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    Chest x-ray-confirmed pneumonia in children in Fiji

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    Author
    Magree, HC; Russell, FM; Sa'aga, R; Greenwood, P; Tikoduadua, L; Pryor, J; Waqatakirewa, L; Carapetis, JR; Mulholland, EK
    Date
    2005-06-01
    Source Title
    BULLETIN OF THE WORLD HEALTH ORGANIZATION
    Publisher
    WORLD HEALTH ORGANIZATION
    University of Melbourne Author/s
    Russell, Fiona; Mulholland, Edward; CARAPETIS, JONATHAN
    Affiliation
    Paediatrics Royal Children'S Hospital
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Magree, H. C., Russell, F. M., Sa'aga, R., Greenwood, P., Tikoduadua, L., Pryor, J., Waqatakirewa, L., Carapetis, J. R. & Mulholland, E. K. (2005). Chest x-ray-confirmed pneumonia in children in Fiji. BULLETIN OF THE WORLD HEALTH ORGANIZATION, 83 (6), pp.427-433
    Access Status
    Access this item via the Open Access location
    URI
    http://hdl.handle.net/11343/26518
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2626254
    Description

    C1 - Journal Articles Refereed

    Abstract
    OBJECTIVE: To calculate the incidence and document the clinical features of chest X-ray- (CXR-) confirmed pneumonia in children aged between 1 month and 5 years living in Greater Suva, Fiji. METHODS: A retrospective review was undertaken of children aged between 1 month and 5 years with a discharge diagnosis suggesting a lower respiratory tract infection (LRTI) admitted to the Colonial War Memorial Hospital in Suva, Fiji, in the first 10 days of each month from 1 January 2001 to 31 December 2002. Clinical data were collected and CXRs were reread and classified according to WHO standardized criteria for CXR-confirmed pneumonia. FINDINGS: Two hundred and forty-eight children with LRTI met the inclusion criteria. CXRs were obtained for 174 (70%) of these cases, of which 59 (34%) had CXR-confirmed pneumonia. The annual incidence of CXR-confirmed pneumonia was 428 cases per 100,000 children aged between 1 month and 5 years living in Greater Suva. If a similar proportion of the children for whom CXRs were unavailable were assumed to have CXR-confirmed pneumonia, the incidence was 607 per 100,000. The incidence appeared to be higher in Melanesian Fijian than Indo-Fijian children. The case-fatality rate was 2.8% in all children with LRTI, and 6.8% in those with CXR-confirmed pneumonia. CONCLUSION: This is the first study to document the incidence of CXR-confirmed pneumonia in a Pacific Island country, and demonstrates a high incidence. A significant proportion of hospital admissions of children with LRTI are likely to be preventable by the introduction of pneumococcal conjugate vaccine.
    Keywords
    Infectious Diseases; Paediatrics; Infectious Diseases; Child Health

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