A study of prevalence of hypoxemia in children with acute lower respiratory infection
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 5, Issue 1
Abstract
Background: Acute respiratory tract infections are among the major causes of preventable morbidity and mortality worldwide, with most of the deaths occurring among below five years children in developing countries. Hypoxemia is one of the major risks of death from pneumonia. The duration and severity of hypoxemia is important as its early recognition and appropriate treatment improves the outcome in these children. Amis and Objectives: To study of Prevalence of hypoxemia in children with Acute Lower Respiratory infection. Materials and Method: In the present study children between the age group of 2 month to 5 years and Acute Lower Respiratory infection were enrolled. The detail history was taken of all the selected study children. Detail clinical examination conducted and the findings were recorded on a prestructured proforma. During examination arterial O2 saturation was recorded by pulse oxymeter with sensor device. The children with O2 saturation < 90% were labelled hypoxic and with saturation > 90% as non hypoxic. Based on WHO guideline. The cases were classified as No pneumonia, cough and cold, Pneumonia, Severe pneumonia and Very severe pneumonia. Results: Out of total 120 study children majority were male. 52.5% children were less than 12 month of age. The prevalence of hypoxia was 36.99% in the present study. Among the 56 cases of pneumonia 12 (21.43%) were hypoxic. Among the severe pneumonia and very severe pneumonia 81.82% and 100% children respectively were hypoxic. Nasal discharge was significantly associated with hypoxemia (p<0.05). Breathing difficulty, Fast breathing and Inability to feed/drink were highly significantly associated with hypoxemia (p<0.001). Conclusion: Thus we conclude that the prevalence of hypoxia was 36.99% in children with Acute Lower Respiratory infection. The prevalence of hypoxemia was found to be significantly more in infants below 12 months of age. Among the symptom, nasal discharge, breathing difficulty, fast breathing and inability to feed/drink inability to feed/drink was significantly associated with hypoxemia.
Authors and Affiliations
Anil Kumar, Mohammad Parvez, Vaihav Jain, Faraz Ahmad Khan
Keywords
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