Assessment of analytical performance of glucose meter in pediatric age group at tertiary care referral hospital

Background: Hepatitis-A virus (HAV) and Hepatitis E virus (HEV) are two major hepatotropic viruses of great public health importance in the developing countries like India. Both HAV and HEV are enterically transmitted and there are speculations that their co-infection might be associated with a more severe clinical course and increased rate of mortality. The objective of this study is to determine the prevalence, clinical features and biochemical parameters of Hepatitis A and Hepatitis E co-infection in hospitalized patients at a tertiary care centre in Uttarakhand.Methods: It is a retrospective study, covering a period of 4years and conducted in Himalayan Institute of Medical Sciences, SRHU Jolly Grant, Dehradun. Records of the patients with Hepatitis A and Hepatitis E co-infection were retrieved and analyzed.Results: Out of total 125 patients of acute viral hepatitis, 13 patients had HAV and HEV co-infection. 100% of the patients with co-infection presented with complaints of fever and jaundice, followed by 76.92% with vomiting, 69.23% with pruritis, 61.53% with pain in abdomen and 23.07% with altered sensorium. Mean Bilirubin, ALT, AST were 8.69±7.27 mg/dl, 2030.69±1726.93IU/L and 1880.07±1881.11IU/L respectively. Average duration of stay was 8.2 days. Encephalopathy was seen in 2 patients. However, no mortality was reported.Conclusions: Co-infection of HAV and HEV is not rare in pediatric age group. Knowledge about this will be of immense help for planning of future vaccination strategies and for better sanitation program in developing countries like India.

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EFFECTIVENESS OF BETA - GLUCAN COLLAGEN FOR TREATMENT OF PARTIAL THICKNESS BURNS IN PEDIATRIC AGE GROUP PATIENTS: A RANDOMIZED CONTROLLED TRIAL AT TERTIARY CARE CENTRE

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2014/4037 ◽

2014 ◽

Vol 3 (71) ◽

pp. 15157-15164

Author(s):

Sanjay Changole ◽

Adesh Palyekar ◽

Vikrant Nandurkar

Keyword(s):

Controlled Trial ◽

Tertiary Care ◽

Age Group ◽

Pediatric Age ◽

Care Centre ◽

Tertiary Care Centre ◽

Beta Glucan ◽

Randomized Controlled ◽

Pediatric Age Group ◽

Partial Thickness Burns

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Non-hematological tumors of head and neck region in the pediatric age group in a tertiary care cancer center

Pediatric Surgery International ◽

10.1007/s00383-011-2916-2 ◽

2011 ◽

Vol 27 (9) ◽

pp. 919-923 ◽

Cited By ~ 5

Author(s):

Kunal Das ◽

Sandeep Jain ◽

Akanksha Chichra ◽

Himesh Gupta ◽

Gauri Kapoor

Keyword(s):

Head And Neck ◽

Tertiary Care ◽

Neck Region ◽

Cancer Center ◽

Age Group ◽

Pediatric Age ◽

Head And Neck Region ◽

Pediatric Age Group ◽

Hematological Tumors

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A study of the clinical profile and management of malaria in pediatric age group in a tertiary care hospital in Mangalore

Asian Pacific Journal of Tropical Disease ◽

10.1016/s2222-1808(14)60432-1 ◽

2014 ◽

Vol 4 ◽

pp. S158-S161

Author(s):

Prasad Nayak N ◽

Roopa P. Nayak ◽

Santhosh T. Soans ◽

Samith Alva ◽

Zaheer Ahamed ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Clinical Profile ◽

Care Hospital ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group

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Pattern of skin disorders among pediatric age group cases attending a tertiary health care center

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20202023 ◽

2020 ◽

Vol 6 (4) ◽

pp. 511

Author(s):

Shahul Hameed G. ◽

Karthik Raja S.

