CLINICAL AND LABORATORY PROFILE OF CHILDREN OF AGE GROUP 6 MONTHS TO 5 YEARS WITH IRON DEFICIENCY ANEMIA ADMITTED IN A TERTIARY CARE CENTRE

Background: Iron deficiency is a global public health problem with unique cultural, dietary and infectious hurdles that are difficult to overcome. Aims and objectives were to study clinical and biochemical profile of iron deficiency anemia, risk factors for iron deficiency anemia, presenting illnesses associated with iron deficiency anemia, association of other nutritional deficiency with iron deficiency anemia, treatment of iron deficiency anemia and recovery rate.Methods: This cross-sectional prospective study is conducted between June 2017 to May 2019in a tertiary care institute Gujarat state of India. All the children in the age group of 6 months to 5 years admitted in paediatric ward with anaemia were included in study. Data collection was done using a pretested questionnaire including socio-demographic factors. Data was analysed using statistical package for social sciences and excel and p<0.05 was considered as statistically significant.Results: The prevalence of anemia is 62.31% in patients admitted during study period. Mild to moderate anemia is observed in 75% patients. In present study, 62% patients are in age group of 6 months to 2 years and 38% patients are >2 years to 5 years. Patients with dimorphic anemia have initial mean serum B12 level 31.36 ng/ml, which improved after treatment to 312.98 ng/ml falling in the range of normalcy.Conclusion: Though anemia is common, most patients are stable and present with mild to moderate anemia. Only a fraction of patients presenting with congestive cardiac failure require packed red blood cells transfusion. Oral iron therapy for three months is the mainstay of treatment for iron deficiency anemia. Vitamin B12 therapy is also needed in patients with dimorphic anemia.

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Subclinical rickets among children visiting a tertiary care hospital

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20182564 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1555

Author(s):

Lakshmi Lakkappa ◽

Roy Ninan Abraham ◽

Chirsti D. Savio

Keyword(s):

Vitamin D ◽

Alkaline Phosphatase ◽

Early Stage ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Significant Difference ◽

Group 6

Background: Subclinical rickets is the early stage of rickets which can be defined as a state where there are no clinically appreciable changes of rickets but is characterized by biochemical changes which include the following Low or normal calcium, Low phosphorus, raised alkaline phosphatase and Low Vitamin D or raised Parathyroid hormone (PTH) levels. Radiological changes are often subtle to detect in sub clinical rickets. The objective of the present study was to estimate the prevalence of subclinical rickets in the age group 6 weeks to 15 years in tertiary care centre and to study their clinical profile.Methods: Hospital based Cross sectional study was conducted among 156 children in the age group 6 weeks to 15 years over a period of 1 year at a tertiary care centre in South Bangalore. Evaluation and diagnosis of Subclinical rickets was done using various biochemical parameters such as Calcium, phosphorus and alkaline phosphatase and Wrist X ray.Results: Overall Prevalence of Subclinical Rickets among the study group was 57 (36.5%). Sub clinical rickets was more common among Females (41.4%). Significant difference was observed in time spent for outdoor activities among children with (7.18±3.2 hrs) and without (9.04±4.4 hrs) subclinical rickets. Vitamin D supplemented group had lower prevalence of Subclinical rickets. 26% of them had Wrist Changes for sub clinical rickets. Significant decrease in Serum calcium and phosphorus was observed between subjects with and without subclinical rickets.Conclusions: Prevalence of Subclinical Rickets in children aged between 6weeks to 15 years is significantly high. Optimal exposure to sunlight and Vitamin D supplementation can bridge the deficiency gap.

