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. 2014 Dec 10;14:635. doi: 10.1186/s12879-014-0635-8

Table 2.

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

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