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Introduction: Pneumonia is the leading cause of death among children, it accounts for 17.0% of under- five deaths in Nigeria yearly. The aim of this study is to determine the pattern of pneumonia among children in Port Harcourt.
Materials and Methods: A 2year retrospective descriptive study was done; the admission and discharge records at the children emergency ward (CHEW) and folders of patients admitted for pneumonia were used to retrieve information.
Results: A total of 2169 children were admitted into CHEW from 2017- 2018, this comprised of 1089 (50.2%) males and 1080 (49.8%) females. Of the 2169 children, 286 (13.2%) of them had pneumonia. More males (16.9%) compared to females (9.4%) had pneumonia, with a significant gender difference. (ꭓ2 = 26.29, p = < 0.001) Males were twice more likely to have pneumonia compared to the females (OR = 1.95, CI= 1.51-2.54). The highest prevalence of Pneumonia (27.1%) was amongst children < 1 year old (P = <0.001). Thirteen (4.6%) of those that had pneumonia died. Mortality was highest (9.2%) among those who presented late (> 5 days after onset of symptoms.) (ꭓ2 =10.73, p = 0.03).
Conclusion: Childhood pneumonia is still a burden among children in Port Harcourt. Early presentation to the hospital may reduce the mortality.
World Health Organization. Pneumonia fact sheets; 2019.
(Accessed on 20th October 2019)
Holme S. Grand Challenge: Childhood pneumonia mortality in Nigeria. Washington State University.
Available:https://research.libraries.wsu.edu (Accessed on 21st October 2019)
International Vaccine Access Center (IVAC), Johns Hopkins Bloomberg School of Public Health. Pneumonia and diarrhea progress report 2015: Sustainable progress in the post-2015 era; 2015.
Abdulkarim AA, Ibraheem RM, Adegboye AO, Johnson WBR, Adeboye MAN. Childhood pneumonia at the University of Ilorin Teaching Hospital, Ilorin Nigeria. Niger J Paed. 2013;40(3):284-89.
Kuti BP, Oyelami AO. Childhood community-acquired pneumonia at the Wesley guild hospital, Ilesa: Prevalence, pattern and outcome determinants; 2016.
Iliyasu G, Habib AG, Mohammed AB, Borodo MM. Epidemiology and clinical outcomes of community acquired Pneumococcal infection in North-West Nigeria. Sub-Saharan African Journal of Medicine. 2015;2(2):79-84.
Amai IU, Aguoru CU, Amai DC. Prevalence of pneumonia in children under five years old attending the Federal Medical Centre, Makurdi, Nigeria. Ijsrm. Human. 2018;10(2):141-51.
Johnson WBR, Abdulrarim AA. Childhood pneumonia in developing countries. African Journal of Respiratory Medicine. 2013; 8(2):2-6.
Nirmolia N, Mahanta TG, Boruah M, Rasaily R, Kotoky R, Bora R. Prevalence and risk factors of pneumonia in under five children living in slums of Dibrugarh town. Clinical Epidemiology and Global Health. 2008;6:1-4.
Onyango D, Kikuvi G, Amukoye E, Omolo J. Risk factors of severe pneumonia among children aged 2-59 months in western Kenya: A case control study. The Pan African Medical Journal. 2012;13:45.
Sazawal S, Black RE. Effect of pneumonia case management on mortality in neonates, infants, and preschool children: A meta-analysis of community-based trials. Lancet infectious Disease. 2003;3(9):547-556.
Noordam AC, Carvajal-Velez L, Sharkey AB, Young M, Cals JWL. Care seeking behavior for children with suspected pneumonia in countries in sub-Saharan Africa with high pneumonia mortality. PLoS ONE. 2015;10(2):e0117919.
Ibraheem RM, Abdulkadir MB, Gobir AA. Johnson WBR. Socio-demographic and clinical factors predicting time to presentation for children with pneumonia in Ilorin, Nigeria. Alexandria Journal of Medicine. 2017;54:247-250.
Yilgwan CS, John C, Abok I, Okolo SN. Pattern of acute respiratory infections in hospitalized children under five years of age in Jos Nigeria. Niger J Paed. 2013;40 (2):150 –153.
Ujunwa FA, Ezeonu CT. Risk factors for acute respiratory tract infections in under-five children in Enugu Southeast Nigeria. Ann Med Health Sci Res. 2014;4: 95-9.
Oguonu T, Ayuk CA, Edelu BO, Ndu KI. Pattern of respiratory diseases in children presenting to the paediatrics emergency unit of the University of Nigeria Teaching Hospital, Enugu; A case series report. BMC Pulmonary Medicine. 2014; 14:101.
Fienemika AE, Ojule IN, Best O. Prevalence of acute respiratory infections among children under-five years old in a hospital in Port Harcourt, Nigeria: A two year follow-up study. J Respir Med. 2018; 2:109.
Oluwabukola M. Akinloye OM, Onkk ER, Savolainen-Kopra C, Ziegler T, Iwalokun B, et al. Speciﬁc viruses detected in Nigerian children in association with acute respiratory disease. Journal of Tropical Medicine. 2011;2011:6.
Sadoh WE, Osarogiagbon WO. Pneumonia complicated by congestive heart failure in Nigerian Children. East African Medical Journal. 2012;89:10.
Roux DM, Myer L, 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. Lancet Glob Health. 2015;3:95–103.
Ukwaja KN, Olufemi OA. Home management of acute respiratory infections in a Nigerian district. African Journal of Respiratory Medicine. 2010; 6:18-22.
Acacia S, Verni JR, Lanaspe M, Fairlie TA, Nhampossa T, Ruperez M, et al. Under treatment of pneumonia among children under 5 years of age in a malaria endemic area. Population based surveillance study conducted in Manhica district – rural Mozambique. Internal Journal of Infection Diseases. 2015;36:39-45.