Aspiration pneumonia in pediatric age group

etiology, predisposing factors and clinical outcome.

R. M. Karim, I. A. Momin, I. I. Lalani, S. S. Merchant, Asif A. Sewani, B. S. Hassan, N. Mahmood

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

INTRODUCTION: Aspiration pneumonia in children is an important disease in terms of the morbidity and mortality associated with it. The objective of this study is to characterize the cases of aspiration pneumonia on the basis of the predisposing factors, types of aspiration syndromes, materials aspirated and their clinical outcome. METHODS: A total of 107 patients diagnosed as having aspiration pneumonia, were included in this study. Cases were between 0-15 years of age, admitted to the Aga Khan University Hospital (AKUH) over five years. RESULTS: The most common form of aspiration syndrome seen was chemical pneumonitis (52.1%). The three most common factors predisposing to pulmonary aspiration were accidental ingestion (37.4%), altered consciousness (34.6%) and neurologic disorders (29%). Children who aspirated oropharyngeal flora were at higher odds to require mechanical ventilation than those aspirating inert fluids and particulate matter (OR = 6.4, 95% CI: 1.5-29.2, p = 0.003). Milk (31.8%), kerosene (21.5%) and oral secretions (19.6%) were the most common materials aspirated. Betel nuts were the most commonly aspirated foreign body. Patients aspirating oral secretions and milk were seen to have a relatively worse clinical outcome than those aspirating kerosene oil. CONCLUSION: Aspiration pneumonia is a relatively uncommon clinical entity at AKUH in children. However, it does cause significant morbidity and mortality.

Original languageEnglish (US)
Pages (from-to)105-108
Number of pages4
JournalJPMA. The Journal of the Pakistan Medical Association
Volume49
Issue number4
StatePublished - Apr 1 1999
Externally publishedYes

Fingerprint

Aspiration Pneumonia
Causality
Age Groups
Kerosene
Pediatrics
Milk
Areca
Consciousness Disorders
Morbidity
Particulate Matter
Mortality
Foreign Bodies
Nervous System Diseases
Artificial Respiration
Pneumonia
Oils
Eating
Lung
Aspirations (Psychology)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Karim, R. M., Momin, I. A., Lalani, I. I., Merchant, S. S., Sewani, A. A., Hassan, B. S., & Mahmood, N. (1999). Aspiration pneumonia in pediatric age group: etiology, predisposing factors and clinical outcome. JPMA. The Journal of the Pakistan Medical Association, 49(4), 105-108.

Aspiration pneumonia in pediatric age group : etiology, predisposing factors and clinical outcome. / Karim, R. M.; Momin, I. A.; Lalani, I. I.; Merchant, S. S.; Sewani, Asif A.; Hassan, B. S.; Mahmood, N.

In: JPMA. The Journal of the Pakistan Medical Association, Vol. 49, No. 4, 01.04.1999, p. 105-108.

Research output: Contribution to journalArticle

Karim, RM, Momin, IA, Lalani, II, Merchant, SS, Sewani, AA, Hassan, BS & Mahmood, N 1999, 'Aspiration pneumonia in pediatric age group: etiology, predisposing factors and clinical outcome.', JPMA. The Journal of the Pakistan Medical Association, vol. 49, no. 4, pp. 105-108.
Karim, R. M. ; Momin, I. A. ; Lalani, I. I. ; Merchant, S. S. ; Sewani, Asif A. ; Hassan, B. S. ; Mahmood, N. / Aspiration pneumonia in pediatric age group : etiology, predisposing factors and clinical outcome. In: JPMA. The Journal of the Pakistan Medical Association. 1999 ; Vol. 49, No. 4. pp. 105-108.
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