A Hospital Based Observational Study of the Clinical Profile and Outcomes among Neonatal Pneumonia
- 1. Senior Resident, Department of Pediatrics, Nalanda Medical College and Hospital, Patna, Bihar, India
- 2. Professor & Head, Department of Pediatrics, Nalanda Medical College and Hospital, Patna, Bihar, India
- 3. Assistant Professor, Department of Pediatrics, Nalanda Medical College and Hospital, Patna, Bihar, India
Description
Background: Neonatal period (0-28 days of life) is the most susceptible period of life due to different diseases, which in most cases are preventable. In the developed countries, the main cause of morbidity and mortality in the neonatal period is congenital abnormalities which are mostly non-preventable, but in the developing countries the common causes such as infections, jaundice, birth asphyxia and pneumonia predominate. Aim: To study the clinical profile and outcome of neonatal pneumonia. Material & Methods: This descriptive observational study enrolled 168 neonates admitted to newborn intensive care unit(NICU) Department of Pediatrics, NMCH, Patna, Bihar, India. The study was conducted during one year of time period. Neonates were observed on day of admission, on day of deterioration and on day of discharge from NICU. Neonates in NICU evaluated for clinical profile of pneumonia and for maternal and neonatal risk factors for pneumonia. Results: In our study out of 168 neonates, total 50 patients classified as a pneumonia patient as per definition criteria mentioned in methodology section. Low birth weight (LBW) ,birth weight (BW <2.5 kg) neonates found to have pneumonia significantly as compared to non-pneumonia patients (p=0.001). Hence low birth weight was one of the risk factors for development of pneumonia. Conclusion: There was no single parameter which can be used for diagnosis of neonatal pneumonia. Clinical features with chest X-ray with sepsis markers have to be considered in diagnosing pneumonia.
Abstract (English)
Background: Neonatal period (0-28 days of life) is the most susceptible period of life due to different diseases, which in most cases are preventable. In the developed countries, the main cause of morbidity and mortality in the neonatal period is congenital abnormalities which are mostly non-preventable, but in the developing countries the common causes such as infections, jaundice, birth asphyxia and pneumonia predominate. Aim: To study the clinical profile and outcome of neonatal pneumonia. Material & Methods: This descriptive observational study enrolled 168 neonates admitted to newborn intensive care unit(NICU) Department of Pediatrics, NMCH, Patna, Bihar, India. The study was conducted during one year of time period. Neonates were observed on day of admission, on day of deterioration and on day of discharge from NICU. Neonates in NICU evaluated for clinical profile of pneumonia and for maternal and neonatal risk factors for pneumonia. Results: In our study out of 168 neonates, total 50 patients classified as a pneumonia patient as per definition criteria mentioned in methodology section. Low birth weight (LBW) ,birth weight (BW <2.5 kg) neonates found to have pneumonia significantly as compared to non-pneumonia patients (p=0.001). Hence low birth weight was one of the risk factors for development of pneumonia. Conclusion: There was no single parameter which can be used for diagnosis of neonatal pneumonia. Clinical features with chest X-ray with sepsis markers have to be considered in diagnosing pneumonia.
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IJPCR,Vol14,Issue9,Article59.pdf
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Additional details
Dates
- Accepted
-
2022-09-02
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue9,Article59.pdf
- Development Status
- Active
References
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