Volume 55, Issue 4 pp. 406-410
Original Article

Predictive risk factors for complicated pneumonia in Malaysian children

Jian Min Ooi

Jian Min Ooi

Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

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Kah Peng Eg

Kah Peng Eg

Department of Paediatrics, University of Malaya, Kuala Lumpur, Malaysia

University Malaya Paediatric and Child Health Research Group, University of Malaya, Kuala Lumpur, Malaysia

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Karuthan Chinna

Karuthan Chinna

School of Medicine, Faculty of Health and Medical Sciences, Taylor's University Malaysia, Kuala Lumpur, Malaysia

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Anna M Nathan

Anna M Nathan

Department of Paediatrics, University of Malaya, Kuala Lumpur, Malaysia

University Malaya Paediatric and Child Health Research Group, University of Malaya, Kuala Lumpur, Malaysia

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Jessie A de Bruyne

Jessie A de Bruyne

Department of Paediatrics, University of Malaya, Kuala Lumpur, Malaysia

University Malaya Paediatric and Child Health Research Group, University of Malaya, Kuala Lumpur, Malaysia

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Surendran Thavagnanam

Corresponding Author

Surendran Thavagnanam

Department of Paediatrics, University of Malaya, Kuala Lumpur, Malaysia

University Malaya Paediatric and Child Health Research Group, University of Malaya, Kuala Lumpur, Malaysia

Correspondence: Associate Professor Surendran Thavagnanam, Department of Paediatrics, Kompleks Kesihatan Wanita dan Kanak-Kanak, Pusat Perubatan Universiti Malaya, Lembah Pantai, 59100 Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia. Fax: +60 37949 4704; email: [email protected]Search for more papers by this author
First published: 09 September 2018
Citations: 8
Conflict of interest: None declared.

Abstract

Aim

To investigate baseline characteristics associated with complicated community-acquired pneumonia (CAPc) in Malaysian children. CAPc, such as pleural effusion and/or empyema, is on the rise, especially in Southeast Asian children, and the reasons for this are unknown.

Methods

A retrospective study was conducted on all children aged 2–16 years who were admitted to the University Malaya Medical Centre with community-acquired pneumonia between 2012 and 2014.

Results

In this study, of the 343 children, 58 (17%) developed CAPc. Chinese ethnicity (P < 0.001), reduced breastfeeding duration (P = 0.003), not receiving outpatient antibiotic (P < 0.001) and exposure to parental smoking (P < 0.001) were identified as risk factors for CAPc. Markedly increased respiratory rate (P = 0.021) and thrombocytosis (P < 0.001) were noted as the clinical parameters for CAPc.

Conclusion

This study identifies some modifiable risk to reduce the burden of pneumonia complications.

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