Abstract

Introduction: Lower respiratory tract infection is an infection beneath the larynx which includes: Pneumonia, Wheeze associated Lower respiratory tract infection, Bronchiolitis and Empyema. The aim of this study was to find out the association among hyponatremia and LRTI in tertiary care center. Materials and Methods: The sample size was calculated to be a minimum of 50 subjects. Based on clinical signs and symptoms (as defined by WHO) and infiltrates present on chest X-ray diagnosis of LRTI such as Pneumonia, Bronchiolitis was made. Then patients were subjected to routine investigations such as: Complete blood count, Serum electrolyte (serum sodium) at the time of admission, on day 2 and day 3 by Ion selective electrodes. Results: Mild hyponatremia was found among 11 patients (16.92%), moderate among 9 (13.85%) and severe among 2 (3.08%) patients. Hyponatremia was found to be more common among 1 to 5 years age group as compared to ≥ 2months to 12 months and > 5 to 12 years age groups. Conclusion: Hyponatremia is a significantly common association among hospitalized children with lower respiratory tract infections and it is mainly due to syndrome of inappropriate antidiuretic hormone secretion (SIADH).

Highlights

  • Lower respiratory tract infection is an infection beneath the larynx which includes: Pneumonia, Wheeze associated Lower respiratory tract infection, Bronchiolitis and Empyema

  • Lower respiratory tract infection is an infection beneath the larynx which includes: Pneumonia, Wheeze associated LRTI and Bronchiolitis, Empyema

  • As per World Health Organization (WHO) data, it was estimated that occurrence of clinical pneumonia in youngsters with age less than five years is close to 155.84 million annually in world

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Summary

Introduction

Lower respiratory tract infection is an infection beneath the larynx which includes: Pneumonia, Wheeze associated Lower respiratory tract infection, Bronchiolitis and Empyema. Conclusion: Hyponatremia is a significantly common association among hospitalized children with lower respiratory tract infections and it is mainly due to syndrome of inappropriate antidiuretic hormone secretion (SIADH). Lower respiratory tract infection is an infection beneath the larynx which includes: Pneumonia, Wheeze associated LRTI and Bronchiolitis, Empyema. Among young children main cause of lower respiratory tract infection are Pneumonia as well as Bronchiolitis [2]. Pneumonia itself accounts for 1.2 million (18% total) of all under five years of age death [3] and causing death of 2500 children daily [4]. As per reports in 2017, Pneumonia accounted for nearly 808694 deaths among children below the age of 5 worldwide [6] of which India accounted for 50 percent i.e. 4 lakh deaths

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