Bolursaz Mohammad Reza, Lotfian Ferial, Ghaffaripour Hossein Ali, Hassanzad Maryam
Pediatric Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Arch Iran Med. 2017 May;20(5):266-269.
There is limited data on recurrent or persistent pneumonia in children, particularly in the developing world. This is a retrospective, cross-sectional study of children with recurrent or persistent pneumonia admitted to the Pediatric Department of Massih Daneshvari Hospital, Tehran, Iran.
Children under 18 years of age, who were admitted to the hospital with pneumonia between 2007 and 2013, were investigated to find out the prevalence of recurrent and persistent pneumonia and to recognize their underlying diseases. Descriptive statistics were calculated for all data.
Out of 601 children admitted for pneumonia, 229 (38.1%) met the criteria for recurrent or persistent pneumonia. An underlying illness was identified in 194 patients (84.72%). The most common underlying causes of recurrent pneumonia included aspiration syndrome (51.75%), recurrent wheezing (20.17%), and congenital heart diseases (20.17%). The most common underlying illness of persistent pneumonia included pulmonary tuberculosis (38.75%), recurrent wheezing (28.75%), and aspiration syndrome (26.25%).
The result showed that the majority of patients with recurrent or persistent pneumonia had an underlying illness. New strategies and guidelines are required for early diagnosis of underlying causes of recurrent or persistent pneumonia in children.
关于儿童复发性或持续性肺炎的数据有限，尤其是在发展中世界。这是一项对伊朗德黑兰马西赫·达内什瓦里医院儿科收治的复发性或持续性肺炎患儿进行的回顾性横断面研究。
对2007年至2013年间因肺炎入院的18岁以下儿童进行调查，以确定复发性和持续性肺炎的患病率，并识别其潜在疾病。对所有数据进行描述性统计。
在601名因肺炎入院的儿童中，229名（38.1%）符合复发性或持续性肺炎的标准。194名患者（84.72%）被确定存在潜在疾病。复发性肺炎最常见的潜在病因包括误吸综合征（51.75%）、复发性喘息（20.17%）和先天性心脏病（20.17%）。持续性肺炎最常见的潜在疾病包括肺结核（38.75%）、复发性喘息（28.75%）和误吸综合征（26.25%）。
结果表明，大多数复发性或持续性肺炎患者存在潜在疾病。需要新的策略和指南来早期诊断儿童复发性或持续性肺炎的潜在病因。
