Serum Sodium Levels in Hospitalized Children with Community- Acquired Pneumonia: A Hospital-Based Case-Control Study

Document Type : Original Article

Authors

1 Department of Pediatrics and Neonatology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt

2 Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Assiut, Egypt

3 Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt

Abstract

Background: community-acquired Pneumonia (CAP) is one of the frequent causes of hospital admission, whereas hyponatremia is a common electrolyte abnormality in hospitalized patients and associated with considerable morbidity and mortality. Aim of the study: purpose of this study was to evaluate serum levels of sodium in children with CAP. Patients and Methods: a total of 200 children included in the study were classified into two groups as follow: Group (I) Cases group: Included 100 child with clinical and laboratory evidence of pneumonia ranging from one month to three years and Group (II) Control group: Includes 100 child apparently healthy control who attended for non chest problem or serious medical condition. Serum sodium levels, hemoglobin levels, platelet count, total leucocyte count, and C-reactive protein were done to all children. Results: Hyponatremia was present in 82% of patients with CAP (82 out of 100). Serum level of sodium was significantly lower in children with pneumonia than healthy control (132.08 ± 4.18 vs 139.42± 2.57). There was a statistically significant negative correlation between the grade of respiratory distress and the level of serum sodium (p <0.001). Conclusion: hyponatremia is common among hospitalized children with CAP. Serum sodium levels are lower in children with pneumonia than matched healthy controls.

Keywords

The Egyptian Journal of Hospital Medicine
Volume 75, Issue 4
April 2019
Pages 2706-2711

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