Significance WHO criteria in assessing pneumonia in children in Kazakhstan (660.7)

2014

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DOI 10.1096/fasebj.28.1_supplement.660.7
Data confidence 70 medium
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Abstract

To identify children under 5 years of pneumonia or lack thereof according to WHO criteria and the need for hospitalization. Retrospectively analyzed 852 medical records of children referred from in‐patient clinic with a diagnosis of “community‐acquired pneumonia” for the period 2012. In a retrospective analysis of 852 case histories diagnosed with” community acquired pneumonia” 60.92% of the respiratory pathology revealed the following.Febrile temperature with a duration >3 days was observed only in 182 children 21.36%.•shortness of breath and cyanosis :>50 breaths per minute at the age of 2‐12 months range 2‐6 months in 194 children, from 6 months to 12 months. In 92 children 10.8%. Dyspnea >40 breaths per minute in 26 children from one year to five years.Coughing was observed in 15.8% of affected children. Physical examination: retraction of the lower part of the chest, crackles on auscultation were observed in 54% of cases.Chest X‐ray was carried out in 78.3% of all children admitted. Infiltrative shadows were observed only in 151 children 17.7%. In 8.5% children ‐ polysegmental pneumonia, lobar pneumonia ‐ 0.35%, focal‐drain from 65 7.6%, draining 8.5%. Based on the above, according to the WHO criteria for hospitalization only needed 232 on the number of children admitted 27.2% with severe and very pneumonia,72.7% of children do not require hospitalization ‐ they have to be treated at home.