scholarly journals CLINICOPATHOLOGICAL STUDY OF PERFORATION PERITONITIS IN PAEDIATRIC AGE GROUP IN MY HOSPITAL, INDORE- A PROSPECTIVE AND RETROSPECTIVE STUDY

2018 ◽  
Vol 7 (19) ◽  
pp. 2393-2397
Author(s):  
Sunil Narang ◽  
Sumit Shukla ◽  
Pradeep Shivsharan
Keyword(s):  
Retrospective Study ◽  
Age Group ◽  
Clinicopathological Study ◽  
Paediatric Age ◽  
Perforation Peritonitis

scholarly journals Septic arthritis of ankle joint in the paediatric age group: a retrospective study

2020 ◽  
Vol 6 (3) ◽  
pp. 442
Author(s):  
Nasiur Rehman ◽  
Marcin Zgoda ◽  
Mohamed K. Osman
Keyword(s):  
Retrospective Study ◽  
Knee Joint ◽  
Septic Arthritis ◽  
Joint Infection ◽  
Positive Culture ◽  
Causative Organism ◽  
Age Group ◽  
Laboratory Findings ◽  
Joint Aspiration ◽  
Paediatric Age

<p class="abstract"><strong>Background:</strong> Septic arthritis in paediatric age group poses a significant clinical problem. Common sites are hip and knee joint. There are several orthopaedic literatures available on septic arthritis of the hip and knee joint, however, literature on epidemiology, causative organisms and outcome of septic arthritis of the ankle are very few.</p><p class="abstract"><strong>Methods:</strong> We conducted a retrospective study at a tertiary hospital with an aim to evaluate the incidence, causative pathogen, outcome and to identify differences, if any, between clinical features and laboratory findings of these patients when compared to those with hip and knee joint infection.<strong></strong></p><p class="abstract"><strong>Results:</strong> 47 children were diagnosed with septic arthritis, of which, 14 had septic arthritis of the ankle. Mean age was 5.2 years (8 months - 12 years). 13 children had undergone joint aspiration as a primary procedure. 50% (7) children had positive culture. <em>Streptococcus pyogenes</em> was the commonest causative organism in our cohort (29%) followed by <em>Staphylococcus aureus</em>. Mean follow-up was 36 months (16 - 56 months). 13 children (93%) had good clinical outcome. 1 child developed early arthritis.</p><p class="abstract"><strong>Conclusions:</strong> Septic arthritis of the ankle is a serious condition. Even-though the joint is superficial, diagnosing it clinically can be difficult due to less pronounced symptoms. This can lead to delay in establishing the diagnosis and commencing treatment, hence, it is imperative to have a high index of suspicion. We found early joint aspiration followed by a course of antibiotics to be an effective regimen in management of this devastating condition.</p>

scholarly journals Mannheim Peritonitis Index (Mpi) Score as A Predictor of Outcome in Patients with Secondary Peritonitis

2018 ◽  
Vol 4 (2) ◽  
pp. 6-9
Author(s):  
Pravin Joshi ◽  
Rajesh Poudel ◽  
Kailash Chandra
Keyword(s):  
Retrospective Study ◽  
Scoring Systems ◽  
Age Group ◽  
Medical Sciences ◽  
Mannheim Peritonitis Index ◽  
Bacterial Peritonitis ◽  
Post Operative Period ◽  
Surgical Emergencies ◽  
Perforation Peritonitis ◽  
The Common

INTRODUCTION: Secondary bacterial peritonitis from hollow viscous perforation is one of the common surgical emergencies and carries higher mortality. Several scoring systems are applied to predict the outcome of patients with perforation peritonitis. Mannheim Peritonitis Index (MPI) is one among many. Our aim of the study is to evaluate Mannheim peritonitis Index for predicting the outcome in patient with secondary bacterial peritonitis. MATERIALS AND METHODS: A retrospective study was conducted in the Department of General Surgery, Universal College of Medical Sciences, Bhairahawa from February 2012 to July 2013. All patients clinically diagnosed as peritonitis and who underwent laparotomy were included in the study. MPI score of all the study patients were calculated and categorized into three groups depending upon the score; less than 15, 15-25 and more than 25. Mortality of patients from each group was calculated and predictive value of each factor was determined.  RESULTS: Total 60 patients were included in the study. Forty-four were male and sixteen were female. There were total five mortalities. All were of above 50 years age group. Patients beyond 50 years of age had a significantly higher (p = .005) probability of dying in the early post-operative period. MPI score more than 15 was not statistically significant (p = .06), patients with MPI more than 25 had more probability of dying, hazard ratio (HR 3.4 with 95% CI).Journal of Universal College of Medical Sciences (2016) Vol.04 No.02 Issue 14, page: 6-9

scholarly journals STUDY IN PAEDIATRIC AGE GROUP UNDERGOING EMERGENCY LAPAROTOMY : OBSERVATIONAL STUDY

2021 ◽  
pp. 1-2
Author(s):  
Akash KR. Gupta ◽  
Manoj KR Das ◽  
Marshal D Kerketta
Keyword(s):  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Gastrointestinal Diseases ◽  
Acute Intestinal Obstruction ◽  
Emergency Laparotomy ◽  
Age Group ◽  
Common Cause ◽  
Colonic Atresia ◽  
Paediatric Age ◽  
Perforation Peritonitis

