A Prospective Observational Study Of Hyponatremia In Lower Respiratory Tract Infection In Children Admitted In Tertiary Care Teaching Hospital

Observational Study Of Hyponatremia In Lower Respiratory Tract Infection

Abstract

Abstract: Background: The primary objective of our study is to evaluate the incidence and prevalence of hyponatremia in children admitted with Lower respiratory tract infection. Method: 135 patients diagnosed as clinically Lower respiratory tract infection admitted in wards were enrolled in study from >1 months to 12 year of age. Hyponatremia defined on basis of serum sodium level as mild, moderate and severe hyponatremia. According to severity of Hyponatremia and severity of diseases IV fluid and correction was given. Result: Prevalence of Hyponatremia in LRTI cases was 66.6% (90/135) in this study. Among this 52.2%(47/90) were pneumonia; 25.5%(23/90) were bronchiolitis; and 22.2%(20/90) were of empyema. Out of this 42.2%were mild hyponatremia,40% were moderate and 17.7% were severe hyponatremia..Mortality among severe hyponatremia was 2.2%(2/90). Conclusion: There is a high prevalence of hyponatremia in lower respiratory tract infection. Children with pneumonia are more likely to have hyponatremia. Use of early initiation of appropriate IV fluid and correction of hyponatremia gives better outcome of patients of LRTI presented with hyponatremia. [Parekh A Natl J Integr Res Med, 2019; 10(6):11-15]