Impact of Diarrhea on the Clinical Presentation and Outcome of Severe Pneumonia in Bangladeshi Children. Issue 10 (October 2016)

• Record Type: Journal Article
• Authors: Chisti, Mohammod Jobayer; Duke, Trevor; Salam, Mohammed Abdus; Shahunja, K. M.; Shahid, Abu S. M. S. B.; Bardhan, Pradip Kumar; Faruque, Abu S. G.; Ahmed, Tahmeed
• Is Part Of: Pediatric infectious disease journal. Volume 35:Issue 10(2016)
• Publication Date: 2016-10
• Subjects: children -- deaths -- diarrhea -- metabolic acidosis -- severe pneumonia; Communicable diseases in children -- Periodicals; Infection in children -- Periodicals; 618.929
• DOI: 10.1097/INF.0000000000001265
• Languages: English
• ISSNs: 0891-3668

Abstract

Abstract : We compared clinical presentation and outcome of 225 children with severe pneumonia between those with and those without diarrhea. Having diarrhea was associated with metabolic acidosis ( P < 0.001) and hypocalcemia ( P = 0.002) on presentation, and with a fatal outcome: 20/113 (20%) died with diarrhea versus 3/112 (3%) without diarrhea. Diarrhea is an important comorbidity in Bangladeshi children with severe pneumonia requiring attention for improved case management. Abstract : Supplemental Digital Content is available in the text.