Induced Sputum as a Diagnostic Tool in Pneumonia in Under Five Children-A Hospital-based Study

被引:7
作者
Kurade, Aditya [1 ]
Dhanawade, Sara [1 ]
Shetti, Sachin [2 ]
机构
[1] Bharati Vidyapeeth Deemed Univ Med Coll & Hosp, Dept Pediat, Sangli 416416, Maharashtra, India
[2] Bharati Vidyapeeth Deemed Univ Med Coll & Hosp, Dept Physiotherapy, Sangli 416416, Maharashtra, India
关键词
Klebsiella pneumoniae; success; bacterial isolates; COMMUNITY-ACQUIRED PNEUMONIA; LOWER RESPIRATORY-TRACT; INDUCTION; ETIOLOGY; COLLECTION; INFECTIONS; YOUNG;
D O I
10.1093/tropej/fmx106
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: The objective of this articlewas to study the success, tolerability of sputum induction and the bacterial isolates of induced sputum in children aged <5 years. Methods: The cross-sectional study included 120 hospitalized children aged 1-59 months meeting WHO criteria for pneumonia. Sputum induction was performed using hypertonic (3%) saline. Results: Mean age of the subjects was 19.5months (2-59 months). Overall success of sputum induction was 53.3% and highest (64.28%) in 37-59months age group. Adverse events such as tachypnea, hypoxemia (SpO(2) <90) and vomiting were observed in 41.6, 17.5 and 15.8%, respectively. A potential pathogen was isolated in 45 (70.3%) of 64 cases with good quality sputum. Klebsiella pneumoniae was the commonest (38.2%) followed by Streptococcus pneumoniae (14.8%) and others. Conclusion: Sputum induction in young children is safe and feasible in Indian settings. While the success was limited, bacterial yield was high.
引用
收藏
页码:510 / 515
页数:6
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