Relation of lower airway anomalies in children with the diagnosis of congenital heart disease

Abstract

important to the initiation of antiviral treatment, avoidance of the unnecessary use of antibiotic therapy, and the prevention of nosocomial transmission. Objective: To know the prevalence of pneumonia caused by influenza virus using rapid influenza test, and its clinical manifestation. Methods: A descriptive study was conducted on pneumonia in children under 14 years of age who were admitted in the Pediatric Department Hasan Sadikin Hospital from February to September 2010. The patients were examined with rapid influenza test from nasal swabs with Binax Now influenza A&B, laboratory test (hemoglobin, leukocyte, different counts of leukocyte), and chest X-ray. Demographic data and clinical manifestation were noted. Result: One hundred and five children were enrolled in this study. The mean age was 25.78 months (range: 1 to 166 months), 55% (58) were less than 12 months of age. Rapid test was positive in one patient (0.9%). The patient was a 5 years and 6 months old boy with the symptoms of dyspnea, fever, cough, and rhinorrhea. This patient came from low social economic family, had severe malnutrition, had previous history of admissions to hospital because of pneumonia, had exposure to tobacco smoke, and only had BCG immunization. Conjunctivitis, otitis media, cervical lymphadenopathy, wheezing, and rash were not found in the patient. Laboratory findings were anemia, leukopenia, dan lymphocytosis. Chest X-ray showed bilateral infiltrate. Conclusion: The prevalence of influenza pneumonia with rapid influenza test was very low. The symptoms were not specific, and laboratory findings were leukopenia and lymphocytosis.