American Journal of Epidemiology Vol. 113, No. 1: 12-21
Copyright © 1981 by The Johns Hopkins University School of Hygiene and Public Health
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PNEUMONIA: AN ELEVEN-YEAR STUDY IN A PEDIATRIC PRACTICE1
U.of North Carolina, school of Medicine Chapel Hill, NC 27514
2Reprint requests to Dr. Henderson, 535 Burnett-Womack, Clinical Sciences Bldg., 229 H, University of North Carolina, Chapel Hill, NC 27514.
Murphy, T. F., F. W. Henderson (U. of North Carolina, School of Medicine, Chapel Hill, NC 27514), W. A. Clyde, Jr., A.M. Collier, and F. W. Denny. Pneumonia: an eleven-year study in a pediatric practice. Am J Epidemiol 1981;113:12-21
Data from an 11-year study of acute lower respiratory tract illness were analyzed to provide added insight into the causes and patterns of occurrence of pneumonia in an outpatient pediatric population. Over 80% of all episodes of pneumonia occurred in children less than seven years of age; the peak attack rate was observed in 2–4-year-old children. A virus or Mycoplasma pneumoniae was isolated from 24% of children with pneumonia; 57% of all episodes occurred during outbreaks for which a viral or mycoplasmal cause could usually be identified. Respiratory syncytial virus (RSV), parainfluenza viruses types 1 and 3, adenoviruses, influenza A viruses and M. pneumonlae accounted for 86% of all isolates. Attack rates of pneumonia in preschool children were highest during periods of RSV and Influenza A virus prevalence; M. pneumonlae was the most frequent isolate from school aged children. The data contained in this report augment the understanding of the causes of pneumonia in children and provide a data base for scientists interested in the prevention of lower respiratory tract illness in children.
mycoplasma; pneumonia; pneumonia, viral; respiratory tract Infections
1From the Department of Pediatrics, University of North Carolina, School of Medicine, Chapel Hill, NC
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