Asim Amjad, Ubaidullah, Iqbal Ahmad Azhar.
Severe Pneumonia; Frequency of Correctly Diagnosed Cases By IMNCI Classification in Children Between 2 - 59 Months of Age.
Professional Med J Jan ;25(3):396-9.

Background: The signs and symptoms of pneumonia are often nonspecific and widely vary based on the patient?s age and the infectious organisms involved. IMNCI has improved case improved diagnose of pneumonia. This study was conducted to study the frequency of correctly diagnosed cases of severe pneumonia by IMNCI classification in children between 2 - 59 months of age. Study Design: Cross sectional study. Setting: Department of Pediatrics, Mayo Hospital, Lahore. Period: January to June 2013. Methodology: Total 155 cases were included through Non probability purposive sampling. Chest radiographs were taken within the first 6 hours from Radiology Department and reports were obtained for evidence of pneumonia. Data was entered and analyzed in SPSS version 16. Age, weight, height were presented as mean ± standard deviation. Sex and radiological findings of severe pneumonia were presented as frequency tables and percentages. Results: The mean age of patients was 12.76±11.54 months. There were 47.1% females and 52.9% males. Out of 155 patients 134(86.5%) had pneumonia on CXR where as only 21(13.5%) appeared with normal status which were already positive on IMNCI. Only 21 (13.5%) appeared with bilateral patch of consolidation, 62 (40%) appeared with Unilateral patch of consolidation, 11 (7.1%) were appeared with Bronchopneumonia, 30 (19.4%) were appeared with lung collapse condition and (12.9%) were appeared with Pleural Effusion. Conclusion: Clinical assessment of pneumonia in children on IMNCI is equivalent to the assessment on chest X-ray.

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