International Journal of Paediatrics and Geriatrics最新文献

{"title":"To study the incidence of intraventricular Hemorrhage in preterm neonates","authors":"Dr. Ankita Thakur, Dr. Kirandeep Sodhi, Dr. SK Meghana, Dr. Nidhi Chadha","doi":"10.33545/26643685.2023.v6.i1a.193","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.193","url":null,"abstract":"Introduction: Intraventricular Haemorrhage is the most common forms of brain injury in preterm neonates 1 , more commonly seen in the smallest and most preterm neonates contributing to mortality, morbidity during the time of stay in hospital. IVH among VLBW is common with the incidence of around 20-25% out of which around 2/3 rd are mild to moderate in severity with [grade 1-2]. Objective: To study the incidence of intraventricular hemorrhage in preterm neonates. Methods: This is a hospital based, prospective, observational study. Total 100 inborn preterm neonates fulfilling the inclusion criteria were screened for IVH using USG cranium as modality of choice. Results: Distribution of study subjects as per IVH on USG showed 86% of the preterm neonates did not have Intra ventricular hemorrhage while the rest 14% had Intra ventricular Hemorrhage (IVH). Among those 14 neonates who had IVH, 11 neonates (78.6%) had Grade – I IVH and the remaining 21.4% had Grade – II IVH. Conclusion: On the basis of our present study the prevalence of IVH among preterm neonates in the present study was high (14%). Majority of them had grade I IVH. It was particularly high among those of gestational age ≥ 30 weeks. Apnea has a significant association with presence of IVH.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131482420","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}

{"title":"Study of ‘Fever without source’ in Infants and young children","authors":"Dr. Syed Aafaq Zishan Abid, S. Kumbhar, Kishan G. Takrani, Arshi Ishteyaq","doi":"10.33545/26643685.2023.v6.i1a.191","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.191","url":null,"abstract":"Background: Fever is one of the most common as well as trouble some manifestation in paediatric practice, both for paediatricians and parents. It is a simply noted an good marker of illness. Fever could be benign presentation of simple viral infection or it can be a presentation of life threating bacterial infection like sepsis and pyogenic meningitis. It is a common, terrifying, physiologic response that has been the source of biggest complaint throughout the history of paediatric practice. Methods: Analytical Cross-sectional Study. Results: In present study, 60 cases were included. Age group between 1-3 months was 3.3% (n=2) of the patients, 4-36 months was 31.6% (n=19) of the patients and 37-60 months was 65% (n=39) of the patients. Female n=31 more than male n=29. Final diagnosis was of UTI in 11.6% (n=7) of the cases taken in the study. Sepsis was diagnosed in 10% (n=6), Rickettsial Fever was diagnosed in 13.3% (n=8), Typhoid fever was diagnosed in 11.6% (n=7), Dengue was diagnosed in 3.3% (n=2) and Kawasaki’s disease was diagnosed in 5% (n=3) of the patients. Rest 45% (n=27) of the patients where cause was unknown. Conclusion: UTI, Rickettsial infection and Enteric fever were among common cause of Fever without source. “Fever without source’ pose a diagnostic dilemma and require detail evaluation to detect underlying etiology of infection, Systemic illness or Occult bacteremia. Majority of the patients no etiology was found in our study, Inspite of thorough investigation.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114054861","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}

