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ABSTRACT: Introduction
Vitamin D is important for its immunomodulatory role and there is an independent association between vitamin D deficiency and pneumonia. We assessed the effect of vitamin D supplementation on the outcome in children hospitalized for severe pneumonia.Methods
This was a randomised, double blinded, placebo-controlled clinical trial in children aged >2-59 months with severe pneumonia attending Dhaka Hospital, icddr,b. Children received age-specific megadose of vitamin D3 (20,000IU: <6 months, 50,000 IU: 6-12 months, 100,000 IU:13-59 months) or placebo on first day and 10,000 IU as maintenance dose for next 4 days or until discharge (if discharged earlier) along with standard therapy. This trial is registered at ClinicalTrials.gov, number NCT02185196.Findings
We enrolled 100 children in placebo group and 97 in vitamin D group. On admission, 50 (52%) and 49 (49%) of children in vitamin D and placebo groups, respectively were vitamin D deficient. Among children with a sufficient serum vitamin D level on admission, a lower trend for duration of resolution of severe pneumonia in hours [72(IQR:44-96)vs. 88(IQR:48-132);p = 0.07] and duration of hospital stay in days [4(IQR:3-5)vs.5(IQR:4-7);P = 0.09] was observed in vitamin D group compared to placebo. No beneficial effect was observed in vitamin D deficient group or irrespective of vitamin D status.Conclusion
Age-specific mega dose of vitamin D followed by a maintenance dose shown to have no statistical difference between the two intervention groups, however there was a trend of reduction of time to recovery from pneumonia and overall duration of hospital stay in under-five children with a sufficient serum vitamin D level on hospital admission.
SUBMITTER: Chowdhury F
PROVIDER: S-EPMC7894897 | biostudies-literature | 2021
REPOSITORIES: biostudies-literature
Chowdhury Fahmida F Shahid Abu Sadat Mohammad Sayeem Bin ASMSB Tabassum Mosharrat M Parvin Irin I Ghosh Probir Kumar PK Hossain Mohammad Iqbal MI Alam Nur Haque NH Faruque A S G ASG Huq Sayeeda S Shahrin Lubaba L Homaira Nusrat N Hassan Zakiul Z Akhtar Zubair Z Mah-E-Muneer S S Fuchs George J GJ Ahmed Tahmeed T Chisti Mohammod Jobayer MJ
PloS one 20210219 2
<h4>Introduction</h4>Vitamin D is important for its immunomodulatory role and there is an independent association between vitamin D deficiency and pneumonia. We assessed the effect of vitamin D supplementation on the outcome in children hospitalized for severe pneumonia.<h4>Methods</h4>This was a randomised, double blinded, placebo-controlled clinical trial in children aged >2-59 months with severe pneumonia attending Dhaka Hospital, icddr,b. Children received age-specific megadose of vitamin D3 ...[more]