Refine your search
Collections
Co-Authors
Journals
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Patil, Suhas
- To Study the Role of Zinc Supplementation on Growth of Low Birth Weight Infants
Abstract Views :241 |
PDF Views:93
Authors
Affiliations
1 Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
1 Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
Source
MVP Journal of Medical Sciences, Vol 1, No 1 (2014), Pagination: 25–29Abstract
This was a randomized controlled trial undertaken to study the role of zinc supplementation on growth of low birth weight infants (b.wt≤2500 gm). Out of 120 LBW infants, 23 were excluded due to loss of follow up. The remaining 97 LBW eligible neonates were randomized in to 2 group (zinc & control group), zinc group were given zinc supplementation at a dose of 2 mg/kg/day for 8 weeks from enrollment. They were then followed up every 4 weeks up to 8 weeks. At each visit, detail anthropometry including e weight, length, and head circumference were recorded at each visit. The infants in the zinc group had significantly higher weight gain (p<0.000), length gain (p<0.000), linear growth velocity and head circumference at 8 weeks. We concluded that zinc supplementation at 2 mg/kg/day for 8 weeks in LBW infants improves their growth during infancy.Keywords
LBW (Low Birth Weight Babies), Zinc, Supplements to Infants, Growth of Infants- Role of Synbiotics in Improvement of Feed Tolerance and Weight Gain in the Newborns
Abstract Views :252 |
PDF Views:89
Methods: This prospective interventional trial included 50 newborns treated with a dietary supplement containing Synbiotics in addition to the routine treatment and 48 newborns served as control without Synbiotics supplement. The primary outcome was weight gain and feed tolerance. Results: Newborns in the Synbiotics group reached the full feeds earlier as compared to those in Control group (7.5 ± 4.26 days Vs 14.02 ± 7.88 days p=0.532) along with better weight gain(14.61 ± 9.6 grams per day Vs 2.97 ± 3.81 grams per day p=0.0000001).
Conclusions: Newborns receiving Synbiotics are more likely to reach full feeds earlier and show better weight gain.
Authors
Affiliations
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College and Research Centre, Nasik, IN
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College and Research Centre, Nasik, IN
Source
MVP Journal of Medical Sciences, Vol 1, No 2 (2014), Pagination: 61-66Abstract
Objective: To study the effect of Synbiotics on weight gain and feed tolerance of newborns.Methods: This prospective interventional trial included 50 newborns treated with a dietary supplement containing Synbiotics in addition to the routine treatment and 48 newborns served as control without Synbiotics supplement. The primary outcome was weight gain and feed tolerance. Results: Newborns in the Synbiotics group reached the full feeds earlier as compared to those in Control group (7.5 ± 4.26 days Vs 14.02 ± 7.88 days p=0.532) along with better weight gain(14.61 ± 9.6 grams per day Vs 2.97 ± 3.81 grams per day p=0.0000001).
Conclusions: Newborns receiving Synbiotics are more likely to reach full feeds earlier and show better weight gain.
Keywords
Newborns, Probiotics, Prebiotics, Synbiotics, Feed Tolerance, Weight Gain- Outcome of LBW Babies Admitted in the N.I.C.U. – A Hospital based Study
Abstract Views :263 |
PDF Views:93
Material and Methods: The study was conducted in the N.I.C.U. of a Tertiary Health Care Centre, in Department of Pediatrics. 106 neonates with birth weight less than 2500 grams from among the neonates admitted in the NICU were included in the study. Results: There were 48 deaths out of 106 cases studied thus making the mortality rate of 45.28% and the survival rate of 54.72% (58/106 cases). Respiratory distress contributed maximum to mortality, followed by Septicemia/Sepsis. Neonatal Hyperbilirubinemia followed septicemia in prevalence. Among the spectrum of Respiratory distress, Hyaline Membrane Disease (HMD) contributed maximum to mortality.
Authors
Affiliations
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, IN
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, IN
Source
MVP Journal of Medical Sciences, Vol 1, No 2 (2014), Pagination: 71-74Abstract
Background&Objective: More than 20 million infants worldwide, representing 15.5 per cent of all births are born with low birth weight. More than 95 percent of them are born in developing countries. The incidence of low birth weight in developing countries (16.5 per cent) is more than double the incidence in developed regions (7 per cent). In India, nearly 8 million babies are born with a Low Birth Weight every year. In India, we are still struggling to get minimum care facilities for our neonates. The neonatal mortality rate in India is still 5 to 6 times higher compared to that in developed countries. Because of their susceptibility to complications, low birth weight neonates require specialized and expert care during the neonatal period. This study was undertaken to study the role of various morbidities in the mortality of LBW neonates admitted in the N.I.C.U.Material and Methods: The study was conducted in the N.I.C.U. of a Tertiary Health Care Centre, in Department of Pediatrics. 106 neonates with birth weight less than 2500 grams from among the neonates admitted in the NICU were included in the study. Results: There were 48 deaths out of 106 cases studied thus making the mortality rate of 45.28% and the survival rate of 54.72% (58/106 cases). Respiratory distress contributed maximum to mortality, followed by Septicemia/Sepsis. Neonatal Hyperbilirubinemia followed septicemia in prevalence. Among the spectrum of Respiratory distress, Hyaline Membrane Disease (HMD) contributed maximum to mortality.
Keywords
LBW, Low Birth Weight, Mortality, Neonatal Mortality- Congenital Hernia of Morgagni - A Case Report
Abstract Views :301 |
PDF Views:101
Authors
Sagar Sonawane
1,
M. K. Tolani
1,
Ravindra Sonawane
1,
Nilesh Ahire
2,
Suhas Patil
2,
Sandip Patil
2
Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik, IN
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik, IN
Source
MVP Journal of Medical Sciences, Vol 2, No 1 (2015), Pagination: 61-64Abstract
Congenital Diaphragmatic Hernia of Morgagni occurs through the foramen of Morgagni, is rare in children. It is usually asymptomatic and detected accidentally. If symptomatic, then symptoms are variable and nonspecific making diagnosis difficult . Our patient presented with signs and symptoms suggestive of congenital heart disease, gastroesophageal reflux disease and recurrent pneumonia.Keywords
Foramen of Morgagni, Hernia of Morgagni.- Study of Eosinophil Count in Nasal and Blood Smear in Allergic Respiratory Diseases
Abstract Views :250 |
PDF Views:86
Authors
Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
2 Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
2 Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 3, No 1 (2016), Pagination: 44-51Abstract
Introduction: Allergic rhinitis and asthma are two very common allergic diseases of respiratory tract in pediatric patients. In this geographical area, where the prevalence of allergens exists, the role of allergens as the etiological factor is higher in allergic respiratory disorders. Confirmation of allergen as etiologic agent is cumbersome in a small setup, where IgE estimation and allergy tests are not accessible. In this study, the simple test of peripheral smear and nasal smear eosinophil count as a reliable diagnosis to solve the above problem and establishing allergy as etiological agent has been tried. Material and Methods: For the present study which was conducted over 2 years in children between 2 to 12 years who visited tertiary health care center, Nashik. The allergic respiratory cases based on typical history and clinical features were included in the study and investigated for nasal and blood eosinophilia. Children with TB, recurrent and chronic pneumonia, malnutrition, malignancy, collagen vascular disorders and those who are on steroid therapy were excluded from the study. The clinical profile of allergic rhinitis with or without asthma and nasal and blood eosinophils are studied. Result: Out of 100 patients, there was male predominance and incidence was increasing as age increases. Dust is the most common risk factor for allergic rhinitis followed by weather changes, whereas in allergic rhinitis with bronchial asthma, weather change is common risk factor followed by dust and family history. In children with allergic rhinitis with or without bronchial asthma, there is positive relation between nasal and peripheral smear eosinophil count. Conclusion: So, nasal eosinophil count which is simple, non-invasive, economical and reliable can be used as an alternative to invasive peripheral smear eosinophil count as both are equally efficacious in diagnosing allergic respiratory diseases.Keywords
Allergic Rhinitis, Bronchial Asthma, Eosinophilia.References
- Repaport HG. Clemens von Pirquetandalerty. Anu Allergy. 1973; 31:467–75. (ISI Medline).
- Ghazi BM, Imamzadehgan R, Mohammadi AA, Darakhshan R, et al. Frequency of allergic rhinitis in school age children (7-18 years) in Tehran. Iranian Journal of Allergy Asthma and Immunology. 2003 Dec; 2(4):181–3.
- Kemp A, BryanL. Perenniall rhinitis: A common children complaint. Med J Aust. 1984; 141(10):640–3.
- Kumar L, Patil AS, Walia BNS. Clinical profile of bronchial asthma in children living in and around Chandigarh. Indian Pediatr. 1968; 11(4):273–6.
- Chowdary VS, Vinaykumar EC, Rao JJ, Rao R, et al. A study of serum IgE and eosinophils in respiratory allergys. Indian J Allergy Asthma Immunol. 2003; 17(1):21–4.
- Wakhlu I, Sharma NL. A clinical study of bronchial asthma in children. Indian Pediatr. 1974; 11:789.
- Pokharel PK, Pokharel P, Bhatia NK, Pandey RM, Erkki K. Asthma symptomatics school children of Sonapur. Kathamandu University Medical Journal. 2007; 5(4):484–7.
- Akbari H, Fana-Hosseini R, Miri S, Amin R. The prevalence of allergic rhinitis among 11-15 years old children in Shiraz. IJI Summer. 2004; 1(2):133–7.
- Cosmes E L , Canadillas FG, Martin TS, et al. Value of eosinophilia in blood and nasal exudate in the diagnosis of different types of rhinitis. Allergologia et Immuno pathologia. 1984; 12(4):283–8.
- Crobach M, Hermans I, Kaptein A, et al. Nasal smear eosinophilia for the diagnosis of allergic rhinitis and eosinophilic non-allergic rhinitis. Sc and J Primary Health Care. 1996; 14(2):116–21.
- Lans DM, Alfeno N, Rocklin R. Nasal eosinophilia in allergic and non-allergic rhinitis: Usefulness of the nasal smear in the diagnosis of allergic rhinitis. Allergy Proceedings. 1989; 10(4):275–80.
- Sanil A, Aydin S, Ates G, Eken M, Celebi O. Comparison of nasal smear eosinophilia with skin prick test positivity in patients with allergic rhinitis. Kulak Burun Bogaz Ihtis Derg. 2006; 16(2):60–3.
- Miller RE, Paradise JL, Fridat GA, et al. The nasal smear for eosinophils: Its value in children with seasonal allergic rhinitis. Am J Diseases of Children. 1982; 136(11):1009– 111.
- Saracli T, Scott RB. Comparative study of simultaneous blood and nasal secretion eosinophilia in children with allergic diseases. The Journal of Asthma Research. 1967 Mar; 4(3):219–27.
- Study of Correlation of Cord Blood Bilirubin with Neonatal Hyperbilirubinemia
Abstract Views :315 |
PDF Views:84
Authors
Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 3, No 1 (2016), Pagination: 60–66Abstract
Introduction: Neonatal Hyperbilirubinemia (NH) is a universal problem affecting nearly 60% of term and 80% of preterm neonates during first week of life. Early discharge of healthy term newborns is a common practice because of medical, social and economic constraints. Insignificant number (6.5%) of babies, NH is a cause for readmission. The present study was conducted to correlate the Cord Blood Bilirubin (CBB) level with subsequent NH. Methods: Study was performed at the Department of Pediatrics in a Medical College Hospital and Research Centre. Intramurally delivered, 113 Healthy full-term newborns during 1-year period were prospectively enrolled. CBB was estimated. Serum Bilirubin estimation was done at 48 hours and 5 day of age and later if required. Results: Significant NH in our study is 3.5%. Mean total bilirubin on second postnatal day was 10.58 mg/dl and on fifth post natal day was 10.81 mg/dl. Using CBB level of ≥3 mg/dl as a cut-off, NH can be predicted with sensitivity of 100%, specificity of 98.17%, positive predictive value of 66.67% and negative predictive value of 100%. Conclusion: A 100% Negative Predictive Value in the present study suggests that in Healthy Term babies (without RH and ABO incompatibility with Cord Blood Bilirubin ≤3mg/dl) cord serum bilirubin can help to identify those newborns who are unlikely to require further evaluation and intervention. These newborns can be discharged with assurance to Parents. Babies with CBB level ≥3mg/dl should be followed more frequently.Keywords
Cord Bilirubin, Hyperbilirubinemia, Newborns, Neonate.References
- Piazza AJ, Stoll BJ. Jaundice and Hyperbilirubinemia in the Newborn. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, editors. Nelson text book of Pediatrics: 19 th Ed. New Delhi; Saunders Elsevier, 2012; 1:603–12.
