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Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh

Severe pneumonia with co-morbidity of malnutrition is one of the leading causes of death among children younger than five years of age. We aimed to compare the clinical features related to recovery from severe pneumonia in malnourished and well-nourished under-five children. A significantly lesser p...

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Autores principales: Huq, K. A. T. M. Ehsanul, Moriyama, Michiko, Matsuyama, Ryota, Chisti, Mohammod Jobayer, Rahman, Md Moshiur, Alam, Nur Haque
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8471729/
https://www.ncbi.nlm.nih.gov/pubmed/34572210
http://dx.doi.org/10.3390/children8090778
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author Huq, K. A. T. M. Ehsanul
Moriyama, Michiko
Matsuyama, Ryota
Chisti, Mohammod Jobayer
Rahman, Md Moshiur
Alam, Nur Haque
author_facet Huq, K. A. T. M. Ehsanul
Moriyama, Michiko
Matsuyama, Ryota
Chisti, Mohammod Jobayer
Rahman, Md Moshiur
Alam, Nur Haque
author_sort Huq, K. A. T. M. Ehsanul
collection PubMed
description Severe pneumonia with co-morbidity of malnutrition is one of the leading causes of death among children younger than five years of age. We aimed to compare the clinical features related to recovery from severe pneumonia in malnourished and well-nourished under-five children. A significantly lesser proportion of malnourished children compared to well-nourished recovered from rapid breathing (86.5% vs. 90.2%; p = 0.035), chest wall in-drawing (90.5% vs. 93.9%; p = 0.019), and fever (92.2% vs. 95.2%; p = 0.021) on day six after admission to health-care facilities. Malnourished children with severe pneumonia had significantly more rapid breathing (Adjusted Odds Ratio (AOR)) 1.636, 95% Confidence interval (CI) 1.150–2.328 p = 0.006), chest wall in-drawing (AOR 1.698, 95% CI 1.113–2.590, p = 0.014), and fever (AOR 1.700, 95% CI 1.066–2.710, p = 0.026) compared to those in well-nourished children. The study results suggested the lesser disappearance of clinical features among the malnourished children in Bangladesh underscores their vulnerability to severe pneumonia.
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spelling pubmed-84717292021-09-28 Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh Huq, K. A. T. M. Ehsanul Moriyama, Michiko Matsuyama, Ryota Chisti, Mohammod Jobayer Rahman, Md Moshiur Alam, Nur Haque Children (Basel) Article Severe pneumonia with co-morbidity of malnutrition is one of the leading causes of death among children younger than five years of age. We aimed to compare the clinical features related to recovery from severe pneumonia in malnourished and well-nourished under-five children. A significantly lesser proportion of malnourished children compared to well-nourished recovered from rapid breathing (86.5% vs. 90.2%; p = 0.035), chest wall in-drawing (90.5% vs. 93.9%; p = 0.019), and fever (92.2% vs. 95.2%; p = 0.021) on day six after admission to health-care facilities. Malnourished children with severe pneumonia had significantly more rapid breathing (Adjusted Odds Ratio (AOR)) 1.636, 95% Confidence interval (CI) 1.150–2.328 p = 0.006), chest wall in-drawing (AOR 1.698, 95% CI 1.113–2.590, p = 0.014), and fever (AOR 1.700, 95% CI 1.066–2.710, p = 0.026) compared to those in well-nourished children. The study results suggested the lesser disappearance of clinical features among the malnourished children in Bangladesh underscores their vulnerability to severe pneumonia. MDPI 2021-09-04 /pmc/articles/PMC8471729/ /pubmed/34572210 http://dx.doi.org/10.3390/children8090778 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Huq, K. A. T. M. Ehsanul
Moriyama, Michiko
Matsuyama, Ryota
Chisti, Mohammod Jobayer
Rahman, Md Moshiur
Alam, Nur Haque
Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh
title Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh
title_full Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh
title_fullStr Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh
title_full_unstemmed Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh
title_short Clinical Characteristics and Underlying Factors Related to Recovery from Severe Pneumonia in Under-Five Children with or without Malnutrition Treated at Health Care Facilities in Bangladesh
title_sort clinical characteristics and underlying factors related to recovery from severe pneumonia in under-five children with or without malnutrition treated at health care facilities in bangladesh
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8471729/
https://www.ncbi.nlm.nih.gov/pubmed/34572210
http://dx.doi.org/10.3390/children8090778
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