Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children

Detalhes bibliográficos
Autor(a) principal: Cardoso, Maria Regina Alves
Data de Publicação: 2011
Outros Autores: Carvalho, Cristiana Maria Costa Nascimento de, Ferrero, Fernando, Alves, Fátima M., Cousens, Simon N.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/17847
Resumo: Texto completo: acesso restrito. p. 58-61
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spelling Cardoso, Maria Regina AlvesCarvalho, Cristiana Maria Costa Nascimento deFerrero, FernandoAlves, Fátima M.Cousens, Simon N.Cardoso, Maria Regina AlvesCarvalho, Cristiana Maria Costa Nascimento deFerrero, FernandoAlves, Fátima M.Cousens, Simon N.2015-06-02T14:33:45Z20110003-9888http://repositorio.ufba.br/ri/handle/ri/17847v. 96, n. 1Texto completo: acesso restrito. p. 58-61Objective To examine the ability of the criteria proposed by the WHO to identify pneumonia among cases presenting with wheezing and the extent to which adding fever to the criteria alters their performance. Design Prospective classification of 390 children aged 2–59 months with lower respiratory tract disease into five diagnostic categories, including pneumonia. WHO criteria for the identification of pneumonia and a set of such criteria modified by adding fever were compared with radiographically diagnosed pneumonia as the gold standard. Results The sensitivity of the WHO criteria was 94% for children aged <24 months and 62% for those aged ≥24 months. The corresponding specificities were 20% and 16%. Adding fever to the WHO criteria improved specificity substantially (to 44% and 50%, respectively). The specificity of the WHO criteria was poor for children with wheezing (12%). Adding fever improved this substantially (to 42%). The addition of fever to the criteria apparently reduced their sensitivity only marginally (to 92% and 57%, respectively, in the two age groups). Conclusion The authors' results reaffirm that the current WHO criteria can detect pneumonia with high sensitivity, particularly among younger children. They present evidence that the ability of these criteria to distinguish between children with pneumonia and those with wheezing diseases might be greatly enhanced by the addition of fever.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-04-08T16:25:55Z No. of bitstreams: 1 Cristiana M Nascimento Carvalho.pdf: 166669 bytes, checksum: a6a570034d19ce88b49cc21fd51ca199 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2015-06-02T14:33:45Z (GMT) No. of bitstreams: 1 Cristiana M Nascimento Carvalho.pdf: 166669 bytes, checksum: a6a570034d19ce88b49cc21fd51ca199 (MD5)Made available in DSpace on 2015-06-02T14:33:45Z (GMT). No. of bitstreams: 1 Cristiana M Nascimento Carvalho.pdf: 166669 bytes, checksum: a6a570034d19ce88b49cc21fd51ca199 (MD5) Previous issue date: 2011http://dx.doi.org/ 10.1136/adc.2010.189894reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAPneumoniaRespiratory SoundsChildLung DiseasesAdding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing childrenArchives of Disease in Childhoodinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengLICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/17847/2/license.txt0d4b811ef71182510d2015daa7c8a900MD52ORIGINALCristiana M Nascimento Carvalho.pdfCristiana M Nascimento Carvalho.pdfapplication/pdf166669https://repositorio.ufba.br/bitstream/ri/17847/1/Cristiana%20M%20Nascimento%20Carvalho.pdfa6a570034d19ce88b49cc21fd51ca199MD51TEXTCristiana M Nascimento Carvalho.pdf.txtCristiana M Nascimento Carvalho.pdf.txtExtracted texttext/plain24082https://repositorio.ufba.br/bitstream/ri/17847/3/Cristiana%20M%20Nascimento%20Carvalho.pdf.txt0d1c04f0003034c8254c7e5121077bb0MD53ri/178472022-08-26 11:02:42.306oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-26T14:02:42Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
dc.title.alternative.pt_BR.fl_str_mv Archives of Disease in Childhood
title Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
spellingShingle Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
Cardoso, Maria Regina Alves
Pneumonia
Respiratory Sounds
Child
Lung Diseases
title_short Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
title_full Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
title_fullStr Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
title_full_unstemmed Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
title_sort Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
author Cardoso, Maria Regina Alves
author_facet Cardoso, Maria Regina Alves
Carvalho, Cristiana Maria Costa Nascimento de
Ferrero, Fernando
Alves, Fátima M.
Cousens, Simon N.
author_role author
author2 Carvalho, Cristiana Maria Costa Nascimento de
Ferrero, Fernando
Alves, Fátima M.
Cousens, Simon N.
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Cardoso, Maria Regina Alves
Carvalho, Cristiana Maria Costa Nascimento de
Ferrero, Fernando
Alves, Fátima M.
Cousens, Simon N.
Cardoso, Maria Regina Alves
Carvalho, Cristiana Maria Costa Nascimento de
Ferrero, Fernando
Alves, Fátima M.
Cousens, Simon N.
dc.subject.por.fl_str_mv Pneumonia
Respiratory Sounds
Child
Lung Diseases
topic Pneumonia
Respiratory Sounds
Child
Lung Diseases
description Texto completo: acesso restrito. p. 58-61
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2015-06-02T14:33:45Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/17847
dc.identifier.issn.none.fl_str_mv 0003-9888
dc.identifier.number.pt_BR.fl_str_mv v. 96, n. 1
identifier_str_mv 0003-9888
v. 96, n. 1
url http://repositorio.ufba.br/ri/handle/ri/17847
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org/ 10.1136/adc.2010.189894
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