- Penn AA, Enzmann DR, Hahn JS. Kernicterus in full term infant. Pediatrics. 1994 Jun 6; 93:1003–6.
- Stevenson DK. Kernicterus in a full-term infant: the need for in creased vigilance. Pediatrics. 1995; 95:799.
- Newman TB, Maisles MJ. Does hyperbilirubinemia damage the brain of healthy full-term infants? ClinPerinatol. 1990; 17:331–1335.
- Maisles MJ, Newman TB. Kernicterus in Otherwise Healthy Breast-fed Term Newborns. Pediatrics. 1995 Oct; 96:730– 33.
- Martin CR, Cloherty JP. Neonatal Hyperbilirubinemia. In: Cloherty JP, Eichenwald EC, Stark AR, editors. Manual of neonatal care: 6th Ed. New Delhi: Wolters Kluwer, 2008; 304–39.
- Bahl L, Sharma R, Sharma J. Etiology of Neonatal Jaundice in Shimla. Indian Pediatr. 1994 Oct; 31:1275–78.
- Murki S, Majumudhar S, Marwaha N. Risk factors of Kernicterus in term babies with Non haemolytic Jaundice. Indian Pediatr. 2001 Jul; 38(7):757–62.
- Moyer VA, Ahn C, Sneed S. Accuracy of clinical judgment in neonatal jaundice. Arch Pediatr Adolesc Med. 2000; 154:391–4.
- Seidman DS, Stevenson DK, Ergaz Z. Hospital readmission due to neonatal hyperbilirubinemia. Pediatrics. 1996; 96:727–9.
- American Academy of Pediatrics Clinical Practice Guideline and Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn Infant 35 or more weeks of Gestation. Pediatrics. 2004 Jul 1; 114:297–316.
- Bernaldo AJN. Bilirubin dosage in cord blood: could it predict neonatal hyperbilirubinemia? Sao Paulo Med J. 2004 May 6; 122(3):99–103.
- Knupfer M, Pulzer F, Gebauer C, Robel-Tillig E, Vogtmann C. Predictive value of umbilical cord blood bilirubin for postnatal hyperbilirubinaemia. Acta Paediatr. 2005 May; 94(5):581–7.
- Awasthi S, Rehman H. Early prediction of neonatal hyperbilirubinemia. Indian J Pediatr. 1998; 65:131–39.
- Alpay F, Sarici SU, Tosuncuk HD, Serdar MA, Inanc N, Gokcay E. The Value of First Day Bilirubin Measurement in Predicting the Development of Significant Hyperbilirubinemia in Healthy Term Newborns. Pediatrics. 2000 Aug; 106(2):p.e16.
- Agarwal R, Deorari AK. Unconjucated Hyperbilirubinemia in Newborn. Indian Pediatr. 2002 Aug 17; 39:30–42.
- Randev S, Grower N. Predicting neonatal hyperbilirubinemia using first day serum bilirubin levels. Indian J Pediatr. 2010 Feb; 77:147–50.
- Bhutani VK, Johson L, Sivieri EM. Predictive ability of a predischarge hour specific serum bilirubin for subsequent significant hyperbilirubinemia in healthy term and near term newborns. Pediatrics. 1999 Jan; 103:6–14.
