RESUMO
OBJECTIVE: To compare the efficacy of the three feeding techniques commonly used in authors' setup in improving the weight gain pattern of children with orofacial cleft. METHODS: A cohort prospective study was employed. A total sample of 150 infants at the age of 2 mo with cleft of both lip and palate were recruited and followed bimonthly until their first birthday to assess the pattern of weight gain. The subjects were categorized into three groups based on their habitual feeding techniques such as Group I: Paladai fed; Group II: Bottle fed and Group III: Spoon fed with 50 subjects in each group. The three groups were counseled on nutritional aspects, correct infant positioning and hygienic practices. RESULTS: The mean weight of the Group I subjects was observed to be higher than the other two groups at every visit and was also found to be statistically significant at p < 0.001. Over all comparison proved that the weight gain of 1.364 ± 0.191, 1.348 ± 0.284 and 1.450 ± 0.205 and the velocity of weight gain, kg per week of 0.17 ± 0.023, 0.168 ± 0.035 and 0.181 ± 0.025 of Group I at 4, 6 and 8th mo respectively were significantly higher than the other two groups (p < 0.001). CONCLUSIONS: Of the three feeding techniques adopted by the mothers of infants with orofacial cleft, it was noted that paladai feeding was better than the bottle or spoon-feeding.
Assuntos
Fenda Labial/fisiopatologia , Fissura Palatina/fisiopatologia , Métodos de Alimentação , Aumento de Peso , Fenda Labial/terapia , Fissura Palatina/terapia , Estudos de Coortes , Feminino , Humanos , Lactente , Fenômenos Fisiológicos da Nutrição do Lactente , Masculino , Estudos Prospectivos , Aumento de Peso/fisiologiaAssuntos
Dermatopatias Bacterianas/diagnóstico , Infecções Estreptocócicas/diagnóstico , Streptococcus pyogenes/isolamento & purificação , Canal Anal , Seguimentos , Humanos , Lactente , Masculino , Penicilinas/uso terapêutico , Dermatopatias Bacterianas/tratamento farmacológico , Infecções Estreptocócicas/tratamento farmacológicoRESUMO
A 29 day old male infant presented with a history of fever, cough, increasing respiratory distress and abdominal distension from the 10th day of life. Examination revealed failure to thrive, marked tachypnea, pallor, hepatosplenomegaly and harsh vesicular breath sounds. Chest skiagram showed extensive broncho-pneumonic changes. As the infant did not respond to antibiotics, he was investigated for tuberculosis. The gastric aspirate smear showed plenty of acid fast bacilli (AFB) and culture showed M. tuberculosis growth. Endometrial biopsy of the mother showed tuberculous granuloma and acid fast bacilli and culture of the aspirate from endometrium grew M. tuberculosis. The need for endometrial biopsy of mothers of infants with congenital tuberculosis is highlighted.