Keyword(s):

Skin Diseases ◽

Care Center ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Pediatric Age ◽

Skin Disorders ◽

College Hospital ◽

Health Care Center ◽

Pediatric Age Group

Background: Skin diseases among the pediatric age group people are more common and it contributes to significant burden to health sectors. Also, the pattern of skin diseases changes consistently with reference to place and time. Hence the present study was conducted to assess the pattern of skin diseases in pediatric age group patients attending a tertiary care hospital.Methods: The cross-sectional study was conducted by the department of Dermatology, Venereology and Leprosy at Sri Muthukumaran Medical College Hospital and Research Institute, among the pediatric age group patients attending the outpatient department, during the month of October to December 2019. A total of 412 pediatric age group patients with skin disorder were included in the study. The study was conducted using a proforma with the clinical history and diagnosis of the participants. Data was entered in Microsoft excel and data analysis was done using SPSS version 17.Results: The common skin disorders reported in this study includes infections (34.7%) followed by dermatitis (32.3%), infestations (11.4%), miliaria (8.3%), popular urticaria (7.5%) and urticaria (6.1%). Among the infections fungal, bacterial and viral pathogens contributes to 16.3%, 10.9% and 7.5% of cases, respectively. Also 11.2% of cases were found to be infested with scabies (9.2%) and pediculosis (2.2%).Conclusions: Skin disorders in the pediatric age group are common and showing increasing trend. Hence health education of the parents and the school children about good nutrition, hygiene practices, and proper hydration of skin can be promoting in order to reduce the burden of skin disorders.

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Most common cause of cardiomegaly without significant murmur in pediatric age group at tertiary care hospital, Hyderabad, India: a prospective observational study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20191041 ◽

2019 ◽

Vol 6 (3) ◽

pp. 989

Author(s):

Chandra Mohan Chekkali ◽

Rakesh Kotha ◽

Himabindu Singh ◽

Narahari Bapanpalli ◽

Sadiqua Anjum ◽

...

Keyword(s):

Sudden Death ◽

Observational Study ◽

Prospective Observational Study ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Pediatric Age ◽

Common Cause ◽

Pediatric Age Group

Background: Following the invention of monaural stethoscope by Laennec and X ray by Roentgen in 18th century there was spectacular advancements in cardiology. The myocardium can be affected by various disease process unrelated to abnormal pressure or volume loads. These processes may be inflammatory, metabolic, infiltrative, ischemic or primary with significant overlap. These diseases usually present as cardiomegaly. In pediatric age group cardiac diseases will present early, sometimes without any signs and symptoms like sudden death due to less cardiac reserve. Few cases of sudden death also showed huge cardiomegaly in postmortem X rays. authors want to carry out this study to find out most common cause of cardiomegaly with silent chest as authors usually miss the diagnosis and these cases may present as sudden death without giving much time to intervene. The aim of the study is to know the most common cause of cardiomegaly without significant murmur in pediatric age group above one year.Methods: Prospective observational study done at a tertiary care hospital Hyderabad over a period of one year from January 2018 to January2019.Results: Most common cause of cardiomegaly without significant murmur was cardiac beriberi. It is mostly prevalent in rural areas of Telangana, mostly occurring in breastfed babies and below six years. All cases were recovered after proper treatment. Fortunately, it is associated with nil mortality, if timely treatment was initiated.Conclusions: Cardiac beriberi which is easily preventable and if treated in proper time it will associated with nil mortality. As it was occurring commonly breastfed babies supplementation of Thiamine to mothers was very useful as a preventive strategy.

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Percutaneous nephrolithotomy in the pediatric age group: a study from North Karnataka

International Surgery Journal ◽

10.18203/2349-2902.isj20195955 ◽

2019 ◽

Vol 7 (1) ◽

pp. 117

Author(s):

Suresh Kagalkar ◽

Surendra Kumar Agarwal

Keyword(s):

Percutaneous Nephrolithotomy ◽

Urine Analysis ◽

Tertiary Care ◽

Renal Stones ◽

Great Success ◽

Safe Procedure ◽

Age Group ◽

Pediatric Age ◽

Tertiary Care Centre ◽

Pediatric Age Group

Background: Nephrolithiasis is major problem in India. It is more prevalent in northern states of India and Karnataka is not an exception to this. Percutaneous nephrolithotomy (PCNL) has been accepted globally as a safe procedure with great success rate with less complication, and it is safe, effective, and suitable for pediatric cases. The aims and objectives of the study were to evaluate the indication of PCNL in children, to identify the complication, prevention and treatment of complication and to evaluate the efficacy and safely, management of kidney stones in children.Methods: Study period Aug 2015 July 2018, total 56 cases of renal stones in pediatric age group admitted in our Hospital, a tertiary care centre. All the patients evaluated for complete urine analysis, urine culture and sensitivity, complete hemogram, renal parameter, X ray KUB (kidney, ureter, and bladder), ultrasound KUB etc.Results: Small-stone (<2 cm) seen in 21.4% and large stone 64.2%. Following complications were noted- Pelvic perforations (3.5%), fever (7.1%) and hematuria (7.1%).Conclusions: PCNL is safe and effective procedure for the managements of renal stones in children with acceptable morbidity.

