Underlying Diseases and Causative Microorganisms of Recurrent Pneumonia in Children: A 13-Year Study in a University Hospital

Pneumonia is a significant cause of death for children, particularly those in developing countries. The records of children who were hospitalized because of pneumonia between January 2003 and December 2015 were retrospectively reviewed, and patients who met the recurrent pneumonia criteria were incl...

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Bibliographic Details
Published in:Journal of Tropical Pediatrics 2019-06, Vol.65 (3), p.224-230
Main Authors: Tural-Kara, Tuğçe, Özdemir, Halil, Yıldız, Nihan, Aldemir Kocabaş, Bilge, Erat, Tuğba, Yahşi, Aysun, Doğu, Figen, Tutar, Ercan, İnce, Erdal, Çiftçi, Ergin
Format: Article
Language:English
Subjects:
Adenoviridae - genetics
Adenoviridae - isolation & purification
Adolescent
Child
Child, Preschool
Coinfection - epidemiology
Comorbidity
Female
Hospitalization - statistics & numerical data
Hospitals, University
Humans
Infant
Male
Original Papers
Pneumonia - diagnosis
Pneumonia - epidemiology
Pneumonia - etiology
Polymerase Chain Reaction - methods
Recurrence
Respiratory Sounds - etiology
Respiratory Syncytial Virus Infections - epidemiology
Respiratory Syncytial Viruses - genetics
Respiratory Syncytial Viruses - isolation & purification
Respiratory Tract Infections - epidemiology
Respiratory Tract Infections - physiopathology
Respiratory Tract Infections - virology
Retrospective Studies
Rhinovirus - genetics
Rhinovirus - isolation & purification
Turkey - epidemiology
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Summary:Pneumonia is a significant cause of death for children, particularly those in developing countries. The records of children who were hospitalized because of pneumonia between January 2003 and December 2015 were retrospectively reviewed, and patients who met the recurrent pneumonia criteria were included in this study. During this 13-year period, 1395 patients were hospitalized with pneumonia; of these, 129 (9.2%) met the criteria for recurrent pneumonia. Underlying diseases were detected in 95 (73.6%) patients, with aspiration syndrome (21.7%) being the most common. Rhinovirus (30.5%), adenovirus (17.2%) and respiratory syncytial virus (13.9%) were the most frequent infectious agents. These results demonstrate that underlying diseases can cause recurrent pneumonia in children. Viruses are also commonly seen in recurrent pneumonia. Appropriate treatments should be chosen based on an analysis of the underlying disease, the patient's clinical condition and the laboratory and radiological data.
ISSN:1465-3664
0142-6338
1465-3664
DOI:10.1093/tropej/fmy037