INTRODUCTION: Acute abdomen can be defined as “syndrome included by wide variety of pathological conditions that require emergent medical or more often surgical management.” Acute abdomen is caused due to gastrointestinal diseases such as intestinal obstruction and perforation peritonitis. AIM: The aim of our study was to observe the common cause in paediatric age group undergoing emergency laprotomy in our institutions. MATERIAL AND METHODS:This prospective study included 77children aged below or equal to 15years, underwent emergency laprotomy for acute intestinal conditions between January 2019 to December 2019 in RIMS,RANCHI. We excluded neonates ,patients of jejunoileal colonic atresia and stenosis, anorectal malformation(ARM), congenital pouch colon, neonatal necrotizing enterocolitis(NEC), hirschprung’s disease, gastrointestinal tumor. RESULTS: Total of 77 laprotomies were performed in emergency in children below or equal to 15 years age,59(76.62% ) were boys and 18(23.37% )were girls with male:female ratio of 3.2:1. 36(46.75%) cases were done for acute intestinal obstruction and 41(53.24%) cases were done for perforation peritonitis.20(25.97%)emergency laprotomy was performed in the age group 1-5 years and 57(74.02% ) were performed in the age group 5-15 years. Causes in order of frequency for intestinal obstruction were intussusceptions, post operative band/adhesion, abdominal tb obstruction, meckel’s diverticulum and worm obstruction. Causes in order of frequency for perforation peritonitis were typhoid, abdominal tb, appendicular perforation and abdominal trauma. CONCLUSION: In our study maximum emergency laprotomy was performed in male patients with male:female ratio of 3.2:1. Perforation peritonitis was more common than acute intestinal obstruction. 5-15 year age group were more commonly affected. Typhoid ileal perforation was the most common cause for emergency laprotomy followed by intussusception.

scholarly journals Seasonal Influenza Incidence in India: A Retrospective Study Based on Multiple Indian Hospital and Diagnostic Laboratory Centre

2019 ◽  
pp. 1-12
Author(s):  
Dinesh Jain ◽  
Manmohan Singh ◽  
Sandeep Budhiraja ◽  
Bansidhar Tarai ◽  
Sukanya Ghildiyal
Keyword(s):  
Retrospective Study ◽  
Tamil Nadu ◽  
Total Sample ◽  
Influenza B ◽  
Sample Population ◽  
Age Group ◽  
Rt Pcr ◽  
Diagnostic Laboratory ◽  
Indian States ◽  
Paediatric Age

The objective of the study is to understand the seasonal variation in influenza incidence across multiple Indian states by using diagnostic laboratories data of influenza. Materials and Methods: Diagnostic laboratory-based data of subjects who were tested for influenza between 1st January April 2014 to December 2017 across seven Indian states were analysed. In diagnostic laboratories of Maharashtra, Delhi, Uttar Pradesh, Haryana, and Rajasthan RT-PCR was used for detection of H1N1 and laboratories of Tamil Nadu used GeneXpert along with RT-PCR. A total sample size of 10,755 was used in the descriptive observational retrospective study. Results: In case of H1N1, sample population had almost equal male and female proportion (5172) with 36.5 years mean age. In majority of states, >3-5 years age group had the highest positivity rate. Paediatric age group (0-18 years) contributed 25% of total H1N1 burden, while older adults (>60 years) contributed 15% of the total sample. The yearly trends showed a higher incidence rate of H1N1 in 2015, followed by a decline during 2016 and a surge in 2017. Monthly trends showed consistent rise in H1N1 positivity rate during early months (January, February, and March) of 2015, 2016 and 2017. For influenza B, paediatric age group (0-18 years) showed the highest positivity rate and contributed almost 40% of total influenza ‘B’ burden. Conclusion: This study highlights the importance of big data-based analytics and its use in understanding the epidemiological behaviour of diseases like influenza. Insight by leveraging laboratories data, like in the case of current research study, gives demographic patterns of influenza in terms of age, gender, seasons, and regions/states.

