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The burden and risks of pediatric pneumonia in Nigeria: A desk-based review of existing literature and data.
Iuliano, Agnese; Aranda, Zeus; Colbourn, Tim; Agwai, Imaria C; Bahiru, Solomon; Bakare, Ayobami A; Burgess, Rochelle A; Cassar, Christine; Shittu, Funmilayo; Graham, Hamish; Isah, Adamu; McCollum, Eric D; Falade, Adegoke G; King, Carina.
Afiliación
  • Iuliano A; Institute for Global Health, University College London, London, UK.
  • Aranda Z; Institute for Global Health, University College London, London, UK.
  • Colbourn T; Institute for Global Health, University College London, London, UK.
  • Agwai IC; Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
  • Bahiru S; Save the Children International, Abuja, Nigeria.
  • Bakare AA; Department of Community Medicine, University College Hospital, Ibadan, Nigeria.
  • Burgess RA; Institute for Global Health, University College London, London, UK.
  • Cassar C; Save the Children UK, London, UK.
  • Shittu F; Department of Health Promotion and Education, Faculty of Public Health, University of Ibadan, Ibadan, Nigeria.
  • Graham H; Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, Victoria, Australia.
  • Isah A; Save the Children International, Abuja, Nigeria.
  • McCollum ED; Eudowood Division of Pediatric Respiratory Sciences, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
  • Falade AG; Department of Paediatrics, University of Ibadan and University College Hospital, Ibadan, Nigeria.
  • King C; Institute for Global Health, University College London, London, UK.
  • On Behalf Of The Inspiring Project Consortium; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Pediatr Pulmonol ; 55 Suppl 1: S10-S21, 2020 06.
Article en En | MEDLINE | ID: mdl-31985170
BACKGROUND: Pneumonia is a leading killer of children under-5 years, with a high burden in Nigeria. We aimed to quantify the regional burden and risks of pediatric pneumonia in Nigeria, and specifically the states of Lagos and Jigawa. METHODS: We conducted a scoping literature search for studies of pneumonia morbidity and mortality in under-5 children in Nigeria from 10th December 2018 to 26th April 2019, searching: Cochrane, PubMed, and Web of Science. We included grey literature from stakeholders' websites and information shared by organizations working in Nigeria. We conducted multivariable logistic regression using the 2016 to 2017 Multiple Cluster Indicators Survey data set to explore factors associated with pneumonia. Descriptive analyses of datasets from 2010 to 2019 was done to estimate trends in mortality, morbidity, and vaccination coverage. RESULTS: We identified 25 relevant papers (10 from Jigawa, 8 from Lagos, and 14 national data). None included data on pneumonia or acute respiratory tract infection burden in the health system, inpatient case-fatality rates, severity, or age-specific pneumonia mortality rates at state level. Secondary data analysis found that no household or caregiver socioeconomic indicators were consistently associated with self-reported symptoms of cough and/or difficulty breathing, and seasonality was inconsistently associated, dependant on region. CONCLUSION: There is a clear evidence gap around the burden of pediatric pneumonia in Nigeria, and challenges with the interpretation of existing household survey data. Improved survey approaches are needed to understand the risks of pediatric pneumonia in Nigeria, alongside the need for investment in reliable routine data systems to provide data on the clinical pneumonia burden in Nigeria.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumonía / Costo de Enfermedad Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Africa Idioma: En Revista: Pediatr Pulmonol Asunto de la revista: PEDIATRIA Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumonía / Costo de Enfermedad Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Africa Idioma: En Revista: Pediatr Pulmonol Asunto de la revista: PEDIATRIA Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos