Niger J Paed 2013; 40 (4): 438  
Letter to the Editor  
Mothers and childhood pneumonia? (Niger J Paed 2013; 40(1): 24-29).  
Dear Editor-in-Chief,  
interpretation of data represent an important function  
even if the authors did not participate in the conceptuali-  
zation of the research work.  
I have a few comments on the article "Mothers and  
childhood pneumonia: what should the focus of public  
campaigns be?"(Niger J Paed 2013; 40(1): 24-29).  
We agree with the reader that antibiotic use in pneumo-  
nia benefits only the child with bacterial pneumonia.  
However for public campaign as part of strategies to  
reduce deaths from pneumonia administration of antibi-  
otics to children with pneumonia is advocated. This is  
the message that is passed to healthcare workers who  
provide care for children with pneumonia, the majority  
of whom are not paediatricians; this is the message in  
the case management of pneumonia by the World Health  
Organization (the Integrated Management of Childhood  
Illnesses)  
Twelve authors from different institutions are listed but  
only three are truly accounted for under authors' contri-  
bution. "All authors except ECI and BMR conceived the  
study” needs to be expatiated.  
It is important to clarify: 1) that administration of antibi-  
otic is beneficial only in children with bacterial pneumo-  
nia, 2) cold refers to cold weather and not upper respira-  
tory tract infection.  
As highlighted by the reader the cold in the article refers  
to cold air or cold weather and not upper respiratory  
tract infections. This distinction is evident in all aspects  
of the article and does not create room for ambiguity.  
Muri B Abdurrahman  
Email : pediatricgroup@sympatico.ca  
Reply  
Reference  
We acknowledge the comments raised by one of the  
readers of the Journal, namely that only three of the  
listed authors truly qualified as authors; that antibiotics  
administration is only beneficial in children with bacte-  
rial pneumonia and that cold refers to cold weather and  
not to upper respiratory tract infections.  
We wish to refer the reader to the conditions for author-  
ship as defined by the International Committee of Medi-  
cal Editors which states that ‘Authorship credit should  
be based on 1) substantial contributions to conception  
and design, acquisition of data, or analysis and interpre-  
tation of data; 2) drafting the article or revising it criti-  
cally for important intellectual content; and 3) final ap-  
proval of the version to be published. Authors should  
meet conditions 1, 2, and 3’. The operational word in the  
first criterion is ‘or’. Data collection or analysis and  
1. Uniform Requirements for Manuscripts Submitted  
to Biomedical Journals: Ethical Considerations in  
the Conduct and Reporting of Research: Authorship  
and Contributorship. Accessed at http://  
www.icmje.org/ethical on 12th June, 2013.  
2. WHO. Integrated management of childhood illness  
chart booklet. 2005.  
3. WHO. Management of the child with a serious in-  
fection or severe malnutrition. Guidelines for care at  
first-referral level in developing countries. WHO:  
Geneva 2000.  
Ekanem Ekure  
Email: ekaekure@hotmail.com