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TITLE:

PERVASIVENESS OF ANEMIA IN CHILDREN IDENTIFIED WITH PNEUMONIA

AUTHORS:

Dr. Shaff Fatima, Dr. Maria Munir, Dr. Haleema Afzal

ABSTRACT:

Introduction: Anemia and pneumonia are common diseases that affect children. However, these two conditions can coexist. The aim of the study is to present the frequency of anemia among children who were diagnosed with pneumonia. Material and Methods: This observational and cross-sectional descriptive study was conducted at the Department of Pediatrics, Services Hospital, Lahore for one-year duration from September 2019 to September 2020 on 80 children aged 6 months to 15 years was included. All involved patients were admitted to the pediatric ward due to pneumonia. Medical evaluation included anthropometric measurements and blood counts. Risk relationships were assessed using the odds ratio. Results: Anemia was found in 21.25% of the whole group. Nevertheless, children under the age of three were more affected [18.75%]. Low mean blood cell volume and wide red blood cell distribution were more common than anemia itself; 38.75% and 28.75%, respectively. In addition, the incidence of anemia in children under 36 months of age was higher than in patients over 3 years of age, with a significant risk of anemia in the first group [OR 13.04; 95% CI 11.48-14.61; p <0.05] and low hematocrit [OR 14.64; 95% CI 12.53-16.75; p <0.05]. This was also observed in the case of low mean cell volume [OR 3.23; CI 95% 2.3-4.17; p <0.05], high width of red cell distribution [OR 2.77; CI 95% 1.76 -3.78; p <0.05] and mean blood hemoglobin [OR 8.48; 95% CI 7.14-9.82; p <0.01]. Conclusions: Anemia is a common disease in pediatric pneumonia, especially in the first three years of life. Therefore, anemia or nutritional deficiencies may be a risk factor for respiratory disease. Keywords: anemia; Pediatrics; Pneumonia

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