Dhaka Shishu (Children) Hospital Journal最新文献

{"title":"Etiology and Clinical Profile of Chronic Cough in Children","authors":"M. M. Hossain, Md Shakibur Rahman, P. Sarkar, -. Md Kamrunzzaman, Md. jahangir Alam","doi":"10.3329/dshj.v35i1.51709","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51709","url":null,"abstract":"Background: Cough in children is one of the most common presenting symptoms to pediatricians. Acute cough lasts less than 3 weeks, subacute 3-8 weeks and chronic cough more than 8 weeks. \u0000Objectives: To find out the etiology and clinical profile of chronic cough in pediatric age group. \u0000Methods: This descriptive type of cross-sectional study was carried out in the Department of Respiratory Medicine at Dhaka Shishu Hospital, Dhaka, Bangladesh from September 2017 to August 2018 for a period of one year. Purposive sampling technique was used to select the patients. Patients with the age 6 month to 12 years who were suffering from chronic cough for more than 8 weeks were included as study population. \u0000Results: Family history of asthma was found in 36(72.0%) cases. Common clinical factors like allergic rhinitis, eczema, allergic conjunctivitis, trigger agent were found in 28(56.0%), 9(18.0%), 2(4.0%) and 50(100.0%) cases respectively. \u0000Conclusion: Family history of asthma was found in majority cases of chronic cough. Allergic rhinitis, eczema, allergic conjunctivitis and trigger agent were common clinical factors associated with chronic cough patients. \u0000DS (Child) H J 2019; 35(1) : 33-36","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"171 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134104983","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 Pattern of Pediatric Tuberculosis in a Tertiary Care Hospital in Bangladesh","authors":"M. R. Ahsan, M. Hussain, Sabrina Makbul, P. Sarkar, Abm Mahfuj Hasan Al Mamun","doi":"10.3329/dshj.v35i1.51702","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51702","url":null,"abstract":"Background: Pediatric tuberculosis (TB) contribute a significant proportion of the TB burden in Bangladesh yet little is known about the clinical characteristics of this childhood TB which remains unclear. \u0000Objectives: This study of paediatric TB is designed to evaluate the clinical profile of childhood TB to determine the various clinical presentation of various type of childhood TB among the patients admitted in Dhaka Shishu(Children) Hospital. \u0000Methods: This is a cross-sectional retrospective study, we reviewed all case file of TB patients from January to June 2018 in the Division of Pediatrics medicine of Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh. \u0000Results: Among 51cases of tuberculosis most cases presented in the age between 1 to 5 years 21(41.18%), 7(13.73%) were within 1 year, 17(33.33%) were 6 to 10 years, 6(11.76%) were above 10 years of age. Most of them were male 27(52.94%) and 24(47.06%) were female. Maximum cases presented with symptoms of Fever 48(94.12%), Cough (84.31%), Vomiting 25(49.02%), Cold 36(70.59%), abdominal pain (18.8%), Breathlessness 12(23.53%), Convulsion 6(11.76%), lymphadenopathy 5 (16.13%), Swelling 4(7.84%) and Skin lesion 1(1.96%). Finally among all Tuberculosis cases most of them were Pulmonary TB 32(62.76%) and other forms of TB were abdominal TB 6(11.76%), CNS TB 5(9.80%), TB lymphadenitis 3(5.88%), miliary TB 2(3.92%), Disseminated TB 2(3.92%) and Tubercular abscess 1(1.96%). \u0000Conclusion: In this study pulmonary tuberculosis patients are more commonly found than extra-pulmonary tuberculosis in pediatric age group. \u0000DS (Child) H J 2019; 35(1) : 9-13","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116508993","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":"Drug Resistant Tuberculosis","authors":"M. Alam","doi":"10.3329/dshj.v35i1.51700","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51700","url":null,"abstract":"Abstract not available \u0000DS (Child) H J 2019; 35(1) : 1-4","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128449685","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":"Developmental Dysgraphia in a 6-Year Old Boy: A Case Report","authors":"F. Ferdous, M. Alam, Mathur Mohit, Hafizur Rahman Chowdhury, H. Ahmed, Mashukur Rahman Chisty, A. Azam","doi":"10.3329/dshj.v35i1.51720","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51720","url":null,"abstract":"Abstract not available \u0000DS (Child) H J 2019; 35(1) : 77-79","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125596867","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":"Antibiotic Resistance among Enteric Fever Pathogens in a Tertiary Care Children Hospital of Bangladesh","authors":"Md Mizanur Rahman, A. T. Bhuiyan","doi":"10.3329/dshj.v35i1.51713","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51713","url":null,"abstract":"Background: Enteric fever, a public health problem endemic in Bangladesh involves multiple systems. Fluoroquinolones and third generation cephalosporins are first line drugs used in treatment, which has led to increased minimal inhibitory concentration (MIC) of ciprofloxacin causing therapeutic failure. In recent years using these drug some treatment failure found. \u0000Objectives: To study the antibiotic resistance among enteric fever pathogens in young children and to study the isolation rate of S. typhi and S. paratyphi among different age groups of children. \u0000Methods: A prospective study was done in Pediatric Infectious & Community Pediatrics Department of Dhaka shishu (Children) Hospital