Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria

Chukwuemeka Ngozi Onyearugha; Nneka Chioma Okoronkwo

doi:doi:10.11648/j.ajp.20210703.16

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Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria

Chukwuemeka Ngozi Onyearugha, Nneka Chioma Okoronkwo

Published in American Journal of Pediatrics (Volume 7, Issue 3)

Received: 25 June 2021 Accepted: 21 July 2021 Published: 24 July 2021

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Abstract

Background: Pneumonia has been reported to be a leading cause of mortality in children aged less than 5 years worldwide particularly in low resource nations. To achieve the Sustainable Developmental Goal (SDG) 3.2 which aims at reducing neonatal mortality and under five mortality, effective steps should be taken to stem the prevalence and mortality from childhood pneumonia. Aim: To determine the prevalence, monthly variations and mortality from pneumonia in children aged 1 month to 16 years at the department of Paediatrics of the Abia State University Teaching Hospital, Aba. Patients and methods: This was a retrospective review of the medical records of children aged 1 month to 16 years, diagnosed with pneumonia, at the department of Paediatrics of the Abia State University Teaching Hospital, Aba. Relevant information were extracted from case files of qualified subjects and subsequently analyzed using SPSS version 24. Result: There was a total of 440 admissions out of which 74 had a diagnosis of pneumonia, giving a prevalence of 16.8%. Six of the cases had inadequate data and were discarded. Sixty eight (68) were used for subsequent analysis. Forty five (45) were males, while 23 were females, giving a male: female ratio of 1.8: 1. Approximately 88% of the cases occurred in children aged ≤ 5 years with 61.8% of the patients aged less than one year. The greatest monthly prevalence, 25%; was in January and February. Mortality rate was 4.4%. Conclusion: The prevalence of childhood pneumonia is high. Children below 5 years are very vulnerable. Effective steps to reduce childhood pneumonia will drastically reduce under-5 mortality and achieve SDG 3.2.

Published in	American Journal of Pediatrics (Volume 7, Issue 3)
DOI	10.11648/j.ajp.20210703.16
Page(s)	121-125
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Childhood Pneumonia, Prevalence, Mortality, Aba, Nigeria

