) 1.636, 95% Confidence interval (CI) 1.150-2.328 p = 0.006), chest wall in-drawing (AOR 1.698, 95% CI 1.113-2.590, p = 0.014), and fever (AOR 1.700, 95% CI 1.066-2.710, p = 0.026) compared to those in well-nourished children. The study results suggested the lesser disappearance of clinical features among the malnourished children in Bangladesh underscores their vulnerability to severe pneumonia

Confidence interval · Intensive care medicine · Malnutrition · Odds ratio · Pneumonia · Severe Acute Malnutrition · Under-five · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Medicine · Internal Medicine · Pediatrics

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