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, EKDate
2005-06-01Source Title
BULLETIN OF THE WORLD HEALTH ORGANIZATIONPublisher
WORLD HEALTH ORGANIZATIONAffiliation
Paediatrics Royal Children'S HospitalMetadata
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Journal ArticleCitations
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.427-433Access Status
Access this item via the Open Access locationOpen Access at PMC
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2626254Description
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 HealthExport Reference in RIS Format
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