{"title":"Nasal colonazation in relatively healthy children by clinical examination in Al-Zahraa teaching hospital in Al-Najaf City","authors":"Dr. Teba Kasim Mohamed, Dr. Firas Salam Fakhri, Faris M. Al-haris","doi":"10.33545/26643685.2023.v6.i1a.196","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.196","url":null,"abstract":"Background: Nasal colonization by bacterial pathogens is linked to the risk of invasive infections, which are a leading cause of mortality in children globally. While viruses are the primary cause of respiratory tract infections (RTIs), bacteria contribute to localized infections such as sinusitis, pneumonia, and meningitis. Most colonization remains asymptomatic but can become invasive in vulnerable hosts. Study Objective: The goal of this study was to screen for asymptomatic nasal colonization by potential bacterial pathogens and analyze the correlation between carriage rate and various socio-demographic factors. Patients and Method: This cross-sectional study involved healthy children to examine nasal carriage of bacterial pathogens. The study was conducted at the laboratory unit in Al-Zahra Teaching Hospital for Maternity and Children in Al Najaf city, Iraq, from January to October 2016. Nasal swabs were tested for five prevalent bacterial pathogens: Streptococcus pneumoniae, Haemophilus influenzae, Haemophilus parainfluenzae, Moraxella catarrhalis, and Staphylococcus aureus. A total of 100 healthy children (1-< 12 years old) were included, and bacteria were identified using standard techniques. Results: The overall carriage rate of nasal pathogens was 33%, with Streptococcus pneumoniae and Staphylococcus aureus accounting for 11% and 22%, respectively. The study found no statistically significant differences between age, gender, residency, social level, and attendance concerning the carriage of these two bacteria. Conclusions: The study revealed nasal colonization of common pathogenic bacteria, including Staphylococcus aureus and Streptococcus pneumoniae. However, no significant relationships were found between nasal swab results and age, gender, residency, social level, and attendance, as all p-values were greater than 0.05.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123915153","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}

{"title":"Clinical profile and outcome of children with diabetic ketoacidosis admitted in a tertiary care centre in kerala during the pre and post COVID period","authors":"Dr. Mathews E Kuriakose, Dr. Johny Vakayil Francis, Ditty George, Dr.A. Chandra Babu","doi":"10.33545/26643685.2023.v6.i1a.189","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.189","url":null,"abstract":"Objective: To study clinical profile and outcome of children admitted with diabetic ketoacidosis in our tertiary care centre during the pre and post covid period (Jan 2016 – Jan 2022). Materials and Methods: Hospital-based cohort study among the children admitted with DKA in the department of Paediatrics. We abstracted the data of children, satisfying the inclusion criteria as per the pre-designed proforma based on ISPAD 2018 guidelines. Participants: 46 children admitted with diagnosis of DKA during the study period, in a tertiary care centre in Kerala. Results: Total of 46 admissions with DKA including 16 readmissions in 30 children were enrolled in the study. Majority (95.65%) were Type 1 DM with mean age of 11.6 years and male to female ratio of 1.1:1. There were 11.5 admission per year after the Covid 19 outbreak, compared to 5.8 cases per year during the pre-covid period. Most of the patients (60.9%) had only a short duration of symp toms (≤ 3 days) at presentation, and vomiting was the commonest symptom (63%), followed by polyuria, polydipsia (60.9%). 47.8% patients presented with mild DKA followed by 34.8% as severe DKA and majority (60.9%) needed 4 to 7 days of hospital stay. Conclusion: DKA is a leading cause of morbidity and mortality in children with diabetes. There is a significant increase in the frequency of children getting admitted with DKA in the post Covid period which may be due to the delay in diagnosing the condition because of sedentary life style during lockdown, unhealthy eating habits and poor utilization of health care system by the public during the early surge of COVID peak.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125362950","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}

{"title":"Iron pill induced gastritis in children with iron deficiency anemia","authors":"Dr. N Bragadeeshwaran, Dr. Archana, D. Somasekar","doi":"10.33545/26643685.2022.v5.i2a.185","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i2a.185","url":null,"abstract":"Iron deficiency anemia (IDA) is the most common nutritional anemia in India, which is managed with oral supplementation of iron. Gastritis induced with these iron pills is a common complication following of oral iron (ferrous sulfate) supplementation. So proper care must be taken when iron supplementation is prescribed. When the side effects are encountered, oral iron is stopped, and treatment should be started immediately","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124592919","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}

{"title":"Factors associated with hospital mortality of children aged 1 to 60 months in Guédiawaye, Senegal","authors":"Diouf Jbn, Tall Ct, Niassy Ac, Bassolé Pr, Cissé Fz","doi":"10.33545/26643685.2022.v5.i2a.184","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i2a.184","url":null,"abstract":"To determine the characteristics of hospital morbidity and mortality in the paediatric department of the Roi Baudouin Hospital in children aged 1 to 60 months, a retrospective descriptive and analytical study from 1 January 2018 to 31 December 2021 was conducted. The in-hospital mortality rate was 0.96% and the factors associated with death were the age group 1-12 months (p<0.001 and 0R=5.33), acute malnutrition (p=0.007 and OR=3.37) and cardiac disease (p=0.017 and 0R=5.1).","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116776472","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}

