@article{Saad_2013, title={RECURRENT/PERSISTENT PNEUMONIA AMONG CHILDREN IN UPPER EGYPT}, volume={5}, url={https://www.mjhid.org/mjhid/article/view/2013.028}, DOI={10.4084/mjhid.2013.028}, abstractNote={<p><strong>Abstract</strong></p> <p><strong>Objectives:</strong> Recurrent/persistent pneumonia in children continues to be a major challenge for the paediatricians. We aimed to determine the prevalence and underlying causes of recurrent/persistent pneumonia in children in Upper Egypt<strong>.</strong></p> <p><strong> </strong></p> <p><strong>Settings: </strong>Assiut University Children Hospital, Assiut, Egypt.</p> <p> </p> <p><strong>Methods:</strong> Patients with pneumonia admitted to the hospital during 2 years were investigated (microbiological, biochemical, immunological and radiological tests) for recurrent/persistent pneumonia to determine its prevalence and to find out the underlying causes.</p> <p> </p> <p><strong>Results:</strong> 113 out of 1228 patients (9.2%) met the diagnosis of recurrent/persistent pneumonia. Identified causes were;  aspiration syndromes (17.7%), pulmonary TB (14%), congenital heart disease (11.5%), bronchial asthma (9.7%), immune deficiency disorders (8.8%) and vitamin D deficiency rickets (7%). Other causes included; congenital anomalies of the respiratory tract, interstitial lung diseases, bronchiectasis, and sickle cell anemia. No predisposing factors could be identified in 15% of cases.<strong> </strong><strong> </strong></p> <p><strong>Conclusion: </strong>Approximately 1 in 10 children with pneumonia in our locality had recurrent/persistent pneumonia<strong>. </strong>The most frequent underlying cause for recurrent/persistent pneumonia in children in Upper Egypt is aspiration syndromes, followed by pulmonary TB.</p>}, number={1}, journal={Mediterranean Journal of Hematology and Infectious Diseases}, author={Saad, Khaled}, year={2013}, month={Apr.}, pages={e2013028} }