Attia Bari, Aizza Zafar, Asma Mushtaq, Tahir Masood Ahmad, Iftikhar Ejaz, Hasan Ejaz.
Disease pattern and bacteriological profile of childhood pneumonia.
Pak Paed J Jan ;38(1):47-52.

Objective: This study was planned to assess the disease pattern and bacteriological profile of childhood pneumonia Study design: Prospective observational study. Place and Duration of study: The department of Pediatric Medicine of the Children’s Hospital and ICH Lahore from January 2010 to December 2012. Patients and Methods: Out of 179 children with blood culture positive pneumonia 122 (68.2%) were males and 57(31.8%) were females. Age range was from 2 months to 5 years. The common presenting symptoms were fever, cough, breathing difficulty and poor oral intake. Maximum number of subjects of pneumonia cases were in 2 months-1 year of age group 134 (74.9%). Pneumonia was diagnosed by radiological investigations and microbiological analyses of blood samples performed to assess the bacteriological profile. The most common pathogen identified was Coagulase negative staphylococci (CoNS) 120 (67%). The other pathogens identified were Staphylococcus aureus, Streptococcus pneumoniae and gram negative organisms. All patients were treated with intravenous antibiotics. Average hospital stay was 6.9 days. Majority 160 (89.4%) patients were discharged home 10 (5.6%) patients left against medical advise (LAMA) and 9 (5%) patients died. Conclusion: Severe pneumonia affected children < 1 year of age with a male preponderance and CoNS, Staphylococcus aureus, Streptococcus pneumonaie and gram negative organisms were the most common pathogens identified. The mortality was observed mostly under one year of age and the bacterial pathogens isolated in these cases were Staphylococcus aureus and gram negative pathogens.

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