ABSTRACT
The diagnosis of enteric fever poses several problems due to the non-specific and wide array of clinical features. A five-year retrospective study enrolling 136 culture-proven cases of enteric fever was undertaken in order to estimate the clinical and laboratory characteristics, fever clearance time and outcome. The common symptoms and signs were: fever, vomiting, cough, anorexia, diarrhoea, abdominal pain, hepatomegaly, splenomegaly and coated tongue. Enteric fever should be considered in the differential diagnosis of febrile patients with abdominal symptoms.
Subject(s)
Paratyphoid Fever/epidemiology , Salmonella paratyphi A/isolation & purification , Salmonella typhi/isolation & purification , Typhoid Fever/epidemiology , Adolescent , Child , Child, Preschool , Female , Hepatomegaly/diagnosis , Hepatomegaly/epidemiology , Hepatomegaly/microbiology , Humans , Incidence , India/epidemiology , Infant , Male , Paratyphoid Fever/diagnosis , Paratyphoid Fever/microbiology , Paratyphoid Fever/physiopathology , Splenomegaly/diagnosis , Splenomegaly/epidemiology , Splenomegaly/microbiology , Typhoid Fever/diagnosis , Typhoid Fever/microbiology , Typhoid Fever/physiopathologyABSTRACT
OBJECTIVE: To study the incidence of immediate complications associated with percutaneous central venous catheterization. MATERIALS AND METHODS: A total of 103 central venous catheters were inserted in 70 children over a period of 18 months, governed by a uniform protocol. Sixty-three percent of the catheters were inserted in neonates, 23.3% in infants and 13.6% in children between 1 and 12 years of age. STATISTICAL ANALYSIS USED: Software SPSS version 15. RESULTS: There were a total of 41 insertion-related immediate complications, of which 75.6% were in neonates. Neonatal age, hemodynamic instability and more number of attempts to catheterize the vein had a higher risk of insertion-related problems. There was no mortality directly as a result of the procedure. CONCLUSION: In our practice, it was observed that complications were fewer with increasing familiarity with the procedure. Hence, percutaneous central venous catheterization is a safe procedure when performed in experienced hands.
