Persistent nocturnal cough and trial of high dose inhaled corticosteroid

This study was done to evaluate the effect of a short course of inhaled corticosteroid in the treatment of isolated and persistent nocturnal cough in children. This study included 100 patients aged from 1 to 10 years collected from Al-Galaa Teaching Hospital and were divided into 2 groups; each group consists of 50 patients. The first group received placebo and the second group received inhaled corticosteroid in form of 1 mg fluticasone propionate twice daily for 9 days, then 500 ug twice daily for 5 days. Both groups were examined clinically to be assured that they were having isolated nocturnal cough only. CBC, CRP and plain X-ray of chest were done for all patients. The first group who had received the placebo started improvement at the sixth day in 6% of the patients, at the tenth day 10% improved, at the 12th day 20% improved and at the 14th day 34%improved. The second group who had received inhaled corticosteroid, improvement started early at the 4th day and the cure rate was 10% of the patients, at the 6th day 16% improved, at the 8th day 20% improved, at the 10th day 30% improved, at the 12th day 44% improved and at the 14th day 70% improved. The study showed that children with persistent nocturnal cough improved after two weeks course of using inhaled corticosteroid than using placebo

Children with recurrent pneumonia Evaluation and treatment

Recurrent pneumonia is a big problem meets some groups of children. So, it needs a great care and good management from doctors and patients. Data were collected from children diagnosed as episodes of pneumonia two or more, collected from January 2000 to May 2001. The study involved 50 patients with repeated attacks of pneumonia from the age of six years or less up to five months. The result showed that about 25 patients [50%] had a history of wheezy chest. Tuberculin test was positive only with one case, about 60% of them had a history of passive smoking, but only 40% of them had stopped breast feeding early. This data should be followed by further investigation for good evaluation and good treatment

Clinical, laboratory and radiological follow-up of tuberculous infants and children

The aim of this study was to investigate the pattern of clinical, laboratory and radiological improvement of the newly diagnosed tuberculous children, who were treated for nine months. The study was done in the Tuberculous Paediatric Outpatient Clinic of Bab-El Shaareya Hospital and El-Galaa Teaching Hospital during 1999-2000. History, clinical examination, ESR, WBCs, HB and chest X-ray were done every three months for a period of nine months. The total number of tuberculous children was 50 [22 were males and 28 were and females]. The maximum number of cases was in the age group 10-15 year. Pulmonary TB cases were 29, lymphadenitis 14, urinary 4, miliary 2 and skin 1]. The temperature, ESR, WBC and HB showed a gradual improvement throughout the nine months; while the X-rays showed rapid clearance within the first three months. Treatment for nine months with INH, RIF and PZA was effective

Bacteriologucal study of recurrent acute otitis media in children

Acute otitis media [AOM] is a common disorder affecting children of age between 2 months to 12 years. Aminopenicillins [amoxicillin and amoxicillin/ clavulanate, AMC] are widely used in the treatment of AOM in children. There are quiet numbers of failures in spite of treatment. S. pneumonia and H. influenza were isolated from middle ear fluid of children who developed recurrent AOM. Causes of failure of treatment of AOM and its recurrence were discussed. A second line of treatment was recommended