Pneumonia Prevention Strategies for Children With Neurologic Impairment.

ABSTRACT:

Background

Children with neurologic impairment (NI) face high risk of recurrent severe pneumonia, with prevention strategies of unknown effectiveness. We evaluated the comparative effectiveness of secondary prevention strategies for severe pneumonia in children with NI.

Methods

We included children enrolled in California Children's Services between July 1, 2009, and June 30, 2014, with NI and 1 pneumonia hospitalization. We examined associations between subsequent pneumonia hospitalization and expert-recommended prevention strategies: dental care, oral secretion management, gastric acid suppression, gastrostomy tube placement, chest physiotherapy, outpatient antibiotics before index hospitalization, and clinic visit before or after index hospitalization. We used a 1:2 propen

SUBMITTER: Lin JL 

PROVIDER: S-EPMC9595175 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature