Abstract
The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. The journal also has a website. Free full text access is available for all readers.The Sri Lanka Journal of Child Health is now indexed in SciVerse Scopus (Source Record ID 19900193609), Index Medicus for South-East Asia Region (IMSEAR), CABI (Centre for Agriculture and Bioscience International Global Health Database), DOAJ and is available in Google, as well as Google Scholar.The policies of the journal are modelled on the Committee on Publication Ethics (COPE) Guidelines on Principles of Transparency and Best Practice in Scholarly Publishing. Sri Lanka Journal of Child Health is recognised by the International Committee of Medical Journal Editors (ICMJE) as a publication following the ICMJE Recommendations.
Highlights
Pneumonia remains a major killer of under-fiveyear-old children and accounts for nearly one fifth of childhood deaths worldwide[1]
Fast breathing was twenty times less likely to be present in pneumonia with severe malnutrition (OR=20.18).This study showed that chest indrawing was present only in 23 (30%) cases in comparison to 59 (79%) controls
It can be concluded from this study that the definitions of fast breathing and chest indrawing recommended by Integrated Management of Childhood Illness (IMCI) are not sufficiently reliable predictors of pneumonia in severely malnourished children
Summary
Pneumonia remains a major killer of under-fiveyear-old children and accounts for nearly one fifth of childhood deaths worldwide[1]. Pneumonia causes more deaths in children than any other illness[2]. Few caregivers in developing countries recognise that fast and difficult breathing are the two key symptoms of pneumonia indicating the need for immediate treatment[3]. Recognition and prompt treatment of pneumonia can save lives[4]. Acute Lower Respiratory Infections (ALRI) is the most important cause of death in Bangladeshi children[5]. About 25% of the deaths in Bangladeshi children are associated with ALRI6. The median case fatality rate from severe malnutrition has remained unchanged during the last 50 years at around 20% -30%7. Pneumonia is a major cause of under-5year mortality in developing countries including Bangladesh. Malnourished children are more vulnerable to develop pneumonia and pneumonia associated case morbidity and mortality
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