MORTALITY AND MORBIDITY RATE DUE TO SEVERE PNEUMONIA IN CHILDREN 2-59MONTHS FOR ONE YEAR IN MIRWAIS REGIONAL HOSPITAL PEDIATRIC DEPARTMENT KANDAHAR AFGHANISTAN

Abstract

Children’s morbidity and mortality from respiratory disorders continue to be a serious problem, particularly for children under the age of five. Conduct research on demographic and clinical aspectsand prognosis of severe pneumonia in children aged 2 months to 5 years who were hospitalized to the pediatric unit of the Mirwais Regional Hospital in Kandahar, Afghanistan. In the pediatric ward of the Mirwais Regional Hospital in Kandahar, Afghanistan, a cross-sectional research was conducted. Information was gathered, compiled, and analyzed from the medical records of each case at the hospital for all patients with severe pneumonia who were admitted into the pediatric ward at MRH in the period between November 10, 2018 and November 9, 2019. The patients’ ages ranged from 2 months to 5 years. The data was then analyzed using SPSS version 22.0. A multivariate logistic regression model was used to identify characteristics related to pneumonia mortality. There were 462 instances of severe pneumonia, and 256 (55.4%) of those cases were in male and 206 (44.6%) in female. The total mortality rate was 57 (12.75) percent, while 390 patients (87.24) were successfully treated. Regarding residence, 260 (62.3%) were rural residents, while 202 (43.7%) were urban. During the winter and fall seasons, there were more cases admitted. 380 patients (82.1%) fell within the 2-to 12-month age range. Out of 462 patients, 199 (43%) were malnourished, and of them, 132 (28.57%) were severely malnourished (P-value: 0.0001 OR=4.73). According to their age, about 103 (22.2%) patients received all recommended vaccinations, 51 (11%) patients were not vaccinated, and 308 (66.5) patients received some vaccinations. 167 (36.1%) patients were fully breastfed.