Epidemiology of community-acquired pneumonia in children seen in hospital

Clark, J. E., Hammal, D., Hampton, F., Spencer, D. and Parker, L. (2007) Epidemiology of community-acquired pneumonia in children seen in hospital. Epidemiology and Infection, 135 2: 262-269. doi:10.1017/S0950268806006741


Author Clark, J. E.
Hammal, D.
Hampton, F.
Spencer, D.
Parker, L.
Title Epidemiology of community-acquired pneumonia in children seen in hospital
Journal name Epidemiology and Infection   Check publisher's open access policy
ISSN 0950-2688
1469-4409
Publication date 2007-02
Year available 2006
Sub-type Article (original research)
DOI 10.1017/S0950268806006741
Open Access Status Not yet assessed
Volume 135
Issue 2
Start page 262
End page 269
Total pages 8
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Language eng
Abstract There is little UK data on hospital admission rates for childhood pneumonia, lobar pneumonia, severity or risk factors. From 13 hospitals serving the catchment population, demographic and clinical details were prospectively collected between 2001 and 2002 for children aged 0-15 years, seen by a paediatrician with community-acquired pneumonia (CAP) and consistent chest X-ray changes. From 750 children assessed in hospital, incidence of CAP was 14.4 (95% CI 13.4-15.4)/10000 children per year and 33.8 (95% CI 31.1-36.7) for <5-year-olds; with an incidence for admission to hospital of 12.2 (95% CI 11.3-13.2) and 28.7 (95% CI 26.2-31.4) respectively. Where ascertainment was confirmed, incidence of CAP assessed in hospital was 16.1 (95% CI 14.9-17.3) and 41.0 (95% CI 37.7-44.5) in the 0-4 years age group, whilst incidence for hospital admission was 13.5 (95% CI 12.4-14.6) and 32 (95% CI 29.1-35.1) respectively. In the <5 years age group incidence of lobar pneumonia was 5.6 (95% CI 4.5-6.8)/10000 per year and severe disease 19.4 (95% CI 17.4-21.7)/10000 per year. Risk of severe CAP was significantly increased for those aged <5 years (OR 1.50, 95% CI 1.07-2.11) and with prematurity, OR 4.02 (95% CI 1.16-13.85). It also varied significantly by county of residence. This is a unique insight into the burden of hospital assessments and admissions caused by childhood pneumonia in the United Kingdom and will help inform future preventative strategies.
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Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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