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Table 2 Individual questionnaire among cases and controls in multicenter case–control study of pneumonia etiology in children

From: Multicenter case–control study protocol of pneumonia etiology in children: Global Approach to Biological Research, Infectious diseases and Epidemics in Low-income countries (GABRIEL network)

Category

Information

General

Hospital

Country

Demographic

Gender

Date of birth

Underlying diseases

Heart disease

Lung disease

 

Tuberculosis

Asthma

 

Pneumonia

HIV infection

 

Others

 

Medical history

Contact with tuberculosis

Previous influenza

 

Prior treatment with antibiotics

Prior treatment for fever

 

Date of first symptoms

 

Clinical examination at enrollment

Weight

Height

 

Arm circumference

Temperature

 

Blood pressure

Breathing rate

 

Arterial oxygen saturation

Cough

 

Dyspnea

Lower chest indrawing

 

Cyanosis

Pulmonary crackles

 

Dullness to percussion of the thorax

Rhonchi

 

Wheezing

Rasping

 

Diminished breathing sounds

Convulsions

 

Other pulmonary signs and symptoms

Rhinopharyngitis

 

Prostration or lethargy

Conjunctivitis

 

Otitis

Inability to drink

 

Skin rash

Diarrhea

 

Vomiting

Other signs

Radiological

Opacification

Abscess

findings

Interstitial syndrome

Pneumothorax

(cases only)

Alveolar infiltrate

Parenchymatous infiltrate

Vaccination (dates, number of doses)

Pneumococcal conjugate vaccine Influenza vaccine

Diphtheria, tetanus, pertussis, hepatitis B, and Haemophilus influenzae type B vaccine

During hospital stay

Antibiotics (dates, doses, duration)

Oxygen therapy

 

Other drugs

Death

 

Acute complications

Cause of death

 

Recovery