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1.
Article | IMSEAR | ID: sea-202753

ABSTRACT

Introduction: Respiratory distress (RD) is a common causeof admission in the neonatal unit. Early recognition of RDand initiation of appropriate treatment is important to ensureoptimal outcomes. RD is one of the most common causes ofmorbidity in newborn. Aim of the present research was tostudy clinical profile of neonatal respiratory distress (RD),to find out most common etiology of respiratory distress innewborn and to assess the immediate clinical outcome of RDin our neonatal intensive care unit (NICU).Material and Methods: A prospective study was conductedat Tertiary Care Hospital, Guntur from May 2019 to October2019 and study includes 200 cases. Term, pre-term and postterm babies both in-born and out-born cases were included inthe study.Results: The study showed among the 720 newborns admittedin NICU, 200 (28 %) cases were admitted with Respiratorydistress. Of them, 116 babies (58%) were delivered vaginallyand 84 (42%) by lower segment caesarean section. There were122 (61%) pre-term babies, 68 (34%) term and 10 (5%) postterm neonates who were admitted with respiratory distress. Themajority of cases were clinically presented with tachypnea,flaring of alae nasi, and chest indrawing. The respiratorydistress resolved on the 4th day in majority of cases.Conclusion: Respiratory Distress is one of the commonestcause of NICU admissions. Transient tachypnea of thenewborn is the most common cause of respiratory distress interm babies whereas Hyaline membrane disease is common inpreterm babies. The survival rate was 90% among RD casesadmitted to NICU.

2.
Article | IMSEAR | ID: sea-202461

ABSTRACT

Introduction: Seizure is a common problem evaluated inpediatric emergency department. The different causes ofseizures are febrile seizures, CNS infections, metabolic,developmental defects, traumatic brain injury, vascularaccidents, brain tumors and idiopathic or epilepsy. Currentresearch aimed to study the etiology of convulsions in childrenbetween 1 month to 5 years of age admitted in pediatricward, Government General Hospital, Guntur. To assess thecommon incidence of convulsions in children of age 1 to 5years admitted to pediatric ward, Department of Pediatrics,Government General Hospital, Guntur.Material and methods: Our study was retrospective,descriptive study. 100 cases admitted to pediatric ward,Government General Hospital, Guntur with convulsions in theage group of 1 month to 5 years during the period of July 2018and April 2019. Study was done by detailed history, throughphysical examination and relevant investigations includingcomplete blood counts, serum electrolytes, serum glucose,serum calcium, CSF analysis, EEG and neuroimaging (CT/MRI brain) studies. Variables recorded were demographics,clinical presentation, laboratory investigations, EEG andneuroimaging.Results: The most common cause of seizures in our study wasfebrile seizures (32%). About 24% cases were due to epilepsy(idiopathic or unprovoked) and 33% cases were symptomaticseizures of various causes like CNS infection, metabolic,traumatic, vascular etc.Remaining 11% were due to othermiscellaneous causes.Conclusion: This was the hospital based retrospective,descriptive study to know the etiology of convulsions inchildren between 1 month to 5 years. Convulsions in childrencan be due to various underlying pathology. In our study mostcommon cause of convulsions was febrile seizures, followedby epilepsy and symptomatic seizures of infective etiology ofCNS, viral encephalitis being the most common.

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