- Gupta PC, Kumari S, Mullick DN. Icterometer; useful screening tool for neonatal jaundice. Indian Pediatr. 1991 May; 28(5):473–6.
- Leite MG, GranatoVde A, Facchini FP, Marba ST. Comparison of transcutaneous and plasma bilirubin measurement. J Pediatr (Rio J). 2007 May-Jun; 83(3):283–6. Epub2007 May 16.
- Varvarigou A, Fouzas S, Skylogianni E, Mantagou L, Bougioukou D, Mantagos S. Transcutaneous bilirubin nomogram for prediction of significant neonatal hyperbilirubinemia. Pediatrics. 2009 Oct; 124(4):1052-9. Epub 2009 Sep 28.
- Maisels MJ, Ostrea EM Jr, Touch S, Clune SE, Cepeda E, Kring E et al. Evaluation of a new transcutaneous bilirubinometer. Pediatrics. 2004 Jun; 113(6):1628–35.
- Palmer DC, Drew JH. Jaundice a 10 year review of 41000 live born infants. Aust Pediatr. 1983 Jun; 19(2):86–9.
- Phuapradit W, Chaturachinda K, Anutlamai S. Risk Factors for Neonatal Hyperbilirubinemia. J Med Assoc Thai. 1993 Aug; 76(8):424–8.
- Taksande A, Vilhekar K, Jain M, Zade P, Atkari S, Verkey S. Prediction of the development of neonatal hyperbilirubinemia by increased umbilical cord blood bilirubin. Ind Medica. 2005; 9(1):5–9.
- Rosenfeld J. Umbilical cord billirubin levels as predictor of subsequent hyperbilirubinemia. J Fam Pract. 1986 Dec; 23:556–58.
- Knudsen A. Prediction of the development of neonatal jaundice by increased umbilical cord blood bilirubin. Actapediatr Scand. 1989 Mar; 78(2):217–21.
- Rataj J, Kornacka M, Korman E. Usefulness of measuring bilirubin levels in cord blood for predicting hyperbilirubinemia in newborns. Ginekol Pol. 1994 Jun; 65:276–80.
- Suchonska B, Wielgos M, Bobrowska K, Marianowiski L. Concentration of bilirubin in the umbilical blood as an indicator of hyperbilirubinemia in newborns. Ginekol pol. 2004 Oct; 75(10):749–53.
- Nahar Z, Shahidukkah MD, Mannan A, Dey SK, Mitra U, Selimuzzaman SM. The value of umbilical cord blood bilirubin measurement in predicting the development of significant hyperbilirubinemia in healthy Newborn. Bangladesh J Child Health. 2009; 33(2):50–4.
- Sun G, Wang YL, Liang JF, Du LZ. Predictive value of umbilical cord blood bilirubin level for subsequent neonatal jaundice. Zhonghua ErKeza Zhi. 2007 Nov; 45(11):848–52.
- Satrya R, Effendi SH, Gurnida DA. Correlation between cord blood bilirubin level and incidence of hyperbilirubinemia in term newborns. Paediatrica Indonesiana 2009; 49(6):349–54.
