الفهرس | Only 14 pages are availabe for public view |
Abstract ntroduction: Streptococcal pneumoniae, is the most common pathogen causing community acquired pneumonia (CAP) among children. Aim of work: To estimate the rate,mortality and burden of streptococcal Community acquired pneumonia in children more than 2months and less than12 years old using PCR. Patients and methods: This is a cross-sectional study which included children more than 2 months and less than 12 years old, complaining of clinical picture of pneumonia who were admitted at the Emergency Department of Pediatric Hospital, Cairo University. All the included children were subjected to full history taking, clinical examination and investigations including PCR for streptococcal infection. Results: There is statistically significant association between Positive PCR for streptococci and increased age of children with p-value=0.04,lower weight with pvalue=0.01 and severe malnutrition with p-value=0.046. Fever was the commonest presenting symptom (41.8%) and all showed picture of infiltrates and consolidations (100%) and only 1.09% had pleural effusion in radiological investigations. Blood culture results of the included children were positive in 6.6% (4.4% CONS and 2.2% klebsiella), and sputum PCR for streptococci was positive in 18.6% of the included children. The majority of the included children with pneumonia (95.6%) admitted to PICU, 29.7% of them needed mechanical ventilation,11% died while 89% survived |