International Journal of Contemporary Pediatrics最新文献_第8页

Prevalence and risk factors of hearing loss in high-risk neonates at a tertiary care hospital in Mumbai 孟买一家三级医院高危新生儿听力损失的发生率和风险因素

International Journal of Contemporary Pediatrics Pub Date : 2023-12-28 DOI: 10.18203/2349-3291.ijcp20233960

Monalisa Pradhan, B. Bhaisara, S. Shinde

{"title":"Prevalence and risk factors of hearing loss in high-risk neonates at a tertiary care hospital in Mumbai","authors":"Monalisa Pradhan, B. Bhaisara, S. Shinde","doi":"10.18203/2349-3291.ijcp20233960","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233960","url":null,"abstract":"Background: The present study was conducted to assess the prevalence of hearing loss using measurements of otoacoustic emission (OAE) in newborns admitted to NICU and to determine the risk factors predictive of hearing impairment in these newborns. Methods: This was a Prospective observational study conducted among 220 newborns admitted to the NICU over 18 months. Ethical clearance was obtained from the IEC. The sample size was obtained by the universal sampling technique. All candidates underwent hearing assessment in a sound-treated room in the department using a distortion product OAEs (DPOAE) test at the time of discharge. Babies who did not pass the initial screening underwent another OAE test within one month after being discharged. If they failed the test again, they were referred to an otologist for BERA. Results: Of the 226 neonates included in the study, 40 cases (17.7%) failed the initial screening. 29 cases (12.8%) failed the second OAE screening and were subjected to BERA. Risk factors included asphyxia (p≤0.001), mechanical ventilation (p<0.0004), history of ototoxic medication (p=0.004), neonates with hyperbilirubinemia requiring exchange transfusion (p=0.005), low Apgar scores (p≤0.001). Conclusions: A two-stage OAE hearing screening can be a suitable method for early detection of hearing impairment in newborns. This method has shown high prevalence of hearing loss among high-risk neonates but needs to be confirmed with diagnostic BERA. It is crucial to have universal hearing screening to detect the large number of hearing-impaired neonates in the newborn population of our country, including those who are not considered at risk.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"346 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139148937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pattern of transcatheter interventional procedure have done in Cath lab and their immediate outcome: one year experience at Bangladesh Shishu hospital and institute 孟加拉 Shishu 医院和研究所一年来在阴道实验室进行的经导管介入手术模式及其即时结果

International Journal of Contemporary Pediatrics Pub Date : 2023-12-28 DOI: 10.18203/2349-3291.ijcp20233954

M. A. S. Munsi, Maher Akther, M. K. E. S. Khan, Chandan Saha

{"title":"Pattern of transcatheter interventional procedure have done in Cath lab and their immediate outcome: one year experience at Bangladesh Shishu hospital and institute","authors":"M. A. S. Munsi, Maher Akther, M. K. E. S. Khan, Chandan Saha","doi":"10.18203/2349-3291.ijcp20233954","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233954","url":null,"abstract":"Background: Congenital heart disease (CHD) is defined by structural and functional malformations of the heart. If CHD not managed through appropriate interventions, it affects quality of life of the individual and potential premature death. Objectives were assessing the frequency and pattern of interventional procedure done in Cath lab of paediatric cardiology department, Bangladesh Shishu Hospital and Institute and their immediate outcome. Methods: It was a cross sectional retrospective study. Total 56 patients of ventricular septal defect (VSD), atrial septal defect (ASD), patent ductus arteriosus (PDA), pulmonary stenosis (PS), aortic stenosis (AS), coarctation of aorta, pulmonary atresia, TGA from January 2019 to December 2019 who underwent trans-catheter interventional procedure by author at Cath lab of paediatric cardiology department, Bangladesh Shishu Hospital and Institute were enrolled in this study. Results: Among 56 patients, PDA device closure done in 19, balloon pulmonary valvuloplasty (BPV) in 13 patients, device closure of ASD in 3 patients, device closure of VSD in 2 patients and balloon aortic valvuloplasty (BAV) in 1 patient. Two patients died; one is pulmonary atresia with PDA dependent pulmonary circulation following ductal stenting another is d-TGA intact IVS with PFO following BAS. One PDA device embolized and retrieved surgically from main and right pulmonary artery. Mean fluoroscopy time=17.29 and mean total procedure time=38.52 min. Conclusions: Trans-catheter interventional procedure for PS, coarctation of aorta, PDA, ASD, VSD, AS, d-TGA, Pulmonary atresia is a safe and some procedure such as BAS for d- TGA, BPV for critical PS, Ductal stenting for pulmonary atresia, Balloon angioplasty for severe coarctation of aorta with LV dysfunction is lifesaving with a low adverse event rate.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"341 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139149004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of persistent left superior vena cava: an anatomical rarity with clinical implications 一例持续存在的左上腔静脉：解剖学上的罕见病例与临床意义

