Article Text

P271 Underlying disease and causative microorganisms of recurrent pneumonia in children: 13-year study in a university hospital
  1. Halil Özdemir1,
  2. Nihan Yildiz1,
  3. Bilge Aldemir Kocabaş2,
  4. Tuğba Erat1,
  5. Aysun Yahşi1,
  6. Figen Doğu1,
  7. Ercan Tutar3,
  8. Erdal Ince4,
  9. Ergin Çiftçi1
  1. Department of Paediatric Infectious Diseases; Ankara University Medical School; Ankara; Turkey
  2. Department of Paediatrics; Ankara University Medical School; Ankara; Turkey
  3. Department of Paediatric Immunology and Allergy; Ankara University Medical School; Ankara; Turkey
  4. Department of Paediatric Cardiology; Ankara University Medical School; Ankara; Turkey


Background and aims Pneumonia is the most important cause of death in children in many countries. The use of inappropriate antibiotics in the treatment of pneumonia is associated with multi drug resistant microorganisms that lead to increased morbidity and mortality. Therefore, the causative microorganism should be detected for avoidence of unnecessary antibiotic usage. Underlying diseases are predisposing factors for recurrent pneumonia. The choice of pneumonia treatment should be based on causative microorganisms and underlying diseases. In this study we aimed to evaluate the frequency of recurrent pneumonia and underlying disease in hospitalised children, to identify the distribution of causative microorganisms and to compare our data with previous studies.

Methods Between January 2003 and December 2015 children hospitalised due to pneumonia were retrospectively owerviewed. The patients who met criteria for recurrent pneumonia were included in this study. Demographic, clinical, laboratory and imaging results were collacted from the data system.

Results During 13 years, 129 (9.2%) hospitalised children met criteria of recurrent pneumonia. Underlying diseases were detected in 95 (73.6%) patients. Rhinovirus, adenovirus and respiratory synstial virus were the most frequent causative agents.

Conclusion The majority of patients who were hospitalised due to recurrent pneumonia had an underlying disease. The most common cause was aspiration syndrome and viruses were leading causative agents for recurrent pneumonia. As a result; It should kept in mind that viruses can be commonly seen in recurrent pneumonia. Appropriate treatment choice should be made according to the underlying disease, clinical condition, laboratory and radiological data of the patient.

Statistics from

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.