Underlying diseases of recurrent pneumonia in Turkish children*

The aim of the present study was to determine the relative frequency of recurrent pneumonia in children and to describe its underlying illnesses. Materials and methods: Children between 3 months and 16 years old who had a history of 2 or more episodes of pneumonia per year, or 3 or more episodes in a lifetime were investigated retrospectively at Doctor Sami Ulus Children's Training and Research Hospital between January 2002 and December 2004. Results: Out of 595 children admitted for pneumonia, 62 (10.42%) met the criteria for recurrent pneumonia. An underlying illness was demonstrated in 56 patients (90.32%). In this study, the underlying illness was diagnosed during recurrence in all patients. The patients with persistent pneumonia were excluded from the study. Underlying diseases were bronchial asthma (30.64%), immune deficiency disorders (17.75%), aspiration syndromes (17.75%), and congenital anomalies (16.12%). No predisposing illness could be demonstrated in 6 patients (9.68%). Conclusion: Approximately 1 in 10 children with pneumonia in our hospital had recurrent pneumonia. Most of these children had an underlying illness, which was demonstrated. Bronchial asthma was the most common underlying illnesses for undiagnosed recurrent pneumonia in children.

Anahtar Kelimeler:

Key words: Aspiration syndromes, bronchial asthma, congenital anomalies, immune deficiency disorders, recurrent pneumonia

Underlying diseases of recurrent pneumonia in Turkish children*

Keywords:

Key words: Aspiration syndromes, bronchial asthma, congenital anomalies, immune deficiency disorders, recurrent pneumonia,

PDF

___

Owayed AF, Campbell DM, Wang EEL. Underlying causes of recurrent pneumonia in children. Arch Pediatr Adolesc Med ; 154: 190-4. Lodha R, Puranik M, Natchu UC, Kabra SK. Recurrent pneumonia in children: clinical profile and underlying causes. Acta Paediatr 2002; 91(11): 1170-3.
Çiftçi E, Güneş M, Köksal Y, İnce E, Doğru Ü. Underlying causes of recurrent pneumonia in Turkish children in a university hospital. J Trop Pediatr 2003; 49(4): 212-5.
Cabezuelo Huerta G, Vidal Micó S, Abeledo Gómez A, Frontera Izquierdo P. (Underlying causes of recurrent pneumonia). An Pediatr (Barc) 2005; 63(5): 409-12.
Sheares BJ. Recurrent pneumonia in children. Pediatr Ann ; 31(2): 109-14. Couriel J. Assessment of the child with recurrent chest infections. Br Med Bull 2002; 61: 115-32.
Heffelfinger JD, Davis TE, Gebrian B, Bordeau R, Schwartz B, Dowell SF. Evaluation of children with recurrent pneumonia diagnosed by World Health Organization criteria. Pediatr Infect Dis J 2002; 21: 108-12.
Panitch HB. Evaluation of recurrent pneumonia. Pediatr Infect Dis J 2005; 24: 265-6.
Eigen H, Laughlin JJ, Homrighausen RN. Recurrent pneumonia in children and its relationship to bronchial hyperreactivity. Pediatrics 1982; 70(5): 698-704.
Douglas T, Couriel JM. Differential diagnosis of asthma in children. Asthma J 2001; 6: 72-6.
Aligne CA, Stoddard JJ. Tobacco and children. An economic evaluation of the medical effects of parental smoking. Arch Pediatr Adolesc Med 1997; 151(7): 648-53.