References

[1]	Rudan I, Boschi-Pinto C, Biloglav Z, Mulholland K, Campbell H. Epidemiology and etiology of childhood pneumonia. Bull World Health Organ. 2008; 86 (5): 408-416.
[2]	Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG et al. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet. 2010; 375 (9730): 1969-1987.
[3]	UNICEF: Nigeria contributes highest number to global pneumonia child deaths. https//www.Unicef.org Nov 2019 [Accesses 20 April 2021].
[4]	Ghafoor A, Nomani NK, Ishaq Z, Zaidi SZ, Anwar F, Burney MI et al. Diagnoses of acute lower respiratory tract infections in children in Rawalpindi and Islamabad, Pakistan. Rev Infect Dis. 1990; 12: S 907-14 pmid: 2270413.
[5]	Epidemiology and etiology of childhood pneumonia. Bulletin of the World Health Organization https://www.who.int/bulletin/volumes/86/5/07-048769/en/ [Accessed 20 April 2021].
[6]	Owayed AF, Campbell DM, Wang E L. Underlying Causes of Recurrent Pneumonia in Children. Arch Pediatr Adolesc Med. 2000; 154 (2): 190-194. doi: 10.1001/archpedi.154.2.190.
[7]	Beard LJ, Maxwell GM, Thong YH. Immunocompetence of children with frequent respiratory infections. Arch Dis Child. 1981; 56: 101-105. Google Scholar Crossre.
[8]	WHO: Pneumonia https://www.who.int/news-room/fact-sheets/detail/pneumonia. August 2019. [Accessed 20 April 2021].
[9]	Wootton D, Feldman C. The diagnosis of pneumonia requires a chest radiograph (x-ray)—yes, no or sometimes? Pneumonia. 2014. 5: 1–7. https://doi.org/10.15172/pneu.2014.5/464.
[10]	Katz SE, Williams DJ. Pediatric Community-Acquired Pneumonia in the United States Changing Epidemiology, Diagnostic and Therapeutic Challenges, and Areas for Future Research. Infect Dis Clin North Am. 2018; 32 (1): 47–63.
[11]	Clark JE, Hammal D, Hampton F, Spencer D, Parker L. Epidemiology of community-acquired pneumonia in children seen in hospital. Epidemiol Infect. 2007; 135 (2): 262-269. doi: 10.1017/S0950268806006741.
[12]	Osei FA, Mensah KA, Ansong D, Agyei-Baffour P, Owusu S, Mensah NK Prevalence of pneumonia and risk factors of pneumonia mortality among children under five years. African Journal of Current Medical Research. 2018; 2 (2): https://doi.org/10.31191/afrijcmr.v2i2.28. [Accessed 20 April 2021].
[13]	DeAntonio R, Yarzabal J, Cruz JP, Schmidt JE, Kleijnen J. Epidemiology of community-acquired pneumonia and implications for vaccination of children living in developing and newly industrialized countries: A systematic literature review. Human Vaccines & Immunotherapeutics. 2016; 12 (9): 2422-2440, DOI: 10.1080/21645515.2016.1174356.
[14]	Amai IU, Aguoru CU, Amai D C. Prevalence of Pneumonia in Children under Five Years Old Attending the Federal Medical Centre, Makurdi, Nigeria. Human Journals. 2018; 10 (2): 142-151.
[15]	BP Kuti, AO Oyelam. Childhood community-acquired pneumonia at the Wesley guild hospital, Illesa: Prevalence, pattern, and outcome determinants. Nigerian Journal of Health Sciences: 2015; 15 (2): 98-104.
[16]	UNICEF: Child survival and the SDGs. September 2019 https://data.unicef.org/topic/child-survival/child-survival-sdgs [Accessed 20 April 2021].
[17]	Chan AJ, Omer SB, Hu ssain H, Chaudry S. High incidence of childhood pneumonia at high altitudes in Pakistan: A longitudinal cohort study. Bulletin of the World Health Organisation. 87 (3): 193-9.
[18]	Gray S, Pilkington P, Pencheon D. Jewell T. Public health in the UK: success or failure? Journal of the Royal Society of Medicine. 2006; 99 (3): 107-111.
[19]	WHO: Nigeria Introduces New Vaccine – PCV10 https://www.afro.who.int/news/nigeria-introduces-new-vaccine-pcv-10Dec 2014. [Accessed 20 April 2021].
[20]	Falagas ME, Mourtzoukou EG, Vardakas KZ. Sex differences in the incidence and severity of respiratory tract infections. Respiratory Medicine. 2007; 191 (9): 1845-1863.
[21]	Georgountzou A, Papadopoulos N. Postnatal Innate Immune Development: From Birth to Adulthood. Front Immunol. 2017; 8: 957. doi: 10.3389/fimmu.2017.00957.
[22]	Child development at 5-6 years: https://raisingchildren.net.au/school-age/development/development-tracker/5-6-years [Accessed 20 April 2021].
[23]	Rainy Season in Nigeria https://hintng.com/rainy-season-in-nigeria. September 2018 [Accessed 20 April 2021].
[24]	Hsiu-Chen Lin, Ching-Chun Lin, Chin-Shyan Chen, Herng-Ching Lin Seasonality of pneumonia admissions and its association with climate: An eight-year nationwide population-based study Chronobiology International 2009; 26 (8): 1647-59.
[25]	Myer LD, Nicol MP, Zar HZ. The epidemiology of hospitalized pneumonia in rural Kenya: the potential of surveillance data in setting public health priorities. International Journal of Infectious Diseases. 2007; 11 (6): 536-543.
[26]	Iliyasu G, Mohammad FD, Habib AG. Community Acquired Pneumococcal Pneumonia in Northwestern Nigeria: Epidemiology, Antimicrobial Resistance and Outcome. Afr J Infect Dis. 2017; 12 (1): 15-19.
[27]	Myer LD, Nicol MP, Zar HJ.. Incidence and severity of childhood pneumonia in the first year of life in a South African birth cohort: the Drakenstein Child Health Study. The Lancet. Global Health. 01 Feb 2015; 3 (2): e95-e103. DOI: 10.1016/s2214-109x(14)70360-2 [Accessed 20 April 2021].
[28]	Sunyataningkamto S, Iskandar Z, Alan RT, Budiman I, Ahmad S, Wibowo T. The role of indoor air pollution and other factors in the incidence of pneumonia in under-five children. Paediatrica Indonesiana. 10 Oct. 2016; 44 (1): 25-29. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/729 [Accessed 20 April 2021].
[29]	Ezeonu CT, Uneke CJ, Ojukwu JO, Anyanwu OU, Okike CO, Ezeanosike OB, et al. The pattern of pediatric respiratory illnesses admitted in Ebonyi State University Teaching Hospital South-East Nigeria. Ann Med Health Sci Res. 2015; 5: 65-70.

