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dc.contributor.authorMagree, HC
dc.contributor.authorRussell, FM
dc.contributor.authorSa'aga, R
dc.contributor.authorGreenwood, P
dc.contributor.authorTikoduadua, L
dc.contributor.authorPryor, J
dc.contributor.authorWaqatakirewa, L
dc.contributor.authorCarapetis, JR
dc.contributor.authorMulholland, EK
dc.date.available2014-05-21T19:36:08Z
dc.date.issued2005-06-01
dc.identifierpii: S0042-96862005000600010
dc.identifier.citationMagree, 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
dc.identifier.issn0042-9686
dc.identifier.urihttp://hdl.handle.net/11343/26518
dc.descriptionC1 - Journal Articles Refereed
dc.description.abstractOBJECTIVE: 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.
dc.formatapplication/pdf
dc.languageEnglish
dc.publisherWORLD HEALTH ORGANIZATION
dc.subjectInfectious Diseases; Paediatrics; Infectious Diseases; Child Health
dc.titleChest x-ray-confirmed pneumonia in children in Fiji
dc.typeJournal Article
melbourne.peerreviewPeer Reviewed
melbourne.affiliationThe University of Melbourne
melbourne.affiliation.departmentPaediatrics Royal Children'S Hospital
melbourne.source.titleBULLETIN OF THE WORLD HEALTH ORGANIZATION
melbourne.source.volume83
melbourne.source.issue6
melbourne.source.pages427-433
dc.research.coderfcd321010
dc.research.coderfcd321019
dc.research.codeseo1998730101
dc.research.codeseo1998730204
melbourne.publicationid43971
melbourne.elementsid273830
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2626254
melbourne.contributor.authorRussell, Fiona
melbourne.contributor.authorMulholland, Edward
melbourne.contributor.authorCARAPETIS, JONATHAN
dc.identifier.eissn1564-0604
melbourne.accessrightsAccess this item via the Open Access location


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