Respiratory distress in neonates with special reference to neonatal pneumonia
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 5, Issue 3
Abstract
Background: The clinical signs and symptoms of pneumonia in neonatal period are often nonspecific and it is widely recognized that pneumonia in newborn babies may not present with signs and symptoms typically seen in older children. Moreover none of the evaluation of simple clinical signs for diagnosis of pneumonia has focused on neonatal age group. Methodology: It was a prospective descriptive study carried at g Tertiary level neonatal intensive care unit (NICU) Hospital. All the babies born at or referred to NICU during the neonatal period of (0-28) days of birth and meeting the criteria for case definition were included in the study Results: In our study group the spectrum of respiratory distress included TTNB as the most common cause (45.33%). Other causes included pneumonia (24.66%), HMD (18%), MAS (7.33%), birth asphyxia (6%). Five babies had HMD with pneumonia, one baby had HMD with pneumonia with birth asphyxia, one baby had TTNB with birth asphyxia, three babies had HMD with birth asphyxia and 2 babies had MAS with birth asphyxia. Conclusion: In neonates with respiratory distress, presence of lethargy, poor feeding, chest retraction, tachypnea, hypothermia and adventitious sounds were significantly associated with pneumonia as compared to neonates with respiratory distress due to other causes.
Authors and Affiliations
Shrikanth R, Harshita Tripathi
Keywords
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