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APA Style

Chukwuemeka Ngozi Onyearugha, Nneka Chioma Okoronkwo. (2021). Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria. American Journal of Pediatrics, 7(3), 121-125. https://doi.org/10.11648/j.ajp.20210703.16

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ACS Style

Chukwuemeka Ngozi Onyearugha; Nneka Chioma Okoronkwo. Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria. Am. J. Pediatr. 2021, 7(3), 121-125. doi: 10.11648/j.ajp.20210703.16

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AMA Style

Chukwuemeka Ngozi Onyearugha, Nneka Chioma Okoronkwo. Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria. Am J Pediatr. 2021;7(3):121-125. doi: 10.11648/j.ajp.20210703.16

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@article{10.11648/j.ajp.20210703.16,
  author = {Chukwuemeka Ngozi Onyearugha and Nneka Chioma Okoronkwo},
  title = {Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria},
  journal = {American Journal of Pediatrics},
  volume = {7},
  number = {3},
  pages = {121-125},
  doi = {10.11648/j.ajp.20210703.16},
  url = {https://doi.org/10.11648/j.ajp.20210703.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210703.16},
  abstract = {Background: Pneumonia has been reported to be a leading cause of mortality in children aged less than 5 years worldwide particularly in low resource nations. To achieve the Sustainable Developmental Goal (SDG) 3.2 which aims at reducing neonatal mortality and under five mortality, effective steps should be taken to stem the prevalence and mortality from childhood pneumonia. Aim: To determine the prevalence, monthly variations and mortality from pneumonia in children aged 1 month to 16 years at the department of Paediatrics of the Abia State University Teaching Hospital, Aba. Patients and methods: This was a retrospective review of the medical records of children aged 1 month to 16 years, diagnosed with pneumonia, at the department of Paediatrics of the Abia State University Teaching Hospital, Aba. Relevant information were extracted from case files of qualified subjects and subsequently analyzed using SPSS version 24. Result: There was a total of 440 admissions out of which 74 had a diagnosis of pneumonia, giving a prevalence of 16.8%. Six of the cases had inadequate data and were discarded. Sixty eight (68) were used for subsequent analysis. Forty five (45) were males, while 23 were females, giving a male: female ratio of 1.8: 1. Approximately 88% of the cases occurred in children aged ≤ 5 years with 61.8% of the patients aged less than one year. The greatest monthly prevalence, 25%; was in January and February. Mortality rate was 4.4%. Conclusion: The prevalence of childhood pneumonia is high. Children below 5 years are very vulnerable. Effective steps to reduce childhood pneumonia will drastically reduce under-5 mortality and achieve SDG 3.2.},
 year = {2021}
}