- Study of Serum Electrolytes and Calcium Changes in Children with Severe Pneumonia and it’s Outcome
Abstract Views :155 |
PDF Views:92
Authors
Affiliations
1 Assistant Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, IN
2 Former PG Resident, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, IN
3 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, IN
1 Assistant Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, IN
2 Former PG Resident, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, IN
3 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 267–273Abstract
Background: Electrolyte imbalance is one of the serious complications in hospitalized children with severe pneumonia. Monitoring of changes in electrolytes is very essential to prevent the complications leading to increased morbidity and mortality. Aims and objectives: To study serum electrolytes and calcium disturbances in patients with severe pneumonia. To identify relation of serum electrolytes with outcome of severe pneumonia. Material and Methods: After taking approval of ethics committee of our institute, we studied a total of hundred cases over a span of 24 months- August 2018 to December 2020. Study is carried out among cases of severe pneumonia and community acquired pneumonia (CAP) in age group of 2 months to 5 years admitted in pediatrics department of tertiary care centre in Maharashtra. Laboratory investigations of serum sodium, potassium, chloride and calcium levels were noted at admission and 24 hours after hospitalization. Results: This is observational cross study carried out in 100 children of severe pneumonia admitted in paediatric intensive care unit at Dr. Vasantrao Pawar Medical College, Nashik to observe and study electrolyte changes in them. Most children were in age group of 2 months to 12 months (i.e., 72%) followed by 28% in age group of 13 months to 60 months. At admission most common abnormality was hypocalcemia 49% followed by hyponatremia 27%, hyperchloremia 7%, hyperkalemia 6%, hypernatremia 6%, hypokalemia 4%, hypochloremia 1%. After 24 hours of stabilization hyponatremia was most common 40%, followed by hapocalcemia 43%, hypokalemia 9%, hypernatremia 8%, hyperkalemia 4%, hyperchloremia 4%. Conclusion: Mortality was significantly higher in cases with chloride level abnormality than with normal chloride level. Cases with disturbances in electrolytes showed higher mortality than those without electrolyte disturbances. Hyponatremia and hypokalaemia were associated with adverse outcomes in pneumonia cases. Electrolyte disturbances are commonly seen in pneumonia cases, so we should monitor them properly while treating them to avoid complications. Hyponatremia in pneumonia occurs due to Syndrome of Inappropriate Anti Diuretic Hormone secretion (SIADH). Hyponatremia at admission significantly affect outcome in terms of prolonged duration of hospitalization and two fold increase in mortality.Keywords
CAP - Community Acquired Pneumonia, SIADH - Syndrome of Inappropriate Anti-Diuretic Hormone Secretion Serum Electrolytes, Hapocalcemia, Hypokalemia, Hypernatremia, Hyperkalemia, HyperchloremiaReferences
- World Health Organization. 2017. Fact sheet-Pneumonia.
- Available from: https://www.who.int/news-room/factsheets/detail/pneumonia
- UNICEF. 2017. Factsheet- Pneumonia. Available from: https://data.unicef.org/topic/child-health/pneumonia/
- World Health Organization. 2009. Fact sheetnumber331 - Pneumonia. Available from: http://www.who.int/ mediacentre/factsheets/fs331/en/index.html
- Mani CS and Murray DL. Acute pneumonia and its complications. In Elsevier principles and practice of paediatric infectious diseases; 2020. p. 235-45. https://doi.org/10.1016/B978-1-4377-2702-9.00034-9 PMid:22567708 PMCid:PMC7152347
- Ortqvist A,Hedlund J, Grillner L, Jalonen E,Kallings I, Leinonen M, Kalin M. Aetiology, outcome and prognostic factors in community-acquired pneumonia requiring hospitalization. Eur Respir J. 1990 Nov; 3 (10) :1105-13.
- Gothankar J, Doke P, Dhumale G, Pore P, Sanja S, Quraishi S, et al. Reported incidence and risk factors of childhood pneumonia in India: A community-based cross-sectional study. BMC Public Health. 2018; 18:1111 https://doi.
- org/10.1186/s12889-018-5996-2 PMid:30200933 PMCid: PMC6131850
- Singhi S, Dhawan A. Frequency and significance of electrolyte abnormalities in pneumonia. Indian Pediatr.
- Jun; 29 (6) :735-40. PMID:1500133.
- Sundarman AW, Austin JW, Camac JG. Studies in serum electrolytes concentration of electrolytes and nonelectrolytes in serum during lobar pneumonia. J Clin Invest. 1926; 3:37-64. https://doi.org/10.1172/JCI100073 PMid:16693708 PMCid:PMC434614
- Sunderman FW. Studies of serum electrolytes: V. Chloride and nitrogen balances and weight changes in pneumonia.
- J Clin Invest. 1929; 7:313-332. https://doi.org/10.1172/ JCI100231 PMid:16693863 PMCid:PMC424583
- Sunderman FW. Studies of Serum electrolytes: VII.