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Study of role of iron deficiency anaemia in childhood febrile seizures in a tertiary care centre

MedPulse International Journal of Pediatrics ◽

10.26611/10141236 ◽

2019 ◽

Vol 12 (3) ◽

pp. 75-78

Author(s):

Sunil Kumar ◽

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anaemia ◽

Tertiary Care ◽

Febrile Seizures ◽

Care Centre ◽

Tertiary Care Centre ◽

Deficiency Anaemia

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Detection and Enumeration of the Commonest Stool Parasites Seen in a Tertiary Care Center in South India

ISRN Tropical Medicine ◽

10.1155/2013/808571 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6

Author(s):

Vani Chandrashekar

Keyword(s):

Entamoeba Histolytica ◽

South India ◽

Care Center ◽

Tertiary Care ◽

Age Group ◽

Tertiary Care Center ◽

Care Centre ◽

Tertiary Care Centre ◽

Stool Samples

The aim of this study was to identify common stool parasites in patients attending a tertiary care centre in South India. We evaluated 2355 stool samples and parasites were detected in 7.9% of samples. 41.1% of our patients were in the 45–58-year age group. Protozoal infections were the commonest seen in 7.8% of samples. Entamoeba histolytica was the commonest protozoa (4.6%) followed by Entamoeba coli (1.2%) and Giardia (0.8%). Entamoeba histolytica and Entamoeba coli were together seen in 0.63%, and they were the commonest organisms seen in samples with multiple-organism infection. Both were equally detected in diarrheal samples.

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Pattern of Ear Diseases among Paediatric ENT Patient: An Experience from Tertiary Care Centre, Pokhara, Nepal

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v32i2.5673 ◽

2012 ◽

Vol 32 (2) ◽

pp. 142-145 ◽

Cited By ~ 2

Author(s):

B Sigdel ◽

R Nepali

Keyword(s):

Tertiary Care ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Suppurative Otitis Media ◽

Ear Diseases ◽

Paediatric Age ◽

One Year ◽

A Prospective Study ◽

Nose And Throat

Introduction: Ear diseases are common in children mainly due to altered anatomy of Eustachian tube which is straighter in children as compared to that in adults. However, the cause of hearing loss in children is more varied, including the etiologies. This study was done to find out the pattern of ear diseases in paediatric age group attending ear, nose and throat OPD in a tertiary care centre in Pokhara, Nepal. Materials and Methods: This is a prospective study done in paediatric patients attending ENT OPD over a period of one year from January 2010 to January 2011. The diagnoses were made on the basis of history and clinical examination. Results were expressed in numbers and percentages. Results: Out of 1632 Pediatric ENT patients, 944 had ear diseases, 59.2% were males and 40.8% females. Wax (33.4%) was the commonest diagnosis followed by Chronic suppurative otitis media (24.3%) and Acute ottitis media (13%). Conclusion: Ear diseases are most common condition in ENT OPD among paediatric age group. Wax, CSOM and ASOM were the three most common ear diseases. J. Nepal Paediatr. Soc. 32(2) 2012 142-145 doi: http://dx.doi.org/10.3126/jnps.v32i2.5673

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TO DETERMINE THE PREVALENCE AND OCCURANCE OF VISUAL MORBIDITY IN PATIENTS OF PTERYGIUM ATTENDING EYE OPD IN A TERTIARY CARE CENTRE OF EASTERN INDIA

10.36106/ijsr/6908440 ◽

2021 ◽

pp. 80-81

Author(s):

Vandana Parasar ◽

Vidyabhushan Kumar ◽

Ankita Singh ◽

Nilesh Mohan

Keyword(s):

Socioeconomic Status ◽

Tertiary Care ◽

Living Condition ◽

Age Group ◽

Care Centre ◽

Eastern India ◽

Tertiary Care Centre ◽

Male Preponderance ◽

Uvb Exposure ◽

Epidemiological Trends

To determine the prevalence and occurrence of visual morbidity in patients of pterygium attending eye opd in a tertiary care centre of Bihar. Methods: In this observational study a total of 193 patients, diagnosed with pterygium, underwent complete ocular examination by an ophthalmologist. Epidemiological trends including age, sex, occupation, effect of living condition and socioeconomic status were analyzed. Results: There is a male preponderance of 58.03%. The age incidence of the group showed that the incidence of pterygium was 10.36% in the age group of less than 30 years. It rises to a maximum of 29.53% in the age of 41-50 years and then gradually declines.. The incidence was found to be maximum among farmers(39.86%) followed by miners(31%). Conclusion: People who work outdoors are at a greater risk because they are subjected to involuntary UVB exposure. The highest exposure occurs during the two hours on either side of noon. Workers must be aware and should take appropriate measures like wearing protective glasses, caps, etc

