Mean Duration of Measles Pneumonia in Children Receiving Conventional Treatment with Zinc Supplements

Authors

  • Faryal Ali Paediatric Department, Combined Military Hospital, Peshawar, Pakistan
  • Sadaf Ibrahim Paediatric Department, Combined Military Hospital, Peshawar, Pakistan
  • Awais ul Hassan Shah Paediatric Department, Combined Military Hospital, Peshawar, Pakistan
  • Tuba Ahmed Paediatric Department, Combined Military Hospital, Peshawar, Pakistan
  • Aimen Niazi Paediatric Department, Combined Military Hospital, Peshawar, Pakistan
  • Maliha Rahman Paediatric Department, Combined Military Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i3.2575

Keywords:

Measles pneumonia, disease’s duration, conventional treatment with zinc supplement.

Abstract

Background: Measles infection causing measles pneumonia among children is severe complication and significantly contributes to higher rate of morbidity and mortality worldwide, especially in developing countries. Conventional treatment with zinc supplementation considered as adjunct therapy, potentially reducing the severity and duration of infection due to immunomodulatory properties and role in enhancing respiratory epithelial integrity. Objective: The present study aimed to assess mean duration of measles-associated pneumonia in children receiving conventional treatment supplemented with zinc. Methodology: A cross-sectional comparative study investigated 120 children diagnosed of measles-associated pneumonia in the Pediatric Department of Combined Military Hospital (CMH), Peshawar from March 2024 to December 2024. Children aged 8 months to 10 years of either gender diagnosed of measles-associated pneumonia included. All the children randomly assigned to two groups: Group-I (zinc sulphate) and Group-II (Placebo or control). On daily basis, patients were assessed for fever, tachypnea, rash, and other findings. Baseline details, disease’s duration, and hospital stay recorded on pre-designed proforma. SPSS v28 used for data analysis. Results: The overall mean age was 20.68±4.82 months (8 months to 10 years). Out of 120 children, there were 44 (36.7%) female and 76 (63.3%) male. Mean weight of the children was 9.82±1.64 Kg. The frequency of fully vaccinated, partially vaccinated, and unvaccinated were 16 (13.3%), 28 (23.3%), and 76 (63.3%), respectively. Mean duration of hospital stay was 3.26±1.2 days (1-12 days). The mean duration of measles-associated pneumonia in Group-I (zinc supplement) and Group-II (placebo) was 4.89 ± 0.43 days and 6.56 ± 0.56 days, respectively. Conclusion: The present study found that administration of oral zinc during pneumonia significantly improves outcomes by shortening the duration of the disease. A prior history of measles vaccination was associated with better clinical outcomes in affected children.

Downloads

Download data is not yet available.

References

1. Savarino G, Corsello A, Corsello G. Macronutrient balance and micronutrient amounts through growth and development. Ital J Pediatr 2021;47(1):109.

https://doi.org/10.1186/s13052-021-01061-0

2. Cuevas LE, Koyanagi A. Zinc and infection: a review. Ann Trop Paediatr 2005;25(3):149–60.

https://doi.org/10.1179/146532805x58076

3. Seither R, Yusuf OB, Dramann D, Calhoun K, Mugerwa-Kasujja A, Knighton CL, et al. Coverage with selected vaccines and exemption rates among children in kindergarten—United States, 2023-24 school year. MMWR Morb Mortal Wkly Rep 2024;73(41):925–32.

https://doi.org/10.15585/mmwr.mm7341a3

4. Mere MO, Goodson JL, Chandio AK, Rana MS, Hasan Q, Teleb N, et al. Progress toward measles elimination —Pakistan, 2000–2018. MMWR Morb Mortal Wkly Rep 2019;68(22):505–10.

https://doi.org/10.15585/mmwr.mm6822a4

5. Namugga B, Malande O, Kitonsa J, Manirakiza L, Banura C, Mupere E. The immediate treatment outcomes and cost estimate for managing clinical measles in children admitted at Mulago Hospital: A retrospective cohort study. PLOS Glob Public Health 2023;3(7):e0001523

https://doi.org/10.1371/journal.pgph.0001523

6. Mazari MA, Ishfaq M, Aleem MA, Jameel N. Comparison of mean duration of pneumonia in children receiving conventional treatment with and without zinc supplementation. JSZMC 2018;9(3): 1483 -1383.