- Total base and protein components of serum during lobar pneumonia with note on gastric secretions. J Clin Invest. 1931; 615-627. https://doi.org/10.1172/JCI100325 PMid:16693954 PMCid:PMC435719
- Gram HC. Observations on regulation of osmotic pressure (conductivity, chloride freezing point and proteins of serum). J Biol Chem. 1923; 16:593-599. https://doi.
- org/10.1016/S0021-9258 (18) 85592-2
- Moreno-PO, Leon-Ramirez JM, Fuertes-Kenneally L, Perdiguero M, Andres M, Garcia-Navarro M, RuizTorregrosa P, Boix V, Gil J, Merino E. COVID19- ALC Research Group. Hypokalemia as a sensitive biomarker of disease severity and the requirement for invasive mechanical ventilation requirement in COVID-19 pneumonia: A case series of 306 Mediterranean patients. Int J Infect Dis. 2020 Nov; 100:449-454. https://doi.org/10.1016/j.ijid.2020.09.033 PMid:32950739 PMCid:PMC7497734
- Brem AS. Disorders of potassium homeostasis. Paediatric Clin North Amir. 1990, 37:419-428.
- Rahman F, Siddique MAB, Hassan MW, Bari MN,
- Ahmeed F. A study on electrolyte imbalance in asphyxiated neonates. KYAMC Journal. 2017; 7 (2) :775-79. https://doi.
- org/10.3329/kyamcj.v7i2.33837
- Sankaran RT, Mattana J, Pollack S, Bhat P, Ahuja T, Patel A, Singhal PC. Laboratory abnormalities in patients with
- Modifiable Risk Factor in Acute Lower Respiratory Tract Infection in under 5 Children
Abstract Views :136 |
PDF Views:77
Authors
Affiliations
1 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
2 Former PG Resident, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India., IN
3 Professor and Head, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
4 Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India, IN
5 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
1 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
2 Former PG Resident, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India., IN
3 Professor and Head, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
4 Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India, IN
5 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
Source
MVP Journal of Medical Sciences, Vol 9, No 1 (2022), Pagination: 46 - 50Abstract
Objective: Acute lower respiratory tract infections are leading cause of morbidity and mortality in under five children in developing countries. Hence presence study was undertaken to study various modifiable risk factor for acute lower respiratory tract infection in under five children. Study Design: Data collected from a observational study of eighty Acute Lower Respiratory Tract Infection (ALRTI) cases of age group from 2 month to 5 year fulfilling WHO criteria of pneumonia to study various modifiable risk factor. Eighty healthy control of same age group also interrogated. Result: The significant modifiable risk factor were parental illiteracy, low socioeconomic status, overcrowding, partial immunization, pre lacteal feed, early weaning, malnutrition, parental smoking, history of respiratory infection in family and rickets. Conclusion: The present study has identified various modifiable risk factors for acute lower respiratory tract infection which can be tackled by effective education of community .Keywords
Acute Lower Respiratory Tract Infection, Children, Risk Factors, Socio DemographyReferences
- Park K. Acute Respiratory Infections. In: Park’s Textbook of Preventive and Social Medicine, 24th Edn. Jabalpur: Banarasidas Bhanot Publishers; 2017. p. 177-183.
- Pneumonia: The forgotten killer of children. New York: United Nations Children’s. Fund; 2006.
- Govt. of India 2015, National Health Profile 2015, DGHS, Ministry of Health and Family Welfare, New Delhi.
- Childhood Pneumonia: Strategies to Meet the Challenge. Proceedings of the First International Consultation on the Control of Acute Respiratory Infections (ICCARI).Washington DC, London: AHRTAG; 11-13 December 1991.
- Igor R, Cynthia BP, Zrinka B, Kim M, Harry C. Epidemiology and aetiology of childhood pneumonia. Bulletin of the World Health Organization, 2008; 86(5):408-404. https:// doi.org/10.2471/BLT.07.048769. PMid:18545744 PMCid: PMC2647437.
- Antonio LC, Peter AM, Steven W. Community economic development and acute lower respiratory infection in children. World Health and Population, [Online] 2001; 4(1): [7 screens]. Cited on Oct 20th 2008. http:// wwwlongwoodscorn/viewphp7aid=17588&cat=389.