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CLINICAL PROFILE OF INTUSSUSCEPTION IN CHILDREN ADMITTED TO A TERTIARY CARE CENTRE IN KERALA

International Journal of Medical Science and Diagnosis Research ◽

10.32553/ijmsdr.v4i12.726 ◽

2020 ◽

Vol 4 (12) ◽

Author(s):

Neethu Jose ◽

Aparna Namboodiripad ◽

Regi George A N

Keyword(s):

Tertiary Care ◽

Spontaneous Resolution ◽

Reduction Technique ◽

Clinical Profile ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Hydrostatic Reduction ◽

Duration Of Hospital Stay ◽

Study Population

Background and objectives: Intussusception is the commonest cause of bowel obstruction and is one of the common abdominal emergencies in children younger than 2 years of age.The objective of the study was to assess the clinical profile of intussusception in children and the management and the outcome and to assess whether the characteristics mentioned in clinical profile are predictive of subsequent management and outcome of the disease. Methods: A hospital based descriptive study conducted in a tertiary care centre in Kerala, using purposive sampling technique. 120 children admitted with diagnosis of intussusception fulfilling inclusion criteria and whose parents consented for study were included in the study population, during the study period from November 2018 to June 2020. Detailed history, clinical examination including per rectal examination and USG was done to make diagnosis of intussusception in suspected cases. Follow up is done at 72 hours,1 week after the admission and 1month later. To assess the clinical profile and outcome of patients, frequency and percentage is used. To obtain the association of clinical profile with outcome chi square test is applied. Results: Outcome of the problem was correlated with age, sex, symptoms, risk factors sonological findings treatment protocol and duration of hospital stay. Out of the 120 children in study population, majority were males(65.8%) with male to female ratio 1.9:1 and majority was in the age group 7- 12 months, which is similar to many other similar studies. Maximum number of cases were in the month of February(14.2%) and November(15%). Majority of the patients(57.5%) presented to healthcare facility within 24 hours of onset of first symptom.Irritability was the most common clinical symptom(62.5%) followed by vomiting(58.3%) and abdominal pain(49.2%). Ileocolic intussusception (96.7%) was the commonest type. Majority of the cases could be managed with hydrostatic saline reduction(73.3%) and significantly lesser number of patient went for surgical intervention(7.5%) and spontaneous resolution(19.2%). Conclusions: Incidence of intussusception is more common among males and more in the 7-12 month age group. Majority of the cases presented to health care facility within 24 hours of onset of symptom and could be managed with hydrostatic reduction technique and had a shorter duration of hospital stay compared to surgical reduction technique. Even recurrent cases could be managed with hydrostatic saline reduction. Keywords: Intussusception; Intestinal obstruction; Hydrostatic reduction; Spontaneous resolution

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Role of ferric carboxymaltose in the treatment of postpartum anemia in a tertiary care hospital in Andhra Pradesh

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213857 ◽

2021 ◽

Vol 10 (10) ◽

pp. 3889

Author(s):

Kirtan Krishna ◽

Achint Krishna ◽

Divya Teja G. N.

Keyword(s):

Iron Deficiency ◽

Patient Compliance ◽

Iron Deficiency Anemia ◽

Serum Ferritin ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Deficiency Anemia ◽

Ferric Carboxymaltose ◽

Care Hospital ◽

Parenteral Iron

Background: Postpartum iron deficiency anemia is common in India as a consequence of postpartum hemorrhage. Recent studies have evaluated the use of parenteral iron as a better tolerated treatment modality. Compared with oral iron supplements, parenteral iron is associated with a rapid rise in serum ferritin and hemoglobin and improved maternal fatigue scores in the postpartum period. Parenteral iron may be considered for the treatment of postpartum anemia. The objective of the study was to evaluate the efficacy, safety, and tolerability of intravenous ferric carboxymaltose, in women with postpartum anemia.Methods: A clinical observational study was undertaken in a tertiary care hospital, 50 women within six weeks of delivery with Hb ≥6 gm/dl and ≤10 gm/dl received 1000 mg/week, over 15 minutes or less, repeated weekly to a calculated replacement dose (maximum 2500 mg) . Hemoglobin and serum ferritin levels were recorded prior to treatment and on day 21 after completion of treatment.Results: Ferric carboxymaltose-treated subjects achieved a hemoglobin greater than 12 gm/dL in a short time period (21 days), achieve a hemoglobin rise of ≥3 gm/dL more quickly, and attain higher serum ferritin levels. It is also associated with better patient compliance, and shorter treatment period. Drug-related adverse events occurred less frequently with ferric carboxymaltose. The only noted disadvantage was that it is more expensive when compared to other iron preperations.Conclusions: Intravenous ferric carboxymaltose was safe and well tolerated with good efficacy and better patient compliance in the treatment of postpartum iron deficiency anemia.

