Analysis of risk factors for the development of community acquisited pneumonia in children depending on the degree of severity

Aim of the study. Study of the role of the main risk factors for community-acquired pneumonia in children.

Materials and methods. The study was conducted among 136 children with pneumonia out of hospital, aged 3 to 14 years. Among them, 37% were boys undergoing treatment in a specialized department. During the study, all children were divided into groups according to severity (groups I, II and III). The diagnosis was verified on the basis of clinical, anamnestic and laboratory fundamental data in accordance with the diagnostic protocol of the Republic of Kazakhstan. Statistical analysis of the obtained data was carried out using standard methods of variation statistics, assessing the correctness of the differences.

Results and discussion. The most important risk factors in the examined children were: increased blood pressure during pregnancy (59.4+4.21); excessive work of the mother during pregnancy (48.4+3.17); early artificial feeding in the 1st year of life (61.5+4.93); manifestations of protein-energy deficiency in the 1st year of life (53.9 + 3.53), respectively, discrepancy between weight and height in the 1st year of life (33.9 + 3.11) and rickets in the 1st year of life child and pneumonia factors (46.9+4.11; 40.5+3.21).

Conclusion. The study determined the varying degrees of occurrence of risk factors depending on the severity of community-acquired pneumonia in the examined children. The results obtained indicate the need to take into account risk factors to determine the severity of the disease as an additional criterion.

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