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Risk Factors for Presumed Bacterial Pneumonia Among HIV-uninfected Children Hospitalized in Soweto, South Africa

Overview of attention for article published in The Pediatric Infectious Disease Journal, November 2016
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  • Above-average Attention Score compared to outputs of the same age and source (58th percentile)

Mentioned by

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1 policy source

Citations

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15 Dimensions

Readers on

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109 Mendeley
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Title
Risk Factors for Presumed Bacterial Pneumonia Among HIV-uninfected Children Hospitalized in Soweto, South Africa
Published in
The Pediatric Infectious Disease Journal, November 2016
DOI 10.1097/inf.0000000000001264
Pubmed ID
Authors

Jennifer R. Verani, Michelle J. Groome, Heather J. Zar, Elizabeth R. Zell, Constant N. Kapongo, Susan A. Nzenze, Christine Mulligan, David P. Moore, Cynthia G. Whitney, Shabir A. Madhi

Abstract

Pneumonia is a leading cause of child morbidity and death. Data on risk factors can guide prevention efforts. Within a study on pneumococcal conjugate vaccine effectiveness, we investigated risk factors for presumed bacterial pneumonia (PBP). PBP cases were HIV-uninfected children with lower respiratory tract infection and consolidation on chest radiograph or non-consolidated infiltrate with C-reactive protein >40 mg/L hospitalized at Chris Hani Baragwanath Academic Hospital (CHBAH) in Soweto. Age-matched community controls were identified using CHBAH birth records ±1 week of case birth date. Data were analyzed using conditional logistic regression. A total of 889 PBP cases (median age 9 months) were matched to 2,628 controls. Crowding was a significant risk factor among well-nourished children (adjusted odds ratio [aOR] 2.29; 95% confidence interval [CI] 1.89-2.78), but not in those with low weight-for-age. Malnutrition was associated with PBP; strength of association was highest in the absence of crowding (aOR 6.68; 95%CI 4.74-9.42). Exclusive breastfeeding was protective only among HIV-unexposed children (aOR 0.65; 95%CI 0.54-0.78). Self-reported maternal HIV infection was a risk factor among children exclusively breastfeed up to 4 months (aOR 2.33; 95%CI 1.53-3.55). Having indoor tap water was protective (aOR 0.65; 95%CI 0.54-0.78), while a primary care giver who smoked was a risk factor (aOR 5.15, 95%CI 2.94-9.03). Our findings confirm several known pneumonia risk factors, and highlight complex interactions between factors, including HIV exposure, breastfeeding, malnutrition and crowding. Improved housing, reduced secondhand smoke exposure, and HIV prevention among women of reproductive age could lessen the child pneumonia burden.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 109 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 109 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 18 17%
Student > Master 14 13%
Student > Ph. D. Student 12 11%
Student > Postgraduate 6 6%
Student > Bachelor 6 6%
Other 16 15%
Unknown 37 34%
Readers by discipline Count As %
Medicine and Dentistry 29 27%
Nursing and Health Professions 9 8%
Social Sciences 6 6%
Biochemistry, Genetics and Molecular Biology 5 5%
Agricultural and Biological Sciences 5 5%
Other 14 13%
Unknown 41 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 November 2018.
All research outputs
#8,534,976
of 25,373,627 outputs
Outputs from The Pediatric Infectious Disease Journal
#2,468
of 6,287 outputs
Outputs of similar age
#118,793
of 317,805 outputs
Outputs of similar age from The Pediatric Infectious Disease Journal
#32
of 79 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 6,287 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.9. This one is in the 40th percentile – i.e., 40% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 317,805 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 49th percentile – i.e., 49% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 79 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 58% of its contemporaries.