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TY - JOUR
T1 - Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria
AU - Chukwuemeka Ngozi Onyearugha
AU - Nneka Chioma Okoronkwo
Y1 - 2021/07/24
PY - 2021
N1 - https://doi.org/10.11648/j.ajp.20210703.16
DO - 10.11648/j.ajp.20210703.16
T2 - American Journal of Pediatrics
JF - American Journal of Pediatrics
JO - American Journal of Pediatrics
SP - 121
EP - 125
PB - Science Publishing Group
SN - 2472-0909
UR - https://doi.org/10.11648/j.ajp.20210703.16
AB - Background: Pneumonia has been reported to be a leading cause of mortality in children aged less than 5 years worldwide particularly in low resource nations. To achieve the Sustainable Developmental Goal (SDG) 3.2 which aims at reducing neonatal mortality and under five mortality, effective steps should be taken to stem the prevalence and mortality from childhood pneumonia. Aim: To determine the prevalence, monthly variations and mortality from pneumonia in children aged 1 month to 16 years at the department of Paediatrics of the Abia State University Teaching Hospital, Aba. Patients and methods: This was a retrospective review of the medical records of children aged 1 month to 16 years, diagnosed with pneumonia, at the department of Paediatrics of the Abia State University Teaching Hospital, Aba. Relevant information were extracted from case files of qualified subjects and subsequently analyzed using SPSS version 24. Result: There was a total of 440 admissions out of which 74 had a diagnosis of pneumonia, giving a prevalence of 16.8%. Six of the cases had inadequate data and were discarded. Sixty eight (68) were used for subsequent analysis. Forty five (45) were males, while 23 were females, giving a male: female ratio of 1.8: 1. Approximately 88% of the cases occurred in children aged ≤ 5 years with 61.8% of the patients aged less than one year. The greatest monthly prevalence, 25%; was in January and February. Mortality rate was 4.4%. Conclusion: The prevalence of childhood pneumonia is high. Children below 5 years are very vulnerable. Effective steps to reduce childhood pneumonia will drastically reduce under-5 mortality and achieve SDG 3.2.
VL - 7
IS - 3
ER -

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Chukwuemeka Ngozi Onyearugha

Department of Paediatrics, Abia State University Teaching Hospital, Aba, Nigeria
Nneka Chioma Okoronkwo

Department of Paediatrics, Abia State University Teaching Hospital, Aba, Nigeria

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APA Style

Chukwuemeka Ngozi Onyearugha, Nneka Chioma Okoronkwo. (2021). Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria. American Journal of Pediatrics, 7(3), 121-125. https://doi.org/10.11648/j.ajp.20210703.16

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ACS Style

Chukwuemeka Ngozi Onyearugha; Nneka Chioma Okoronkwo. Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria. Am. J. Pediatr. 2021, 7(3), 121-125. doi: 10.11648/j.ajp.20210703.16

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AMA Style

Chukwuemeka Ngozi Onyearugha, Nneka Chioma Okoronkwo. Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria. Am J Pediatr. 2021;7(3):121-125. doi: 10.11648/j.ajp.20210703.16

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@article{10.11648/j.ajp.20210703.16,
  author = {Chukwuemeka Ngozi Onyearugha and Nneka Chioma Okoronkwo},
  title = {Childhood Pneumonia: Prevalence and Associated Factors as Seen at a Tertiary Health Institution in Southeast Nigeria},
  journal = {American Journal of Pediatrics},
  volume = {7},
  number = {3},
  pages = {121-125},
  doi = {10.11648/j.ajp.20210703.16},
  url = {https://doi.org/10.11648/j.ajp.20210703.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210703.16},
  abstract = {Background: Pneumonia has been reported to be a leading cause of mortality in children aged less than 5 years worldwide particularly in low resource nations. To achieve the Sustainable Developmental Goal (SDG) 3.2 which aims at reducing neonatal mortality and under five mortality, effective steps should be taken to stem the prevalence and mortality from childhood pneumonia. Aim: To determine the prevalence, monthly variations and mortality from pneumonia in children aged 1 month to 16 years at the department of Paediatrics of the Abia State University Teaching Hospital, Aba. Patients and methods: This was a retrospective review of the medical records of children aged 1 month to 16 years, diagnosed with pneumonia, at the department of Paediatrics of the Abia State University Teaching Hospital, Aba. Relevant information were extracted from case files of qualified subjects and subsequently analyzed using SPSS version 24. Result: There was a total of 440 admissions out of which 74 had a diagnosis of pneumonia, giving a prevalence of 16.8%. Six of the cases had inadequate data and were discarded. Sixty eight (68) were used for subsequent analysis. Forty five (45) were males, while 23 were females, giving a male: female ratio of 1.8: 1. Approximately 88% of the cases occurred in children aged ≤ 5 years with 61.8% of the patients aged less than one year. The greatest monthly prevalence, 25%; was in January and February. Mortality rate was 4.4%. Conclusion: The prevalence of childhood pneumonia is high. Children below 5 years are very vulnerable. Effective steps to reduce childhood pneumonia will drastically reduce under-5 mortality and achieve SDG 3.2.},
 year = {2021}
}

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