ABSTRACT
Background: The objective is to study the sleep pattern and occurrence of sleep problems in children aged 6 to 15 years, visiting the Outpatient clinic at a tertiary care hospital, as perceived by the parents and to establish the common causal association as perceived by the parents for developing sleep problems. 'Methods: The study design was based on the descriptive study. The duration of the study was from 1st June to 31st July. Data was collected from all the children visiting the Pediatric OPD and those who are admitted, Department of Pediatrics, Father Muller Medical College. Sample size: convenient sampling. Considering the prevalence of sleep disturbance in children as 10%, estimated error of 5% and confidence interval of 5%, sample size was 139. Children who followed the inclusion and exclusion criteria were considered for the study. Informed consent was taken from the parent. Relevant details were asked to the parents of the child and a pre-designed proforma was filled by the investigator accordingly. SDSC questionnaire was used and a cut off score of 39 was considered.Results: Out of the 140 children who completed the survey, 48% of the children had sleep disturbances.' The most common was disorder of initiating and maintaining sleep. The most common association was with need for accompaniment, followed by use of gadgets. The prevalence of sleep disorders is underestimated, and it is important to recognize them early.Conclusions: The increasing use of electronic gadgets could be a possible cause of sleep disturbances, which suggests that the exposure of children to these gadgets maybe reduced.
ABSTRACT
Burkholderia cepacia complex (BCC) is a significant opportunistic pathogen in hospitalized and immunocompromised patients, particularly in cystic fibrosis. It is widely distributed in natural habitats such as soil and water and frequently encountered in nosocomial outbreaks due to contaminated disinfectants and medical devices. However reports on outbreaks due to this organism are lacking from the Indian subcontinent. We report here a sporadic outbreak due to BCC which occurred in the pediatric Intensive Care Unit of our institute, the probable source being contaminated distilled water. The isolate from three babies and environmental sources including distilled water were identical and confirmed as BCC. Strict infection control measures were instituted to prevent the spread of infection. This report highlights the potential role of B.cepacia in causing sporadic outbreaks especially in ICUs, associated with water.