Pediatric Infectious Disease Society of the Philippines Journal 2017;18(1):18-26

doi:https://doi.org/10.56964/pidspj20171801004

Predictive factors of treatment failure for pediatric community-acquired Pneumonia C And D In 2-To-59 months of age

Charisse R. Zuniga 1 ; Robert Dennis Garcia 1 ; Rozaida Villon 1

Affiliations

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Keywords

Pediatric Community-Acquired Pneumonia; Severe pneumonia; Lower respiratory tract infection

Country

Philippines

Language

English

Abstract

Objective:To determine antibiotic treatment failure rate and predictors of treatment failure in children 2 to-59 months with Pediatric Community Acquired Pneumonia-C (PCAP-C) and PCAP-D admitted at Makati Medical Center.

Methods:This prospective cohort study examined 100 children, 2-to-59 months with clinically diagnosed PCAP-C and PCAP-D. Baseline assessment was done on day 1 of hospital stay and follow-up assessments were done on days 3 and 7 or upon discharge for the outcomes of interest.

Results:One hundred children were included in the study and 98% had PCAP-C. This study identified a treatment failure rate of 17% among children with PCAP-C. There was no mortality. Malnutrition and low oxygen saturation on admission were significant predictors of treatment failure.

Conclusion:Antibiotic treatment failure rate was 17%. Malnutrition and hypoxia were significant predictors of treatment failure in children with PCAPC.