Neonatal pneumonia in a rural primary care hospital in Bangladesh: prevalence, validation of clinical features and their outcome

Authors

  • Md Nazim Uzzaman Medical Officer, Nutrition and Clinical Services Division (NCSD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka
  • Md Al Fazal Khan Associate Scientist and Head, Matlab Hospital, NCSD, icddr,b, Dhaka
  • Tahmeed Ahmed Senior Scientist and Senior Director, NCSD, icddr,b, Dhaka
  • Mohammad Habibur Rahman Sarker Medical Officer, NCSD, icddr,b, Dhaka
  • Sultana Yeasmin Senior Medical Officer, NCSD, icddr,b, Dhaka
  • Kazi Nazmus Saqeeb Medical Officer, Matlab Hospital, NCSD, icddr,b, Dhaka
  • Mohammod Jobayer Chisti Scientist, NCSD & Clinical Lead, Intensive Care Unit & Head, Clinical Research, Hospitals, icddr,b; Dhaka

DOI:

https://doi.org/10.3329/bccj.v4i2.30020

Keywords:

Bangladesh, fast breathing, lower chest wall in-drawing, pneumonia, neonate,

Abstract

Objective: To explore prevalence, validity of associated factors and their outcome of pneumonia in neonates.

Methods: We retrospectively enrolled neonates admitted to a rural hospital in Bangladesh from January 2012-December 2014. Those with pneumonia constituted cases (n=142) and randomly selected three folds of cases from those without pneumonia formed the controls (n=426). Pneumonia was diagnosed by hospital physicians based on respiratory difficulty and/or abnormal auscultatory findings in lungs.

Result: The deaths were significantly higher among the cases than the controls (p=0.025). In logistic regression analysis, fast breathing, lower chest wall in-drawing, adventitious sound and cough were independently associated with neonatal pneumonia (for all, p<0.01). However, best of all, sensitivity of fast breathing and lower chest wall in-drawing was 94% and 76% and specificity 81% and 82% respectively.

Conclusion: The results underscore the importance of adherence to WHO defined clinical signs in diagnosing pneumonia in neonates especially in resource limited settings.

Bangladesh Crit Care J September 2016; 4 (2): 74-78

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Author Biography

Md Nazim Uzzaman, Medical Officer, Nutrition and Clinical Services Division (NCSD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka



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Published

2016-10-21

How to Cite

Uzzaman, M. N., Khan, M. A. F., Ahmed, T., Sarker, M. H. R., Yeasmin, S., Saqeeb, K. N., & Chisti, M. J. (2016). Neonatal pneumonia in a rural primary care hospital in Bangladesh: prevalence, validation of clinical features and their outcome. Bangladesh Critical Care Journal, 4(2), 74–78. https://doi.org/10.3329/bccj.v4i2.30020

Issue

Vol. 4 No. 2 (2016)

Section

Original Articles

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