Epidemiological Criteria and Management of Pediatric Inpatients with Community-acquired Pneumonia at Tobruk Medical Center/Libya

• Ghamela S. S. Ali

  Department of Pediatric, Faculty of Medicine, Tobruk University, Libya

  Author

• Fouziyah Jabullah

  Department of Pediatric, Faculty of Medicine, Tobruk University, Libya

  Author

• Salmi Boujaylah

  Department of Pediatric, Faculty of Medicine, Tobruk University, Libya

  Author

• Areej Alkasih

  Department of Pediatric, Faculty of Medicine, Tobruk University, Libya

  Author

• Abdullah Alshamikh Abdullah

  Department of Pediatric, Faculty of Medicine, Tobruk University, Libya

  Author

The clinical manifestations of pneumonia obtained outside of a hospital setting are known as community-acquired pneumonia (CAP). Pneumonia is the most frequent infectious cause of child mortality worldwide. This study aims to evaluate the epidemiological criteria of community-acquired pneumonia in pediatric inpatients from 29 days to under 18 years, as well as the management and consequences of the condition. Data from the admission records of 365 patients with CAP, ages 29 days to under 18 years old, were gathered for the retrospective study, these patients made up 15.9% of hospital admissions. The M/F ratio was 1.2:1, with 198 (54.2%) male patients, predominantly infants, 221 (60.5%) (p<0.001), and mostly came from Tobruk 311(85.2%). Most cases were in Winter 170 (46.6%). Patients admitted to the intensive care unit had longer hospital stays 3.5 days on average. There were no deaths among the patients, and of those who required an intensive care unit (84 patients, 23%), 30 patients required an oxygen supply by using a nasal cannula and without the requirement for mechanical ventilation. The most often given intravenous antibiotic in 291 cases (79.7%) was cefotaxim (Claforan), whereas penicillin was used in 173 cases (47.4%). We conclude that Infants were the predominant age group that developed CAP and required PICU admission, with a higher incidence throughout the winter months.

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