Is there an association between wheezing and pneumonia?

Allergol Immunopathol (Madr). Jan-Feb 2010;38(1):4-7. doi: 10.1016/j.aller.2009.07.004. Epub 2009 Oct 21.

Abstract

Objective: The aim of this study was to investigate whether there is a relationship in school aged children between wheezing and pneumonia prior, during, or following the pneumonia episode.

Patients-methods: One hundred and three children with community acquired pneumonia who were hospitalised were recruited along with 55 controls.

Results: During hospitalisation wheezing was audible in 11/103 (10.6%) patients with pneumonia and in none of the controls (p=0.009). Wheezing ever or asthma was elicited in 29/103(28%) patients with pneumonia and in 8/55 (14.5%) of the controls and this difference was not significant. Two years after the hospitalisation with pneumonia, wheezing episodes occurred in 12/103 with pneumonia and 1/55 of the controls (p=0.034). Among those who developed asthma following pneumonia 11/12 also had wheezing prior to pneumonia.

Conclusion: There is an excess of wheezing prior, during, and after an episode of pneumonia in school aged children and therefore children with pneumonia should be followed up carefully.

MeSH terms

  • Asthma / complications
  • Asthma / epidemiology
  • Child
  • Child, Preschool
  • Cohort Studies
  • Community-Acquired Infections / complications*
  • Community-Acquired Infections / epidemiology
  • Comorbidity
  • Female
  • Follow-Up Studies
  • Greece / epidemiology
  • Hospitalization
  • Humans
  • Infant
  • Male
  • Pneumonia / blood
  • Pneumonia / complications*
  • Pneumonia / diagnostic imaging
  • Pneumonia / epidemiology
  • Pneumonia / physiopathology
  • Prevalence
  • Radiography
  • Respiratory Sounds / etiology*
  • Risk Factors
  • Single-Blind Method
  • Socioeconomic Factors
  • Surveys and Questionnaires