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DIAGNOSTIC IMPORTANCE OF BONE MARROW ASPIRATION IN HEMATOLOGICAL DISORDERS – TERTIARY CARE CENTRE BASED STUDY.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i6.339 ◽

2019 ◽

Vol 3 (6) ◽

Author(s):

Seema Meena ◽

Sukriti . ◽

Sonal Bhati ◽

Abha Patni

Keyword(s):

Bone Marrow ◽

Megaloblastic Anemia ◽

Tertiary Care ◽

Bone Marrow Aspiration ◽

Deficiency Anemia ◽

Invasive Technique ◽

Care Centre ◽

Tertiary Care Centre ◽

Female Ratio ◽

Hematological Disorders

Background: Bone marrow aspiration (BMA) is a minimally invasive technique performed in a variety of hematological disorders. It is considered essential for the diagnosis and management of haematological disorders. BMA is usually sufficient to diagnose nutritional anemia and most of the leukemias. Aims & Objectives: To study the spectrum of hematological disorders diagnosed on BMA in a tertiary care centre, Udaipur. Material & Methods: The present study was conducted in the hematology section of department of Pathology, RNT Medical College & MB Hospital, Udaipur for a period of one year from June 2018 to May 2019. A total of 123 cases of suspected hematological disorders underwent the process of BMA from posterior superior iliac spine under local anesthesia. Exclusion criteria of our study included aspirates of dry tap. BMA smears were stained with Giemsa stain for morphologic examination. Result: The present study included 123 cases. Male to female ratio in our study was 1.6:1. Anemia (45.5%) was the most common hematological disorder in our study, iron deficiency anemia being the most common followed by megaloblastic anemia. Chronic myeloid leukemia (26.01%) was the most common hematological malignancy in our study. Conclusion: Bone marrow aspiration is a useful diagnostic procedure in hematological practice for the diagnosis of both hematological and non-hematological conditions. Rapid and early diagnosis of malignancies are critical for proper initiation of treatment and to control the disease. Keywords: Bone Marrow Aspiration, Hematological disorders, Leukemias

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Epidemiological study, clinical spectrum and associations of childhood vitiligo in a tertiary care centre

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20163976 ◽

2016 ◽

Vol 2 (4) ◽

pp. 86

Author(s):

Rangaraj Murugaiyan

Keyword(s):

Tertiary Care ◽

Significant Proportion ◽

Clinical Spectrum ◽

Age Group ◽

Care Centre ◽

Inclusion Criteria ◽

Common Site ◽

Tertiary Care Centre ◽

Exclusion Criteria ◽

The Past

Background: Childhood vitiligo is a special subtype and is seen in significant proportion of vitiligo patients. There are only a few clinical studies in the past which address the clinical spectrum of vitiligo in children. This study on eighty cases of childhood vitiligo will cover the epidemiology and clinical spectrum.Methods: To study the epidemiology, clinical spectrum and associations in childhood vitiligo. Inclusion criteria: all new cases of vitiligo in children under 12 years attending the outpatient department of Dermatology, exclusion criteria: old treated cases of vitiligo and age more than 12 years. Statistical analysis was done using mean and percentage of means.Results: Most common age group affected includes 4-6 years. Most common site of initial lesion was head and neck followed by upper limb, lower limb and trunk. Most common clinical type was vitiligo vulgaris followed by focal type then segmental. Lip tip type was least common type. Conclusions: Childhood vitiligo is a serious issue and the knowledge of its various patterns and associations needs to be updated at regular intervals.

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