Epidemiology of community-acquired pneumonia in children seen in hospital
- 26 June 2006
- journal article
- Published by Cambridge University Press (CUP) in Epidemiology and Infection
- Vol. 135 (2), 262-269
- https://doi.org/10.1017/s0950268806006741
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.Keywords
This publication has 24 references indexed in Scilit:
- National disease burden of respiratory viruses detected in children by polymerase chain reactionThe Pediatric Infectious Disease Journal, 2004
- Community-based estimates of incidence and risk factors for childhood pneumonia in Western SydneyEpidemiology and Infection, 2003
- Morbidity and Mortality in Children Associated With the Use of Tobacco Products by Other PeoplePediatrics, 1996
- Deprivation and bronchiolitis.Archives of Disease in Childhood, 1996
- Form of day care and respiratory infections among Finnish children.American Journal of Public Health, 1995
- Incidence of Community-Acquired Pneumonia in the Population of Four Municipalities in Eastern FinlandAmerican Journal of Epidemiology, 1993
- Aetiology of community-acquired pneumonia in children treated in hospitalEuropean Journal of Pediatrics, 1993
- THE TUCSON CHILDREN'S RESPIRATORY STUDYAmerican Journal of Epidemiology, 1989
- Lower respiratory tract illness in the first two years of life: epidemiologic patterns and costs in a suburban pediatric practice.American Journal of Public Health, 1988
- PNEUMONIA: AN ELEVEN-YEAR STUDY IN A PEDIATRIC PRACTICE1American Journal of Epidemiology, 1981