BACKGROUND: As the signs of dehydration often overlap with those of pneumonia, it may be difficult for health workers in resource-poor settings to make a clinical diagnosis of pneumonia in children with dehydration. This issue has received very little attention. AIM: To compare the clinical features of pneumonia in children with and without dehydration caused by diarrhoea. METHODS: All children aged 2-59 months with diarrhoea and radiologically confirmed pneumonia admitted to the Special Care Ward (SCW) of Dhaka Hospital, ICDDR,B between September and December 2007 were enrolled for the study. Children with dehydration (67 cases) and those without (101 controls) were compared. RESULTS: Cases presented less frequently with fast breathing (60% vs 88%, p<0.001) and lower chest-wall indrawing (67% vs 82%, p=0.035) than did controls. In logistic regression analysis, cases more often had severe malnutrition (OR 2.31, CI 1.06-5.02, p=0.035) and cyanosis (OR 19.05, CI 1.94-186.68, p=0.011) and were abnormally sleepy (OR 372, CI 1.71-8.08, p=0.001). CONCLUSIONS: Fast breathing and lower chest-wall indrawing may be less reliable for the diagnosis of pneumonia in children with dehydration, especially when there is severe malnutrition.
BACKGROUND: As the signs of dehydration often overlap with those of pneumonia, it may be difficult for health workers in resource-poor settings to make a clinical diagnosis of pneumonia in children with dehydration. This issue has received very little attention. AIM: To compare the clinical features of pneumonia in children with and without dehydration caused by diarrhoea. METHODS: All children aged 2-59 months with diarrhoea and radiologically confirmed pneumonia admitted to the Special Care Ward (SCW) of Dhaka Hospital, ICDDR,B between September and December 2007 were enrolled for the study. Children with dehydration (67 cases) and those without (101 controls) were compared. RESULTS: Cases presented less frequently with fast breathing (60% vs 88%, p<0.001) and lower chest-wall indrawing (67% vs 82%, p=0.035) than did controls. In logistic regression analysis, cases more often had severe malnutrition (OR 2.31, CI 1.06-5.02, p=0.035) and cyanosis (OR 19.05, CI 1.94-186.68, p=0.011) and were abnormally sleepy (OR 372, CI 1.71-8.08, p=0.001). CONCLUSIONS: Fast breathing and lower chest-wall indrawing may be less reliable for the diagnosis of pneumonia in children with dehydration, especially when there is severe malnutrition.
Authors: Mohammod J Chisti; Tahmeed Ahmed; Hasan Ashraf; A S G Faruque; Pradip K Bardhan; Sanjoy Kumer Dey; Sayeeda Huq; Sumon Kumar Das; Mohammed A Salam Journal: PLoS One Date: 2012-06-15 Impact factor: 3.240
Authors: Sharika Nuzhat; Tahmeed Ahmed; Chowdhury Ali Kawser; Azharul Islam Khan; S M Rafiqul Islam; Lubaba Shahrin; K M Shahunja; Abu S M S B Shahid; Abdullah Al Imran; Mohammod Jobayer Chisti Journal: PLoS One Date: 2017-09-27 Impact factor: 3.240
Authors: M Munirul Islam; Christine M McDonald; Nancy F Krebs; Jamie Westcott; Ahmed Ehsanur Rahman; Shams El Arifeen; Tahmeed Ahmed; Janet C King; Robert E Black Journal: Nutrients Date: 2018-01-26 Impact factor: 5.717
Authors: Lubaba Shahrin; Monira Sarmin; Abu Smmh Rahman; Waliel Hasnat; Gazi Ms Mamun; Shamsun N Shaima; Abu Smsb Shahid; Tahmeed Ahmed; Mohammod J Chisti Journal: J Int Med Res Date: 2020-01 Impact factor: 1.671
Authors: Jennifer L Lenahan; Evangelyn Nkwopara; Melda Phiri; Tisungane Mvalo; Mari T Couasnon; Kali Turner; Chifundo Ndamala; Eric D McCollum; Susanne May; Amy Sarah Ginsburg Journal: ERJ Open Res Date: 2020-05-26
Authors: Mohammod Jobayer Chisti; Mohammed Abdus Salam; Hasan Ashraf; Abu S G Faruque; Pradip Kumar Bardhan; Md Iqbal Hossain; Abu S M S B Shahid; K M Shahunja; Sumon Kumar Das; Gazi Imran; Tahmeed Ahmed Journal: PLoS One Date: 2013-09-09 Impact factor: 3.240