Pattern of Respiratory Problems in Neonates in a Level III Neonatal Care Unit with Special Reference to Pneumonia
Journal Title: Indian Journal of Neonatal Medicine and Research - Year 2016, Vol 4, Issue 4
Abstract
ABSTRACT Introduction: Respiratory distress constitutes one of the commonest cause of morbidity and mortality in the neonatal period. It is more commonly encountered within the first 48-72 hours of life. Aim: To find out the incidence, causes and outcome of respiratory distress in inborn newborn babies and also to determine the common organisms of pneumonia. Settings and Design: A hospital based prospective study was carried out for a period of 7 months (October 2015 to April 2016) in the NICU (Neonatal Intensive Care Unit) of AMCH (Assam Medical College and Hospital) . Materials and Methods: All inborn newborn babies admitted to NICU of AMCH who developed respiratory symptoms were included in the study. Maternal and baby details were filled up in a predesigned structured proforma. Statistical Analysis: Data were entered in SPSS (Software package for statistical analysis), version 16 and the frequencies were analyzed. Results: Of all the inborn deliveries during our study period, 5.3% developed respiratory distress. It constituted 22.4% of all NICU admission, 61.5% were males and 38.5% were females. TTNB was the most common cause (42.8%) of respiratory distress followed by pneumonia (29.6%), sepsis (8.9%), MAS (8.2%) and RDS (5.9%). TTNB was more in term babies (54.6%), RDS among preterm babies (94.4%) and MAS was found exclusively in the term babies. Of the 90 Pneumonia cases, sepsis screen was positive in 87.8% cases and blood culture was positive in 14.4% cases. The most common organism was CONS (coagulase negative staphylococcus) which was found in four cases (4.4%), followed by acinetobacter in three cases (3.33%) and klebsiella in two cases (2.2%). In the pneumonia cases, predisposing factors like PROM was detected in 25.6%, maternal fever in 16.6% and foul smelling liquor in 11.1%. The overall case fatality rate is 23%. Mortality is highest (77.8%) in RDS. Conclusion: Respiratory distress is a common cause of NICU admission, TTNB being the commonest cause, followed by pneumonia. The burden of neonatal pneumonia is high in our NICU.
Authors and Affiliations
Aukifa Khamim Sabibahul Islam, Reeta Bora, Nibedita Paul, Sutharson Ramasamy
Keywords
Related Articles
- EP ID EP498353
- DOI 10.7860/IJNMR/2016/22669.2189
- Views 109
- Downloads 0
Acute Neonatal Suppurative Parotitis with Facial Palsy and Pneumonia
Acute Neonatal Suppurative Parotitis (NSP) is a rare infection in neonates. To our knowledge, only few cases are reported in English literature with hardly any case from India. The most common causative organism is Staph...
Diagnostic Utility of Haematologic Scoring System in Neonatal Sepsis
Introduction: Sepsis is an important cause of neonatal mortality and morbidity. Numerous serological markers exist for diagnosis of sepsis which acts as adjuvants to the clinical signs. A Haematological Scoring System (H...
Comparison of Oxidative Stress in Neonates Born by Normal Vaginal and Elective Caesarean Delivery
Introduction: Oxidative stress occurs when generation of free radicals (oxidants) exceeds the available antioxidants. In pregnancy and parturition, there is an increased formation of reactive oxygen species. This study a...
Effectiveness of Kangaroo Mother Care in Reducing Pain during Minor Procedures in Preterm Neonates
ABSTRACT Introduction: Premature babies admitted in Neonatal Intensive Care Unit (NICU) are subjected to many painful invasive procedures. The exposure to pain leads to immediate and long term changes in the structure an...
Message from the Mermaid-Do not Miss the Anomaly Scan
Sirenomelia, also known as Mermaid syndrome is a rare congenital structural anomaly, caused by a vascular insult during the embryonic life. It is characterized by varying degrees of fusion of the lower extremities along...