among admitted children age 1 to 15 years from January 2018 to January 2019. During this period 62 blood culture samples with growth of S.typhi & S.paratyphi were processed. The antibiotic susceptibility was done by modified Kirby disk diffusion. \u0000Results: During this 1 year from 72 admission days, 216 suspected enteric fever children admitted in Pediatric Infectious & Community Pediatric Department. Out of these 216 patients, isolation rate of enteric fever pathogens by blood cultures was 62 (28.7%). Majority of the isolates were S. typhi (75.8%) and S. paratyphi A were 24.2%. Among them 40(64.5%) isolates were from 5 to 15 years of age. Antibiotic resistance pattern was Ampicillin 37.1%, Chloramphenicol 30.64%, Co-trimoxazole 35.48%, Ceftriaxone (0%), Azithromycin (19.35%), resistance or reduced susceptibility to Ciprofloxacin was found in 77.41%, Nalidixic acid 100%, ten isolates (16.12%) were MDR. The most susceptible antibiotic was ceftriaxone while most resistant was nalidixic acid. \u0000Conclusion: The increasing numbers of enteric fever pathogens with decreasing susceptibility to ciprofloxacin and azithromycin is a concern. Increasing dependency to ceftriaxone and cefixime may cause resistance to these drugs near future. So, we can choose older drugs again in some cases. \u0000DS (Child) H J 2019; 35(1) : 55-58","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121993260","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":"Predictors of Mortality of Asphyxiated Neonates Admitted in a Tertiary Care Hospital","authors":"Mahfuza Shirin, Gazi Mohammad Imranul Haque, M. M. Hossain","doi":"10.3329/dshj.v35i1.51703","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51703","url":null,"abstract":"Introduction: Perinatal asphyxia is a severe condition with significant morbidity and mortality. It is the third leading cause of neonatal mortality in developing countries including Bangladesh. To reduce asphyxia related mortality, it is necessary to find out the responsible factors to reduce the mortality. \u0000Objectives: This study was an attempt to find out the risk factors associated with mortality due to birth asphyxia. Methods: This was a cross-sectional observational study, conducted in Department of Neonatal Medicine and NICU of Dhaka Shishu (Children) Hospital during the period of March 2016 to November 2016. Term neonates of within 24 hours of age with diagnosis of perinatal asphyxia were enrolled in this study. Demographic, intrapartum, clinical and laboratory data were recorded. The immediate outcome in terms of expired or survived were also recorded. Statistical analysis was done by SPSS 25 programme. Bivariate and multivariate analyses have been done to find out the associations of risk factors with mortality. P value, <0.05 was taken as statistically significant. \u0000Results: A total of 224 asphyxiated term neonates with a mean age of 12.64±6.82 hours were studied. Mean admission weight was 2677.01±407.71gm with male to female ratio of 1.4:1. Among them 51 (22.8%) were expired. In Bivariate analysis, home trial before hospital delivery, obstructed labour, respiratory distress, unconsciousness, abnormal muscle tone, hypothermia, prolonged CRT, SpO2 <90%, hypoglycemia, and metabolic acidosis at the time of admission were significantly associated with mortality (p<0.05). It was found, home trial before hospital delivery (p=0.009, OR 4.023, 95% CI 1.424-11.366), unconsciousness (p=0.002, OR 4.811, 95% CI 1.773-13.148), hypothermia (p=0.001, OR 4.942, 95% CI 1.858-13.148), prolonged CRT (p=0.009, OR 3.651, 95% CI 1.384-9.630) and metabolic acidosis (p=0.018, OR 3.551, 95% CI 1.243-10.141) at the time of admission were independently affecting the mortality of asphyxiated neonates. \u0000Conclusion: This study found that the predictors of mortality of neonates with perinatal asphyxia were home trial before hospital delivery, unconsciousness, hypothermia, prolonged CRT and metabolic acidosis at the time of admission. \u0000DS (Child) H J 2019; 35(1) : 14-21","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122262337","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":"Sociodemographic Profile and Comorbidities of Children with Epilepsy Attending in Child Development Centre (CDC) of Dhaka Shishu Hospital","authors":"H. Quaderi, Shaoli Sharker, S. I. Kanta, M. Mahbub","doi":"10.3329/dshj.v35i1.51712","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51712","url":null,"abstract":"Background: Epilepsy is the most common conditions encountered in most paediatric neurology clinics in many parts of the developing world. It is important to understand the sociodemographic profile of children with epilepsy and also to recognize the comorbidities associated with themfor planning management and developing wider services within the country. \u0000Objectives: The present study aimed at understanding the socio-demographic profileand comorbidities of children with epilepsy, seeking treatment at a tertiary care hospital in Bangladesh. \u0000Methods: This retrospective observational study was conducted in an epilepsy clinic of Paediatric Neuroscience Department of Dhaka Shishu Hospital (DSH) over a period of 3 years from January 2013 to December 2015. During this period 1 year follow up record of each patient was analysed. Information on biodemographic data, clinical and developmental assesment made by a multidysciplinary team was analysed. \u0000Results: A total 120 children who had epilepsy were included in this study.The median age at presentation was 2.4 years. Male were 69(58%) and female were 51(42%). Most of the children came from rural area (58%, n=70). Middle income families were over presented (58%). 