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BMC Complementary Medicine and Therapies
Published in: BMC Complementary Medicine and Therapies 1/2013

Open Access 01-12-2013 | Research article

A cross-sectional study of the clinical characteristics of hospitalized children with community-acquired pneumonia in eight eastern cities in China

Authors: Xue-Feng Wang, Jian-Ping Liu, Kun-Ling Shen, Rong Ma, Zhen-Ze Cui, Li Deng, Yun-Xiao Shang, De-Yu Zhao, Li-Bo Wang, Li-Ya Wan, Yi-Qiu Sun, Yan-Ning Li, Zhi-Yan Jiang, Hua Xu, Xin-Min Li, Zhen-Qi Wu, Zhao-Lan Liu, Ying-Hui Hu, Yan Huang, Chun-Hui He, Han Zhang, Yong-Hong Jiang, Hua Liu, Zi Wang

Published in: BMC Complementary Medicine and Therapies | Issue 1/2013

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Abstract

Background

Community-acquired pneumonia in children is common in China. To understand current clinical characteristics and practice, we conducted a cross-sectional study to analyze quality of care on childhood pneumonia in eight eastern cities in China.

Methods

Consecutive hospital records between January 1, 2010 and December 31, 2010 were collected from 13 traditional Chinese medicine (TCM) and western medicine (WM) hospitals in February, May, August, and November (25 cases per season, 100 cases over the year), respectively. A predesigned case report form was used to extract data from the hospital medical records.

Results

A total of 1298 cases were collected and analyzed. Symptoms and signs upon admission at TCM and WM hospitals were cough (99.3% vs. 98.6%), rales (84.8% vs. 75.0%), phlegm (83.3% vs. 49.1%), and fever (74.9% vs. 84.0%) in frequency. Patients admitted to WM hospitals had symptoms and signs for a longer period prior to admission than patients admitted to TCM hospitals. Testing to identify etiologic agents was performed in 1140 cases (88.4%). Intravenous antibiotics were administered in 99.3% (595/598) of cases in TCM hospitals and in 98.6% (699/700) of cases in WM hospitals. Besides, Chinese herbal extract injection was used more frequently in TCM hospitals (491 cases, 82.1%) than in WM hospitals (212 cases, 30.3%) (p < 0.01). At discharge, 818 cases (63.0%) were clinically cured, with a significant difference between the cure rates in TCM (87.6%) and WM hospitals (42.0%) (OR = 9.8, 95% confidence interval (CI): 7.3 ~ 12.9, p < 0.01). Pathogen and previous medical history were more likely associated with the disappearance of rales (OR = 7.2, 95% CI: 4.8 ~ 10.9). Adverse effects were not reported from the medical records.

Conclusions

Intravenous use of antibiotics is highly prevalent in children with community-acquired pneumonia regardless of aetiology. There was difference between TCM and WM hospitals with regard to symptom profile and the use of antibiotics. Intravenous use of herbal injection was higher in TCM hospitals than in WM hospitals. Most of the cases were diagnosed based on clinical signs and symptoms without sufficient confirmation of aetiology. Audit of current practice is urgently needed to improve care.
Appendix
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Metadata
Title
A cross-sectional study of the clinical characteristics of hospitalized children with community-acquired pneumonia in eight eastern cities in China
Authors
Xue-Feng Wang
Jian-Ping Liu
Kun-Ling Shen
Rong Ma
Zhen-Ze Cui
Li Deng
Yun-Xiao Shang
De-Yu Zhao
Li-Bo Wang
Li-Ya Wan
Yi-Qiu Sun
Yan-Ning Li
Zhi-Yan Jiang
Hua Xu
Xin-Min Li
Zhen-Qi Wu
Zhao-Lan Liu
Ying-Hui Hu
Yan Huang
Chun-Hui He
Han Zhang
Yong-Hong Jiang
Hua Liu
Zi Wang
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2013
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-13-367

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