International Journal of Contemporary Pediatrics Pub Date : 2023-12-28 DOI: 10.18203/2349-3291.ijcp20233963

Pawan Saraswat, R. Prasad, Ankur Singh, Sandeep Kumar Baranwal, Nitish Kumar, Abhishek Abhinay

引用次数: 0

Recurrent abdominal pain in children: a review 儿童反复腹痛：综述

International Journal of Contemporary Pediatrics Pub Date : 2023-12-28 DOI: 10.18203/2349-3291.ijcp20233965

Manisha Verma, Rajeev Verma

引用次数: 0

Phlebotomy loss in sick newborns admitted in neonatal intensive care unit 新生儿重症监护室患病新生儿的抽血损失

International Journal of Contemporary Pediatrics Pub Date : 2023-12-28 DOI: 10.18203/2349-3291.ijcp20233969

Neha Tyagi, R. Rai, Dharmendra Kumar Singh, B. Bhakhri

引用次数: 0

Neutrophil lymphocyte ratio and platelet lymphocyte ratio as a marker for disease severity in children with COVID-19 中性粒细胞淋巴细胞比值和血小板淋巴细胞比值作为 COVID-19 儿童疾病严重程度的标志物

International Journal of Contemporary Pediatrics Pub Date : 2023-12-28 DOI: 10.18203/2349-3291.ijcp20233953

Attia Bari, Tooba Fateen, Aimen Ch

{"title":"Neutrophil lymphocyte ratio and platelet lymphocyte ratio as a marker for disease severity in children with COVID-19","authors":"Attia Bari, Tooba Fateen, Aimen Ch","doi":"10.18203/2349-3291.ijcp20233953","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233953","url":null,"abstract":"Background: It had been observed that there is relationship of neutrophil lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) with disease severity in children with COVID-19 and post-COVID, multisystem inflammatory disease in children (MIS-C). Study conducted to determine NLR and PLR correlation with this disease severity. Methods: Prospective descriptive analytical study conducted at the children’s hospital and university of child health sciences, Lahore. Consecutive confirmed cases of COVID-19 infection and post-COVID, MIS-C diagnosed on the basis of RT-PCR from nasopharyngeal swab and antibody test admitted from March 2020 to October 2021 were included through consecutive sampling. Complete blood (CBC) was done and NLR and PLR was determined Results: Majority 198 (74.2%) of the 267 patients had a diagnosis of COVID-19 and 69 (25.8%) were post-COVID MIS-C. There was a male preponderance 177 (66.3%) and the mean age was 6.1±4.7 years (95% CI: 5.62-6.74). Majority children had mild disease 80 (30%), 34 (12.7%) were critical and there were 37 (13.8%) deaths. Underlying comorbidity was present in 55 (20.6%). As the severity of symptoms changed from asymptomatic to severe disease, there was a significant rise of mean NLR from 1.88±1.40 to 5.47±4.77 respectively (p<0.001). PLR however, failed to show any kind of association with severity of the symptoms (p=0.922). Conclusions: NLR served as a marker of disease severity among pediatric patients suffering from COVID-19 and MIS-C. However, PLR failed to show any relation with disease severity.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interesting case of subglottic hemangioma presented with stridor 有趣的声门下血管瘤病例，伴有喘鸣

International Journal of Contemporary Pediatrics Pub Date : 2023-12-28 DOI: 10.18203/2349-3291.ijcp20233962

Bhavya Patel, B. Shah, Ashish Mehta, Abhijit Mehta, Vaidehi Shah

引用次数: 0

Clinical profile and laboratory parameters of confirmed pediatric scrub typhus cases in a tertiary health care institute 一家三级医疗机构小儿恙虫病确诊病例的临床概况和实验室参数

International Journal of Contemporary Pediatrics Pub Date : 2023-12-28 DOI: 10.18203/2349-3291.ijcp20233959

