title: [A descriptive study of community-acquired pneumonia in childhood. A primary care perspective].
abstract: OBJECTIVE
  
  
  
  OBJECTIVE
  To determine the incidence of child pneumonia in our health district.
  
  
  OBJECTIVE
  to establish its clinical and epidemiological characteristics, to establish the percentage resolution of the illness within primary care (PC), to describe the treatments given, and to compare admission rates according to whether the first consultation was in PC or hospital casualty.
  
  
  METHODS
  A retrospective, longitudinal, descriptive study.
  
  
  METHODS
  Primary care.
  
  
  METHODS
  63 episodes diagnosed between 30-8-96 and 1-9-97 in 1604 children under 15.
  
  
  METHODS
  Statistical measurements included: 95% confidence intervals, the ji squared test, Fisher's exact test.
  
  
  RESULTS
  Incidence was 3.9% (CI: 3-4.9%); female predominance, 53.3% (CI: 40.7-66%); seasonal predominance, autumn-winter 64.5% (CI: 52.6-76.4%). The most common signs were: high temperature, 93.3% (CI: 87-99.6%); cough, 66.1% (CI: 54-78.2%). 90.5% (CI: 83.2-97.7%) of pneumonia cases treated in PC evolved satisfactorily. 9.5% (CI: 2.3-16.8%) needed hospital admission. Patients who attended hospital on their own initiative went into hospital more often than those who attended the PC paediatrics clinic as their first option (p = 0.002).
  
  
  CONCLUSIONS
  The incidence of pneumonia among children is lower than in other countries. The majority are treated and resolved properly in PC. Analytic studies are needed to determine whether first attending a hospital casualty department instead of a PC paediatric clinic involves a greater risk of hospital admission.
authors.affiliation: Area Básica de Salud Girona-4, Institut Català de la Salut. mrubiom@papps.org
authors.forename: J C
authors.initials: JC
authors.lastname: Buñuel Alvarez
authors.forename: C
authors.initials: C
authors.lastname: Vila Pablos
authors.forename: E
authors.initials: E
authors.lastname: Tresserras González
authors.forename: A
authors.initials: A
authors.lastname: Viñas Céspedes
authors.forename: M J
authors.initials: MJ
authors.lastname: Gelado Ferrero
authors.forename: M L
authors.initials: ML
authors.lastname: Rubio Montañés
authors.forename: C
authors.initials: C
authors.lastname: Besalú Costa
mesh_terms: D000293:Adolescent; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000453:epidemiology; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D011014:Pneumonia / Q000175:diagnosis / Q000453:epidemiology*; D011320:Primary Health Care; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology
vernacular_title: Estudio descriptivo de la neumonía adquirida en la comunidad en la edad pediátrica. Una perspectiva desde atención primaria.