82% had a history of perinatal asphyxia. Motor, speech impairment and malnutrition were found more who had H/O perinatal asphyxia (P value 0.002,0.005 and 0.03 respectively. \u0000Conclusion:In conclusion, epilepsy is one of the commonest neurological morbidity in our environment. This study has provided important information about sociodemographic profile and associated comorbidities in children with epilepsy. This information can be used as a guideline for developing services for children with epilepsy and in prevention of some detectable causes in our countries like birth asphyxia which is found large number in this study. \u0000DS (Child) H J 2019; 35(1) : 48-54","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131554130","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":"Abstracts from current literature Vol 35(1)","authors":"The Editor","doi":"10.3329/dshj.v35i1.51721","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51721","url":null,"abstract":"Abstract not available \u0000DS (Child) H J 2019; 35(1) : 80-82","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125400273","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":"Efficacy of Methylprednisolone and Lignocaine on Propofol Injection Pain in Pediatric Surgical Patients: A Randomized Clinical Trial","authors":"M. Islam, I. Jahan","doi":"10.3329/dshj.v35i1.51714","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51714","url":null,"abstract":"Background: Mild to severe pain or discomfort on injection of propofol used for the induction of anaesthesia is often observed in pediatric population. \u0000Objectives: This study was designed to compare the efficacy of methylprednisolone and lignocaine in reducing the pain of propofol injection in patients scheduled for pediatric surgery. \u0000Methods: Total 135 children scheduled for elective surgery were divided into three groups: saline (group S, n=45), lignocaine 20 mg (Group L, n=45) and methylprednisolone 125 mg diluted into 2 ml of distilled water (Group MP, n=45). Drugs were administered after tourniquet application and occlusion was released after 1 min and 25% of the total dose of propofol (2 mg/kg) was administered at the rate of 0.5 ml/s. Pain on propofol injection was evaluated by four-point verbal rating scale. Data were analyzed by using SPSS version 21. \u0000Results: The overall incidence of pain was 65.9% in the saline group, 23.8% in the lignocaine group and 30.5% in the methylprednisolone group. Intensity of pain was significantly less in patients receiving methylprednisolone and lignocaine than those receiving saline (p< 0.05). \u0000Conclusion: Pre-treatment with intravenous methylprednisolone was found to be as effective as lignocaine in reducing propofol injection-induced pain. \u0000DS (Child) H J 2019; 35(1) : 59-62","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"26 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116519367","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":"Detection of LBW Newborn by Measuring Chest Circumference","authors":"M. J. Uddin, M. Hoque, Sahifa Nazia, A. Chowdhury, M. Khanam","doi":"10.3329/dshj.v35i1.51704","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51704","url":null,"abstract":"Background: Birth weight is the most sensitive and reliable indicator of child survival and the health of the community. Anthropometric measurements have been proposed as surrogate for birth-weight. These include the chest, head and mid upper arm circumferences of the newborn. In most studies done so far chest circumference has the highest sensitivity followed by head circumference, mid upper arm circumference (MUAC) and foot length to identify LBW newborn . Chest and Head circumference is used to identify LBW newborn in developing country. \u0000Objectives: Detection of LBW newborn by measuring chest circumference. \u0000Methods: Two hundred term and preterm newborns were taken. All measurements were taken within 0-48 hours of delivery. Babies were weighed naked by electronic weighing scale (Tronix pediatrics weighing scale- 4800) to the nearest 20 gm. Chest circumference were measured at the level of nipple at the end phase of expiration with the help of a flexible non-stretchable tape to the nearest of 0.1 cm. The best cutoff point of chest circumference for detecting low-birth-weight <30.5 cm at low risk (who are low birth weight) and lower cut-off points of <29.5 cm at higher risk (who are very low birth weight) were taken as working definition. Results: This study showed the prevalence of low birth-weight was 65% and the mean birth weight was 2478±700 gm. This study also showed that 39.5% percent were term babies. Chest circumference has significant correlation with birth weight (r-0.765). It is also observed that newborns with chest circumference <30.5 cm the chance of low birth weight is 96.2% and when chest circumference will be >30.5 cm 92.6% of them will not be low birth weight. \u0000Conclusion: This study showed that in absence of a weighing scale, simple measurement like chest circumference may be the best indicator to identify newborns with low birth weight (<2500 gm). Chest circumference has significant correlation with birth weight and it is an indicator to identify LBW neonates. \u0000DS (Child) H J 2019; 35(1) : 22-26","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131493176","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}