Nidhi Chadha, R. Aulakh

{"title":"Clinical profile and laboratory parameters of confirmed pediatric scrub typhus cases in a tertiary health care institute","authors":"Nidhi Chadha, R. Aulakh","doi":"10.18203/2349-3291.ijcp20233959","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233959","url":null,"abstract":"Background: Scrub typhus is one of the vector borne tropical infectious disease, caused by O. Tsutsugamushi. Because of nonspecific signs and symptoms and variable prevalence of pathognomic sign (eschar), diagnosis is very difficult in early stage. The purpose of present research was to differentiate that whether case presenting at our institution are different from previously conducted research in various regions. Methods: Hospital record of all reported cases of scrub typhus admitted to department of pediatrics at tertiary health care institute in North India over last two years (2018-2019) was retrieved and reviewed. Results: More cases were reported in male. Maximum number of cases were in 5-10 years i.e. 32 (50.0%) and only one case in less than 12 months. Maximum number cases were reported in August to October 53 (82.8%) as shown. Most common presenting complaint was fever. Most of cases reported with fever of duration of 7-14 days in (51.6%). Rash was present in 7 (10.5%) and eschar in 1 (1.5%). In lab parameters reported abnormalities severe hypoalbuminemia, hyperbilirubinemia, elevated transaminases, anemia, thrombocytopenia leucopenia and leucocytosis. Hepatitis in 48 (75%) was most common complication followed by pneumonia. Other reported complications were myocarditis, acute kidney injury, pneumonia, bleeding, meningitis, enchepalopathy , papilledema, ARDS and hemophagocytosis. Conclusions: Pediatrician should keep high index of suspicion for suspect scrub typhus in a child presents with febrile illness and early treat should be started. Hepatitis is most common complication. As Scrub typhus is associated with multisystem involvement, thorough assessment of patient should be done to look for these complications and appropriate management of complications should be provided to prevent mortality.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"46 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kangaroo mother care verses oral sucrose for pain control in premature neonates on heel prick: a randomized control trial 袋鼠妈妈护理与口服蔗糖控制早产新生儿足跟刺痛：随机对照试验

International Journal of Contemporary Pediatrics Pub Date : 2023-12-16 DOI: 10.18203/2349-3291.ijcp20233840

Savitri G. Hugar, Kavitha Lakshmi S., Jagadish A. S., Premalatha R., R. B.

{"title":"Kangaroo mother care verses oral sucrose for pain control in premature neonates on heel prick: a randomized control trial","authors":"Savitri G. Hugar, Kavitha Lakshmi S., Jagadish A. S., Premalatha R., R. B.","doi":"10.18203/2349-3291.ijcp20233840","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233840","url":null,"abstract":"Background: Preterm Neonates receiving intensive care are subjected to multiple painful procedures as part of their intensive care management. Pain leads to abnormal neurodevelopment, so it is extremely important to treat and reduce pain. Multiple studies have shown to be beneficial in pain control. Objective was to compare the efficacy of Kangaroo Mother Care with oral sucrose for pain management in premature neonates on heel prick.\u0000Methods: A total of 100 preterm neonates (28-36 weeks) who fulfill the inclusion and exclusion criteria were recruited for the study. Randomization was done and fifty participants per study arm were randomly assigned to the KMC and oral sucrose group. Preterm babies in the KMC group were given KMC for 15 minutes uninterrupted prior to heel prick. In oral sucrose group, two minutes prior to the procedure, baby received 0.5ml of 24% oral sucrose solution by syringe onto the tongue. The remainder of the total recommended dose was given as needed in small increments during the procedure. Assessment of pain done using PIPP. The post-procedural PIPP score was compared between KMC and oral sucrose groups.\u0000Results: Analysis of 100 preterm neonates (50 KMC and 50 oral sucrose) were done. Baseline variables were mean±SD gestational age 34.25±1.42 weeks, age 7.15±4.9 days, birth weight 1.72±0.32 kg. Post procedural PIPP score was less in KMC 5.16±1.58 group compared to oral sucrose 5.48±1.81 group but could not achieve statistical significance p=0.35, 95% CI=−0.99,0.35.\u0000Conclusions: KMC and oral sucrose are equally effective for pain management in premature neonates on heel prick but KMC is considered better compared to oral sucrose.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Congenital complete heart block in a neonate-not always maternal lupus 新生儿先天性完全性心脏传导阻滞--不一定是母体狼疮

International Journal of Contemporary Pediatrics Pub Date : 2023-12-12 DOI: 10.18203/2349-3291.ijcp20233834

Sujata Sankhyan, Ashok Garg, Dinesh Bisht, Pancham Kumar, A. Sood, Sudhir Mehta

引用次数: 0