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Clinical pattern of cutaneous infestations in pediatric age group attending a tertiary care centre

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20214909 ◽

2021 ◽

Vol 8 (1) ◽

pp. 35

Author(s):

Raghavon U. U. ◽

Neela V. Bhuptani ◽

Bharti K. Patel ◽

Sagar Bhimani

Keyword(s):

Pediatric Patients ◽

Dietary Habits ◽

Skin Diseases ◽

Tertiary Care ◽

Outpatient Department ◽

Health Concern ◽

Care Hospital ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group

Background: Skin diseases are a serious health concern for children of all ages, and they are linked to a high rate of morbidity. In comparison to adults, children's dermatological problems are more impacted by socioeconomic position, dietary habits, climatic exposure, and the external environment. The purpose of this study was to determine the prevalence of infestations among pediatric patients who visited the dermatology outpatient department in a tertiary care hospital.Methods: From December 2019 to September 2020, all newly diagnosed, untreated male and female pediatric patients (from neonates to adolescents of 14 years of age) attending dermatology outpatient department (OPD) were assessed to determine the prevalence of Infestations within the pediatric population. A thorough history was gathered, followed by a meticulous dermatological examination and if indicated, regular investigations were done and were recorded in predesigned performa.Results: The analysis included 50 patients who had been infested. There were 43 cases (86%) of scabies and 7 cases (14%) of pediculosis capitis.Conclusions: The infestations in the pediatric age group are associated with a high communicable rate so it’s important to diagnose these conditions early to contain the spread and limit the morbidity.

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Clinical profile and outcome of dengue patients with atypical features in the pediatric age group in a tertiary care center of East India

Asian Journal of Medical Sciences ◽

10.3126/ajms.v12i11.39291 ◽

2021 ◽

Vol 12 (11) ◽

pp. 133-138

Author(s):

Sumita Pal ◽

Basudha Roy ◽

Amrit Chattopadhyay ◽

Akhila Andra ◽

Gautam De

Keyword(s):

Tertiary Care ◽

Delayed Diagnosis ◽

Care Facility ◽

Acalculous Cholecystitis ◽

Clinical Profile ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group ◽

Atypical Features ◽

Atypical Manifestations

Background: Dengue is one of the most widespread arthropod borne diseases worldwide with an annual incidence of 50–100 million cases per year. The recent resurgence of dengue in the pediatric population has created concern among pediatricians, especially due to increased incidence of atypical features, leading to delayed diagnosis and increased mortality. There are few studies regarding this due to under reporting of the cases. Aims and Objectives: This study aims to study the clinical profile and outcome of dengue patients between the age groups of 1 month and 12 years with special emphasis on patients with atypical features. Dengue patients with atypical presentation are easily misdiagnosed by physicians, especially in the pediatric age group which increases the morbidity and mortality. Materials and Methods: This was a retrospective observational study conducted from May 2018 to September 2019 in the Department of Pediatrics, CNMCH. All pediatric patients who were dengue IgM or dengue NS1 positive were included in the study and their course of stay was followed through hospital records. The data were statistically analyzed through SPSS 16.0 software. Results: Sixty-two dengue patients were included in the study. Thirty-two patients presented as mild febrile illness, classical dengue fever (DF), dengue hemorrhagic fever, or shock syndrome without atypical manifestations. Atypical manifestations were found in 30 patients (48.38%) of our study. Eleven (17.7%) patients had splenomegaly, 5 (8.1%) patients had hepatitis, 3 (4.8%) patients had diarrhea, 2 (3.2%) patients had acalculous cholecystitis, 1 (1.6%) patient had hepatitis with acalculous cholecystitis, 1 (1.6%) patient had hepatitis with diarrhea, 1 (1.6%) patient had myocarditis, 1 (1.6%) patient had paroxysmal supraventricular tachycardia, 1 (1.6%) patient had acute pancreatitis, 1 (1.6%) patient had acute kidney injury, 1 (1.6%) patient had ARDS, 1 (1.6%) patient had encephalitis, and 1 (1.6%) patient had myositis. Need of intensive care facility was more in patients with atypical manifestations due to mis or late diagnosis which prolonged course of stay. Conclusion: Atypical manifestations of DF are more common than reported. Lack of awareness among physicians, especially in primary health center, leads to delayed diagnosis and increased mortality and morbidity.

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