{"title":"To investigate the clinico-demographic profile and risk variables linked with measles patients","authors":"Dr. Narinder Singh","doi":"10.33545/26643685.2022.v5.i2a.197","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i2a.197","url":null,"abstract":"Aim: The purpose of this study is to investigate the clinico-demographic profile and risk variables linked with measles patients. Material and Methods: This hospital-based cross-sectional study was conducted among children who presented in the Paediatric OPD over the course of a year. Children who satisfied the criteria for clinical measles as per WHO criteria i.e Fever with rash lasting at least 3 days and cough/coryza (running nose), or conjunctivitis (red eyes) were included in the study. The research comprised 240 children who presented in OPD throughout the study period. 82 of the 240 children’ were admitted in the pediatric ward had one or more complications of the measles. Results: It was found that 82 cases of clinical measles, with a frequency of 34.17%, were admitted out of a total of 240 cases. The attack rate (Table 1) was highest (71.95%) in the age range of 0 – 5 years, as is also evident from the table. Male child (43.90%) and female child (56.10%) were shown to have a little advantage. The majority of children who contracted measles were between the ages of 1 - 5 (57.32%) and 5 - 10 (21.95%), respectively. Children who live in rural slums are more likely to be attacked (79.27%). The majority of measles cases (50%) are associated with lower socioeconomic level. Only 24.39% of children with measles attacks were exclusively breastfed for initial six months according to research. In 29 instances (35.36%) the immunization status was \"complete,\" whereas 50% of the youngsters (14.63%) were only partly immunized. With the exception of 8 measles cases, all were malnourished with category II and above. Conclusion: The vast majority of the cases had been found in children who had not been vaccinated, which indicates that vaccination coverage should be increased. In addition to this, there were cases found in children who had been vaccinated, which indicates that there is a possibility of a vaccine failing in older children and the necessity of including a second dose of vaccination as quickly as possible in the immunisation programme.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124653044","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}

{"title":"An interesting case of Anti-N-Methyl-D-Aspartate receptor encephalitis","authors":"Dr. Hashma Mohammed P, Nasin Usman, S. Ramesh, S. S","doi":"10.33545/26643685.2022.v5.i2a.186","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i2a.186","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124063040","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}

{"title":"Children's hip discomfort from the uncommon etiology of van neck-odelberg illness","authors":"Dr. Satyasree Devineni, Dr. S Nagesh","doi":"10.33545/26643685.2022.v5.i2a.195","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i2a.195","url":null,"abstract":"Introduction: Pain in the pediatric pelvis is often misinterpreted as an unusual ossification pattern of the ischiopubic synchondrosis, also known as van neck-odelberg illness. The primary symptom is an odd hip discomfort in one (rarely both), which may come on suddenly or after overusing the leg. This pain may restrict mobility or cause limping. Describe the clinical and radiological features of this uncommon and sometimes misunderstood illness is the aim of our essay. Materials and Methods: These young patients are often over-studied with several unneeded instrumental examinations, such as hip ultrasounds, radiography, magnetic resonance or computer tomography scans, and other invasive procedures, due to the non-specificity of their complaints. The straightforward radiograph may detect this problem, however, particularly in males, those results are often negative due to the reproductive system's exterior protection. Non-steroidal anti-inflammatory drugs (NSAIDs) and rest from physical activity are the major treatments during the acute phase of this clinical illness, and the symptoms go away in around 1-2 weeks. In a few years, the radiological results will return to normal. Results and Conclusion: A youngster who presents to the emergency department complaining of severe hip pain is never an easy scenario. Understanding this incorrect diagnosis might help you avoid needless instrumental tests.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126665999","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}

{"title":"Abnormal gait as primary presentation of corpus callosum agenesis","authors":"Dr. Shreyansh Valjiyani, Dr. Srishti Gautam","doi":"10.33545/26643685.2022.v5.i2a.187","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i2a.187","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129159427","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}