Tags

Type your tag names separated by a space and hit enter

The burden of pneumonia in children: an Asian perspective.
Paediatr Respir Rev. 2005 Jun; 6(2):88-93.PR

Abstract

Pneumonia results in two million deaths each year among children worldwide (20% of all child deaths), 70% of them in Africa and South-east Asia. Most countries in Africa and Asia record 2-10 times more children with pneumonia (7-40/100 annually) than in the USA. Apart from resource constraints and an overburdened health system, there is lack of uniformity in defining pneumonia. Most nations employ a WHO standard case management protocol using age-specific cut-offs for increased respiratory rates and chest in-drawing for a clinical definition of pneumonia. The limited data available on the causative organisms have identified Streptococcus pneumoniae, Haemophilus influenzae and viruses such as respiratory syncytial virus (RSV), influenza, para influenza and adenoviruses as the major pathogens. Measles infection increases pneumonia morbidity and mortality. Low birth weight, under-nutrition, hypovitaminosis A, zinc deficiency, lack of breastfeeding, air pollution (including environmental tobacco smoke) and over-crowding increase the risk for pneumonias in children. Standard case management protocols used for acute respiratory infections (ARIs) in these countries have brought down the disease burden but an improvement in the diagnostic algorithm is needed to appropriately recognise those with associated wheeze. Research is needed to find effective and affordable preventive strategies.

Authors+Show Affiliations

Lady Hardinge Medical College, Associated K S Children's Hospital, Bangla Sahib Lane, New Delhi, India. vsingh@ndf.vsnl.net.in

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15911453

Citation

Singh, Varinder. "The Burden of Pneumonia in Children: an Asian Perspective." Paediatric Respiratory Reviews, vol. 6, no. 2, 2005, pp. 88-93.
Singh V. The burden of pneumonia in children: an Asian perspective. Paediatr Respir Rev. 2005;6(2):88-93.
Singh, V. (2005). The burden of pneumonia in children: an Asian perspective. Paediatric Respiratory Reviews, 6(2), 88-93.
Singh V. The Burden of Pneumonia in Children: an Asian Perspective. Paediatr Respir Rev. 2005;6(2):88-93. PubMed PMID: 15911453.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The burden of pneumonia in children: an Asian perspective. A1 - Singh,Varinder, PY - 2005/5/25/pubmed PY - 2006/1/6/medline PY - 2005/5/25/entrez SP - 88 EP - 93 JF - Paediatric respiratory reviews JO - Paediatr Respir Rev VL - 6 IS - 2 N2 - Pneumonia results in two million deaths each year among children worldwide (20% of all child deaths), 70% of them in Africa and South-east Asia. Most countries in Africa and Asia record 2-10 times more children with pneumonia (7-40/100 annually) than in the USA. Apart from resource constraints and an overburdened health system, there is lack of uniformity in defining pneumonia. Most nations employ a WHO standard case management protocol using age-specific cut-offs for increased respiratory rates and chest in-drawing for a clinical definition of pneumonia. The limited data available on the causative organisms have identified Streptococcus pneumoniae, Haemophilus influenzae and viruses such as respiratory syncytial virus (RSV), influenza, para influenza and adenoviruses as the major pathogens. Measles infection increases pneumonia morbidity and mortality. Low birth weight, under-nutrition, hypovitaminosis A, zinc deficiency, lack of breastfeeding, air pollution (including environmental tobacco smoke) and over-crowding increase the risk for pneumonias in children. Standard case management protocols used for acute respiratory infections (ARIs) in these countries have brought down the disease burden but an improvement in the diagnostic algorithm is needed to appropriately recognise those with associated wheeze. Research is needed to find effective and affordable preventive strategies. SN - 1526-0542 UR - https://www.unboundmedicine.com/medline/citation/15911453/The_burden_of_pneumonia_in_children:_an_Asian_perspective_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1526-0542(05)00020-5 DB - PRIME DP - Unbound Medicine ER -