Munywoki, Patrick Kiio, Ohuma, Eric O., Ngama, Mwanajuma, Bauni, Evasius, Scott, J. Anthony G. and Nokes, D. James (2013) Severe lower respiratory tract infection in early infancy and pneumonia hospitalizations among children, Kenya. Emerging Infectious Diseases , Volume 19 (Number 2). pp. 223-229. doi:10.3201/eid1902.120940 ISSN 1080-6059.

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Abstract

Severe lower respiratory tract infection (LRTI) in infants caused by respiratory syncytial virus (RSV) has been associated with later pneumonia hospitalization among children. To determine risk for pneumonia after RSV hospitalization in infancy, we conducted a retrospective cohort analysis of 2,813 infants admitted to a hospital in Kenya and identified readmissions for pneumonia among this group during early childhood (<60 months of age). Incidence of readmission for pneumonia was higher for children whose first admission as infants was for LRTI and who were <3 months of age than for children who were first admitted as infants for non-LRTI, irrespective of RSV status. Incidence of readmission for pneumonia with wheeze was higher for children whose first admission involved RSV compared with those who had non-RSV LRTI. Excess pneumonia risk persisted for 2 years after the initial hospitalization. Close postdischarge follow-up of infants with LRTI, with or without RSV, could help prevent severe pneumonia later in childhood.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Faculty of Science, Engineering and Medicine > Science > Life Sciences (2010- )
Library of Congress Subject Headings (LCSH):	Pneumonia -- Kenya, Pneumonia in children -- Kenya, Pediatric respiratory diseases -- Kenya, Bronchitis in children -- Kenya, Public health surveillance -- Kenya -- Data processing, Children -- Diseases -- Kenya -- Data processing , Medical statistics
Journal or Publication Title:	Emerging Infectious Diseases
Publisher:	US Department of Health and Human Services
ISSN:	1080-6059
Official Date:	2013
Dates:	Date Event 2013 Published
Volume:	Volume 19
Number:	Number 2
Page Range:	pp. 223-229
DOI:	10.3201/eid1902.120940
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	24 December 2015
Date of first compliant Open Access:	24 December 2015
Funder:	Wellcome Trust (London, England)
Grant number:	061548, 076278, 084633, 081835, 092654 (WT)

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