Recurrent Pneumonia in Children at a Tertiary–Pediatric Hospital in Baghdad

Abstract

ABSTRACT:BACKGROUND:There are many children suffering from Recurrent Pneumonia (RP). Children with RP may present adifficult diagnostic challenge.OBJECTIVE:This study was performed to evaluate the frequency levels and underlying causes of RP in ChildrenWelfare Teaching Hospital (CWTH)/Medical City/Baghdad.PATIENTS AND METHODS:In this prospective hospital-based cross-sectional study, 107 children admitted with RP in CWTH inthe period from March to July 2014. Children were included in this study if they had at least 2 timespneumonia per year or three ever in life proved by radiographic confirmation during hospitaladmission. Children were classified according to underlying diseases associated with Pneumonia.RESULTS:Based on the clinical features and the results of the investigations, the underlying disease could beidentified in 92/107 (86%) children. Aspiration pneumonia was diagnosed in 25 (23.4%) children,followed by congenital heart disease (CHD) in 22(20.6%) children, Asthma in 21 (19.6%), these threediseases were the most frequent with a relatively small difference between them. TB was reported in9 (9.3%) children, Cystic fibrosis (CF) in 9(8.3%), Fibrosing alveolitis and immune deficiency werefound in 2 (1.9%) children for each and the least frequent disease was congenital cystic adenomatoidmalformation (CCAM) in one (0.9%) child. On the other hand, 15 (14%) children were reported withunknown diagnosis at the time of data collection.CONCLUSION:Most children with RP had an underlying disease for each, which was demonstrated. Aspirationsyndrome, CHD, and asthma were the most common underlying diseases that result in RP in children.Early diagnosis is essential to ensure optimal treatment and to minimize irreversible lung damage..