Dynamics of the incidence rate of pneumonia in children in Ukraine over the past 20 years

O.P. Volosovets; Yu.K. Bolbot; O.Є. Abaturov; S.P. Kryvopustov; L.V. Besh; T.V. Stoieva; V.Е. Khomenko; O.L. Kovalchuk

doi:10.26641/2307-0404.2020.4.221680

Authors

O.P. Volosovets Bogomolets National Medical University, Department of Pediatrics N 2, Blvd. T. Shevchenko, 13, Kyiv, 01601, Ukraine https://orcid.org/0000-0001-7246-0768
Yu.K. Bolbot SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine», Department of Pediatrics 3 and Neonatology, V. Vernadsky str., 9, Dnipro, 49044, Ukraine https://orcid.org/0000-0003-1418-9193
O.Є. Abaturov SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine», Department of Pediatrcs 1 and Medical Genetics, V. Vernadsky str., 9, Dnipro, 49044, Ukraine https://orcid.org/0000-0001-7968-8271
S.P. Kryvopustov Bogomolets National Medical University, Department of Pediatrics N 2, Blvd. T. Shevchenko, 13, Kyiv, 01601, Ukraine https://orcid.org/0000-0001-8561-0710
L.V. Besh Danylo Halytsky Lviv National Medical University, Department of Pediatrics N 2, Pekarska str., 69, Lviv, 79010, Ukraine https://orcid.org/0000-0003-1897-7461
T.V. Stoieva Odessa National Medical University, Department of Pediatrics № 2, Valikhovsky Lane, 2, Odessa, 65082, Ukraine https://orcid.org/0000-0003-2816-5686
V.Е. Khomenko Bogomolets National Medical University, Department of Pediatrics N 2, Blvd. T. Shevchenko, 13, Kyiv, 01601, Ukraine https://orcid.org/0000-0001-7348-7495
O.L. Kovalchuk Bogomolets National Medical University, Department of Pediatrics N 2, Blvd. T. Shevchenko, 13, Kyiv, 01601, Ukraine https://orcid.org/0000-0003-1393-0090

DOI:

https://doi.org/10.26641/2307-0404.2020.4.221680

Keywords:

children, morbidity, mortality, pneumonia

Abstract

Pneumonia ranks third in the structure of hospital mortality in infants after perinatal pathology and congenital malformations in Ukraine. Over the past 20 years in Ukraine, there has been a 33,7% increase in the incidence of pneumonia in children (p˂0.01), with the predominant detection of this pathology in children from regions of the country who have problematic issues in the proper provision of pediatric services. The highest incidence of pneumonia in all age groups was observed in children of Ivano-Frankivsk, Rivne, Kyiv and Vinnitsa regions. Thanks to the progressive development of domestic pediatrics and the introduction of modern medical and diagnostic technologies, in particular, vaccine prophylaxis, over the past 20 years, the death rate of children from acute infections of the upper respiratory tract, pneumonia and influenza has decreased by almost 5 times. Changes in recent years in the incidence of pneumonia in children correspond to the dynamics of the spread of influenza and acute respiratory viral infection, especially during the epidemics 2009-2010 and 2015-2016. Assessing the dynamics of this indicator in subsequent periods is extremely important in the context of the COVID-19 pandemic, which continues.

Author Biography

O.Є. Abaturov, SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine», Department of Pediatrcs 1 and Medical Genetics, V. Vernadsky str., 9, Dnipro, 49044

References

Volosovets OP, Vasylyeva NA, Dnistryan SS, et al. [Еpidemy of flu in 2009 in western region of Ukraine: age aspects, etiologic structure. Infection disease]. 2009;4:28-33. Ukainian.

DOI: https://doi.org/10.11603/1681-2727.2009.4.828.

Maidannyk VG, Yemchynska EA. [Clinical guidelines for the diagnosis and treatment of community-acquired pneumonia in children from the standpoint of evidence-based medicine]. Kyiv; 2014;43. Ukrainian.

[Providing medical care to children aged 0-17 in health care facilities under the management of the Ministry of Health of Ukraine: statistical and analytical guide 1996-2019]. editor, VM Zabolot'ko. [Internet]; 2020. Ukrainian. Available from: https://www.ukrmedstat@medstat.gov.ua

Kramariov SO, Yevtushenko VV, Vygovska OV, et al. [Features of influenza seaason 2016 in children]. Aktualna Infektologiia. 2016;1(10):209-12. Ukrainian. doi: https://doi.org/10.22141/2312-413x.1.10.2016.74550

Editor, Fulekar MH. Bioinformatics: Applications in Life and Environmental Sciences. Springer. 2009;110. doi: https://doi.org/10.1007/978-1-4020-8880-3

Harris M, Clark J, Coote N, et al. British Thoracic Society guidelines for the management of community acquired pneumonia in children: update 2011. Thorax 2011;66(Suppl 2).

doi: https://doi.org/10.1136/thoraxjnl-2011-200598

Volosovets OP, Kryvopustov SP, Volosovets TM, Abaturov OE, Kryuchko TO. Changes in health status of child population of Ukraine after Chernobyl catastrophe. Wiadomości Lekarskie 2019;LXXII(10):1974-6. doi: https://doi.org/10.36740/WLek201910123

Götzinger F, Santiago-García B, Noguera-Julián A, Lanaspa M, et al. COVID-19 in children and adolescents in Europe: a multinational, multicentre cohort study. [Internet]. Published: 2020. 25 June. doi: https://doi.org/10.1016/S2352-4642(20)30177-2

Griffin MR, Mitchel E, Moore MR, et al. Declines in pneumonia hospitalizations of children aged <2 years associated with the use of pneumococcal conjugate vaccines – Tennessee, 1998-2012. MMWR Morb Mortal Wkly Rep. 2014;63:995. PMC4860731.

Environment of Ukraine. Statistical yearbook. State Statistics Service of Ukraine. Kyiv; 2018. p. 225.

Kassebaum N, Kyu HH, et al. Global Burden of Disease Child and Adolescent Health Collaboration, Child and Adolescent Health From 1990 to 2015: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2015 Study. JAMA Pediatr. 2017;171:573. doi: https://doi.org/10.1001/jamapediatrics.2017.0250

McAllister DA, Liu L, Shi T, et al. Global, regional, and national estimates of pneumonia morbidity and mortality in children younger than 5 years between 2000 and 2015: a systematic analysis. Lancet Glob Health. 2019;7:e47. doi: https://doi.org/10.1016/S2214-109X(18)30408-X

Matthew S. Kelly and Thomas J. Sandora Chapter 428 Community-Acquired Pneumonia in Kliegman, R. Nelson textbook of pediatrics, Edition 21. Philadelphia, PA: Elsevier; 2020;2266-74.