- Tupasi TE, Velmonte MA, Sanvictores ME, Abraham L, De Leon LE, Tan SA et al. Determinants of morbidity and mortality due to acute respiratory infections: Implicationsfor intervention. J Infect Dis., 1988 Apr; 157(4):615-623.https://doi.org/10.1093/infdis/157.4.615. PMid:3346561.
- Hamid M, Qazi SA, Khan MA. Clinical, nutritional and radiological features of pneumonia. J Pak Med Assoc., 1996 May; 46(5):95-99.
- World Health Organization. Rural energy utilization and the health of children. Geneva: WHO; 1985 (Tnt. Doc. T).
- Victora CG, Huttly SRA, Barros FC, Lombardi C, Vaughan JP. Maternal education in relation to early and late child health outcomes: Findings from a Brazilian cohort study. Soc Sci Med., 1992; 34:899-906. https://doi.org/10.1016/0277-9536(92)90258-R.
- Victora CG, Fuchs SC, Flores AC, Fonseca W, Kirkwood B. Risk factors for pneumonia among Brazilian children in a metropolitan area. Pediatrics, 1994; 93:977-985. https:// doi.org/10.1542/peds.93.6.977. PMid:8190587.
- Biswas A, Biswas R, Manna B, Dutta K. Risk factors of acute respiratory infections in under fives of urban slum community. Indian J Public Health, 1999; 43(2):73-75.
- Broor S, Pandey RM, Ghosh M, Maitreyi RS, Rakesh L, Tanu S et al. Risk factors for severe acute lower respiratory tract infection in under five Children. Indian Pediatrics, 2001; 38:1361-1369.
- Thamer KY, Ban AK. Epidemiology of acute respiratory tract infections among children under five years old attending Tikrit general teaching hospital. Middle East Journal of Family Medicine, 2006; 4(3):4-23.
- Savitha MR, Nandeeshwara SB, Pradeep MJ, Farhanul-haq, Raju CK. Modifiable risk factors for acute lower respiratory tract infections. Indian Journal of Pediatrics, 2007; 74:477-482. https://doi.org/10.1007/s12098-0070081-3. PMid:17526960
- Taylor B, Wadsworth J, Golding J, Butler N. Breast-feeding, bronchitis, and admissions for lower-respiratory illness and gastroenteritis during the first five years. Lancet, 1982; l (8283):1227-1229. https://doi.org/10.1016/S01406736(82)92347-9
- Chan KN, Noble-Jamieson CM, Elliman A, Bryan EM, Silverman M. Lung function in children of low birth weight. Arch Dis Child, 1989; 64:1284-1293. https://doi.org/10.1136/adc.64.9.1284
- Mansell AL Driscoll TM, James LS. Pulmonary follow-up of moderately low birth weight infants with and without respiratory distress syndrome. J Pediatr, 1987; 110(1):111115. https://doi.org/10.1016/S0022-3476(87)80301-3.
- The optimal duration of exclusive breast feeding - Report of an expert consultation. Geneva; 28-30 March 2001.WHO/FCHJCAH/01.24.
- Pathak A, Gupta A. Recommended duration of exclusive breast feeding and age of introduction of complimentary foods-A review. Cited 2008 Aug 24. http://www.bpni.org/Article/Complementary_Foods.doc.
- Innocenti declaration on the protection, promotion and support of breastfeeding. Cited on 2008 Oct 13. http://www.innocentil5.net/inno.htm.
- Sehgal V, Sethi GR, Sachdev HPS, Satyanarayana L. Predictors of mortality in subjects hospitalized with acute lower respiratory tract infections. Indian Pediatrics, 1997;34:213-218.
- Shah N, Ramanakutty V, Premila PG, Sathy N. Risk factors for severe pneumonia in children in south Kerala: A hospital based case control study. I Trop Pediatr., 1994; 40:201-206. https://doi.org/10.1093/tropej/40.4.201. PMid:7932932.