SAINT LOUIS UNIVERSITY

School of Nursing
BAGUIO CITY, PHILIPPINES

RESEARCH TITLE:

Etiology and Factors Associated

with Pneumonia in Children under
5 Years of Age in Mali: A
Prospective Case-Control Study
- Bnet, T., Sylla, M., Messaoudi, M., Snchez Picot, V., Telles,
J., Diakite, A., & ... Vanhems, P. (2015)

Submitted by:
LARA, Kit B.
BSN II-A5

Submitted to:
Sir Paul Anthony G. Lorica, RN

(Clinical Instructor
04-28-16

SUMMARY OF THE JOURNAL

This research journal studies were all about the Etiology and Factors Associated with
Pneumonia in Children under 5 Years. The aim of this was to to assess the etiology and factors
associated with community-acquired pneumonia in hospitalized children and it was conducted at
Pediatric department of Gabriel Tour University Hospital at Bamako,Mali.
Pneumonia is the leading cause of child mortality from infectious diseases worldwide.
The main known causative pathogens reported are Streptococcus pneumoniae,Haemophilus
influenzae type B, and respiratory syncytial virus. The study was conducted at Pediatric
department of Gabriel Tour University Hospital at Bamako,Mali. Pneumonia cases were
hospitalized children who fulfilled the following criteria: cough, dyspnea, tachypnea and absence
of wheezing at auscultation. Nasal swabs, antibiotic usage history, urine sampled, whole blood
and pleural effusions was collected and analyze in terms of Demographic characteristics,
underlying diseases, medical history, clinical examination at enrollment, radiological findings,
vaccinations, and outcome were recorded prospectively for each patient on a standardized
form.
They found out that among the 118 patients with pneumonia, (13.6%) were referred from
another health center due to cases presented a ventricular septal defect. Among cases with
pulmonary crackles. Other signs or medical history of pneumonia cases included sickle-cell
anemia, dehydration, epilepsy, goiter, edema, pallor), and trisomy. The patient who took
antibiotics before hospitalization, received amoxicillin, ceftriaxone, amoxicillin, clavulanic acid,
cotrimoxazole. The 4 microbial agents associated with pneumonia, 3 were viruses: human
metapneumovirus, RSV, and influenza. Vaccine development, particularly against RSV, is
warranted to prevent pneumonia in children. The importance of the study were its prospective
design with the inclusion of controls that permitted to assess pneumonia etiologies while taking
into account the prevalence of pathogen detection in non-infected patients.
RELEVANCE TO AREA OF ROTATION:
Pediatric community-acquired pneumonia was very common disease in the area. The
relevance of this study is to provide an updated review on the etiology and factors of pneumonia
that may help in assessing or diagnosing patient with pneumonia and as a guide using the
factors associated, in rendering nursing management .

RELEVANCE TO NURSING EDUCATION:

This journal study is relevance to nursing practice because as a nurse we should know
the etiology and associated factors of pneumonia so that we know how to interpret and treat the
underlying cause of problem and prevent the infection.
LEARNING INSIGHTS ON THE JOURNAL:
I learned in this journal the management and how to treat pneumonia though the use of
vaccination and prevent the spreading of microorganism. Increased pneumococcal conjugate
vaccine coverage in children would significantly reduce the burden of pneumonia in this country.

eferences:

Bnet, T., Sylla, M., Messaoudi, M., Snchez Picot, V., Telles,
J., Diakite, A., & ... Vanhems, P. (2015). Etiology and Factors
Associated with Pneumonia in Children under 5 Years of Age in Mali: A
Prospective Case-Control Study. Plos ONE, 10(12), 1-15.
doi:10.1371/journal.pone.0145447 Retrieved from:
http://search.ebscohost.com/login.aspx?
direct=true&db=a9h&AN=111899386&site=eds-live