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Original Articles

Prevalence of dyselectrolytaemia in children with pneumonia admitted to a tertiary care centre in Eastern India

Authors:

Swaranjika Sahoo,

Institute of Medical Science, IN
About Swaranjika

Postgraduate Resident, Department of Paediatrics

 

SUM Hospital, Bhubaneswar

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Mrunmaya Das Mohapatra,

Institute of Medical Science, IN
About Mrunmaya

Assistant Professor, Department of Paediatrics

 

SUM Hospital, Bhubaneswar

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Ria Ganguli,

Institute of Medical Science, IN
About Ria

Postgraduate Resident, UM Hospital, Bhubaneswar

 

SUM Hospital, Bhubaneswar

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Mrinal Sinha,

Institute of Medical Science, IN
About Mrinal

Professor, Department of Paediatrics

 

UM Hospital, Bhubaneswar

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Mamta Devi Mohanty,

Institute of Medical Science, IN
About Mamta

Professor and Head of Department, Department of Paediatrics

 

SUM Hospital, Bhubaneswar

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Rekulapalli sai Akhil,

Institute of Medical Science, IN
About Rekulapalli

Postgraduate Resident, Department of Paediatrics

 

SUM Hospital, Bhubaneswar 

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Dillip Kumar Dash

Institute of Medical Science, IN
About Dillip

Professor, Department of Paediatrics

 

SUM Hospital, Bhubaneswar 

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Abstract

Introduction: Globally, pneumonia accounts for 15% of deaths in children less than 5 years of age Electrolyte imbalance, especially hyponatraemia (serum sodium<135meq/L), has been described in a wide variety of acute infections such as pneumonia and is associated with worse outcomes leading to a poor prognosis. Hypokalaemia is the next common electrolyte imbalance associated with pneumonia.


Objectives: To assess the prevalence of dyselectrolytaemia in children aged 2 months to 5 years with severe pneumonia and to find the association between it and morbidity, mortality and hospital stay in severe pneumonia.


Method: In this hospital-based cross-sectional study, 107 admitted children aged 2 months to 5 years were included after clinical or radiological diagnosis from January 2019 to June 2020. Frequency of dyselectrolytaemia and associated outcome were analysed using Chi-square test.  


Results: A total of 107 hospitalised children was studied comprising 62 (57.9%) boys and 45 (42.1%) girls. Out of the children 55 had initial low serum sodium levels, 34.6% having mild hyponatraemia. Those children who presented with severe and very severe pneumonia with initial hyponatraemia were found to be significantly associated with mechanical ventilation, growth in blood culture, C-reactive protein, increased length of hospital stay and mortality.


Conclusions: Most common dyselectrolytaemia associated with pneumonia was hyponatraemia. Hyponatraemia was associated with prolonged hospital stay and with poor outcome


Sri Lanka Journal of Child Health, 2022; 51(2): 222-226


 

How to Cite: Sahoo, S., Mohapatra, M.D., Ganguli, R., Sinha, M., Mohanty, M.D., Akhil, R. sai . and Dash, D.K., 2022. Prevalence of dyselectrolytaemia in children with pneumonia admitted to a tertiary care centre in Eastern India. Sri Lanka Journal of Child Health, 51(2), pp.222–226. DOI: http://doi.org/10.4038/sljch.v51i2.10121
Published on 05 Jun 2022.
Peer Reviewed

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