7. Celiloğlu C, Tolunay O, Çelik Ü. Evaluation of pediatric measles cases hospitalized in 2019. Turk Arch Pediatr 2021;56(4):328–31.

https://doi.org/10.5152/turkarchpediatr.2021.20216

8. Awotiwon AA, Oduwole O, Sinha A, Okwundu CI. Zinc supplementation for the treatment of measles in children. Cochrane Database Syst Rev 2017;6(6):CD011177

https://doi.org/10.1002/14651858.cd011177.pub2

9. Naseer A, Saeed F, Aamer F. Role of Zinc Supplementation in Treating Measles Pnemonia in Children. Esculapio - JSIMS [Internet]. 2023 Jul. 30 [cited 2025 Sep. 12];13(2):61-4.

https://esculapio.pk/journal/index.php/journal-files/article/view/570.

10. Singh AK, Sultan MA. Comparing the Effect of Zinc Supplementation as Adjunct to the Conventional Therapy and Placebo on Morbidity in Children with Pneumonia between Ages 1 Year to 5 Years. J Pediatr Care 2017;3:3

https://doi.org/10.21767/2471-805x.100032].

11. hehzad N, Anwar AI, Muqaddas T. Zinc supple-mentation for the treatment of severe pneumoniain hospitalized children: A randomized controlled trial. Sudan J Pediatr2015;15(1):37-41. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949856/pdf/sjp-15-37.pdf.

12. Ayub MR, Rashid N, Akbar N. Role of zinc supplementation in treatment of pneumonia. Pakistan Journal of Medical & Health Sciences 2015;9(3):1110-12.

https://www.researchgate.net/publication/298640859

13. Brown N, Kukka AJ, Mårtensson A. Efficacy of zinc as adjunctive pneumonia treatment in children aged 2 to 60 months in low-income and middle-income countries: a systematic review and meta-analysis. BMJ Paediatr Open. 2020;4(1):1-8.

]https://doi.org/10.1136/bmjpo-2020-000662

14. Wang L, Song Y. Efficacy of zinc given as an adjunct to the treatment of severe pneumonia: Ameta analysis of randomized, double blind and placebo controlled trials. Clin Respir J. 2018; 12(3):857-64.

https://doi.org/10.1111/crj.12646

15. Baruah A, Saikia H. Effect of Zinc Supplementation in Children with Severe Pneumonia: A Randomized Controlled Study. J Clin Diagn Res.2018;12(11):SC08-11.

https://doi.org/10.7860/jcdr/2018/37215.12277

16. Howie S, Bottomley C, Chimah O, Ideh R, EbrukeB, Okomo U, et al. Zinc as an adjunct therapy in the management of severe pneumonia among Gambian children: randomized controlled trial. J Glob Health. 2018;8(1):1-12.

https://doi.org/10.7189/jogh.08.010418.

17. Atta A, Aftab A, Shafqat A, Yousuf MH, Ahmed A, Pirzada H, Khalid H, Hastings NE, Yousuf Jr MH, Ahmed Sr A, Hastings N. Investigating the Efficacy of Zinc and Vitamin A in Treating Pediatric Community-Acquired Pneumonia. Cureus. 2024 Jan 13;16(1).

https://doi.org/10.7759/cureus.52197

18. Siddiqui S, Shaikh JA, Zafar F, Gul U, Iqbal N, Iqbal M. Effect Of Zinc As A Supplement On Duration Of Hospitalization In Children Suffering With Severe Pneumonia 2 Months To 5 Years Of Age.

19. Perret C, Le Corre N, Castro-Rodriguez JA. Emergent pneumonia in children. Frontiers in Pediatrics. 2021 Jun 17; 9:676296.

https://doi.org/10.3389/fped.2021.676296

20. Elmatbagy MD, Farahat TM, Hegazy NN, Barakat AM, Khattab AA. The effect of zinc as an adjuvant therapy on pneumonia in hospitalized children. The Egyptian Family Medicine Journal.2024;8(1):59-75.

https://doi.org/10.21608/EFMJ.2024.239863.1117

21. Hashmi MB, Ullah K, Imran A, Shabbir S, Khan I. The efficacy of zinc as an adjuvant therapy in the treatment of severe pneumonia in children between 2 months to 2 years of age. The Professional Medical Journal 2022;29(7):1028-34.

https://doi.org/10.29309/TPMJ/2022.29.07.6545.

Downloads

Published

2025-03-30

How to Cite

Ali, F., Ibrahim, S., Shah, A. ul H., Ahmed, T., Niazi, A., & Rahman, M. (2025). Mean Duration of Measles Pneumonia in Children Receiving Conventional Treatment with Zinc Supplements. Indus Journal of Bioscience Research, 3(3), 885-888. https://doi.org/10.70749/ijbr.v3i3.2575