Outcome of children with community acquired pneumonia treated with injection crystalline penicillin a prospective study
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2016, Vol 3, Issue 9
Abstract
Objective: To study the outcome of children hospitalized with community acquired pneumonia treated with aqueous penicillin G. Design: Prospective study. Setting: The study was conducted in Belagavi Institute of Medical Sciences, a referral hospital during 2014-2015. Children aged from more than 2 months to 18yrs of age were studied. Total of 84 children who met the inclusion criteria were studied. Eligible children were given injection crystalline penicillin 2 lakh IU/kg in four divided doses after drug sensitivity testing. Children were assessed every 12th hourly, for respiratory rate, pulse rate, blood pressure and signs of respiratory distress. In case of worsening of symptoms, persistence of tachynpea, fever, till 48 hours, antibiotic was changed. The study was conducted to know the proportion of children with community acquired pneumonia who responded to crystalline penicillin injection. Results: Out of 84 children treated with crystalline penicillin 79 responded, antibiotic was changed for the other 5 children. 3 boys out of 48 and 2 girls out of 36 did not respond to crystalline penicillin. 2 out of 24 children in the age group of 2-12 months, 3 out of 33 in the 1-5 yrs, did not respond to crystalline penicillin. Persistence of tachypnea at the end of 48 hours was the indication for change of change of antibiotics in 5 children. No adverse outcome was noted. The mean duration of stay in the hospital among the studied children was 7days (6.93±1.28). Conclusion: Injection crystalline penicillin effectively cures and is apt to be used as a first line antibiotic in treating hospitalized children with community acquired pneumonia.
Authors and Affiliations
Udaya K, Vijaykumar B. Murteli
Keywords
Related Articles
- EP ID EP226024
- DOI 10.17511
- Views 152
- Downloads 0
Clinicohematological profile of hemolytic anaemia in tertiary care hospital in rural Andhra Pradesh
Introduction: Hemolytic anaemias are a group of disorders that cause significant morbidity in children. Method: A cross sectional study was conducted at NRI Medical College for a period of 1 year. All cases of newly diag...
Clinical study of infective endocarditis in children: a 3 years experience from MGM Hospital, Warrangal
Background: The impact of endocarditis in childhood accompanies many cardio-vascular disorders. Infective endocarditis (IE) is the most frequently occurring form of endocardium inflammation. Prevailing among the agents a...
Prognostic significance of total platelet count with PICU outcome
Background: Platelets in addition to their contribution in hemostasis are inflammatory cells having important role in host defense and can be of prognostic significance. Aim: Present study aims to evaluate the relationsh...
A study on prevalence and pattern of clinically recognisable congenital malformations in babies born in a rural medical college hospital in West Bengal, India
Introduction: Congenital anomalies are a major cause of neonatal mortality and morbidity both in developed and developing countries. It accounts for 8-15% of perinatal deaths and 13-16% of neonatal deaths in India. Aims...
Growth and neurodevelopmental outcome of neonatal intensive care Unit graduates till 1 year at a tertiary care centre in eastern India and identification of the clinical and electrophysiological predictors of adverse developmental outcome
Background: Despite serious neonatal morbidity, the neurodevelopmental outcome of NICU (Neonatal Intensive Care Unit) graduates is often reasonably good. Infants with neurodevelopmental abnormality need to start therapy...