Study of Seroprevalence of SARS CoV2 antibodies in children in a diagnostic centre of Central India-a retrospective study

2022 ◽  
Vol 8 (4) ◽  
pp. 176-180
Author(s):  
Ranjana Hawaldar ◽  
Sadhna Sodani ◽  
Varsha Sodani ◽  
R K Sodani
Keyword(s):  
Retrospective Study ◽  
Central India ◽  
Age Group ◽  
Igg Antibody ◽  
Female Ratio ◽  
True Incidence ◽  
Paediatric Age ◽  
Us Fda ◽  
Antibody Levels ◽  
Diagnostic Centre

It is said that children are less affected by SARSCoV2 infection because of their young immune system, so they have relatively milder symptoms as compared to adults. So the true incidence of SARSCoV2 is not known in this age group. Serosurveys in the paediatric age group can give a much better estimate of the incidence of SARSCoV2 infection in asymptomatic and symptomatic childrenThe present study was undertaken to study the seroprevalence of SARSCoV2 antibodies in children below 18 years of age, by measuring the S1RBD domain of spike protein neutralizing IgG antibody levels.This was a retrospective study carried out from August 2020 to August 2021 in a private diagnostic centre of Central India. 539 children of both genders from newborn babies upto 18 years of age were included in the study. US FDA Emergency Use Authorized [EUA], Atellica Solution SARS-CoV-2 IgG assay that detects anti S1-RBD antibodies including neutralizing IgG against SARS-CoV-2 was used for antibody estimation. Antibody level ≥1 was termed reactive or seropositive and below 1 were considered to be non reactive or seroneagtive There were 321 males and 218 females with a male to female ratio of 1.47 :1. 57% male children were seropositive while 61.9% female children showed seropositivity with an overall positivity rate of 58.99%.The findings of our study suggest that chidren below 5 years and adolescents exhibit higher antibody responses as compared to children between 5-10 years of age. The results of our study would be of help in formulating surveillance and vaccination strategies for children and in implementing public safety guidelines.

COLLAGEN DRESSINGS IN THE MANAGEMENT OF PAEDIATRIC FACIAL BURNS-OUR EXPERIENCE

2021 ◽  
pp. 165-168
Author(s):  
Debraj Saha ◽  
Sweta Sweta ◽  
Anand Dugad
Keyword(s):  
Wound Healing ◽  
Retrospective Study ◽  
Cosmetic Outcome ◽  
Age Group ◽  
Partial Thickness ◽  
Sex Type ◽  
Facial Burns ◽  
Paediatric Age ◽  
Age And Sex

Background-Facial Burns in the paediatric Populations are very common in our society. Facial burns in paediatric age group are usually caused due to accidental spillage and scalding by hot liquids. These burns are usually partial thickness in nature.Collagen dressing have a better outcome in the management of partial thickness facial burns. Wound healing is important with the aim to minimize the deformity and a cosmetically acceptable scar. Methodology- Thirty patients 3-12 years of age were included in a retrospective study from September 2017 to September 2018.All patients were analyzed in terms of age and sex, Type of burn, duration of presentation, degree and percentage of burns, complications, cosmetic outcome. Mean age of presentation 5.7yr. Ninety-six percent of childre Result- n had burns secondary to scalding. Dry collagen sheet applied to all 30 patients. Ninety-three percent patients had satisfactory healing in 10 days. Ninety percent patients experienced no pain with collagen in situ. Ten percent patients had minor complications where all patients were very comfortable with collagen dressing. Collagen dressing is very useful in rst and Conclusion- supercial second degree facial burns in paediatric populations. It is well tolerated, provides multiple benets, and it has fewer complications and excellent cosmetic outcome as our study showed.

scholarly journals An epidemiology of animal bite cases attending tertiary care centre of Bangalore Medical College and Research Institute, Bengaluru: a retrospective study

2017 ◽  
Vol 4 (7) ◽  
pp. 2538
Author(s):  
Navya Sri Sreenivas ◽  
Saraswathi Sakranaik ◽  
Ranganath Thimmanahalli Sobagiah ◽  
Anil Kumar
Keyword(s):  
Retrospective Study ◽  
Tertiary Care ◽  
Virus Transmission ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Paediatric Age ◽  
Epidemiological Pattern ◽  
One Year

Background: Rabies is a viral zoonosis. In up to 99% of cases, domestic dogs are responsible for rabies virus transmission to humans. About 30% of the victims of dog bites are children under the age of 15. Ironically, all these problems are preventable by effective vaccination. However, for an ef­fective prevention programme, it is important to un­derstand the epidemiology of animal bite cases. The objective of the study was to assess the epidemiological pattern of animal bite cases attending anti-rabies clinic. Methods: A record based retrospective study was conducted from April to May 2016 by reviewing the records of one year in anti-rabies clinic. Results: In the study out of 2850 bite victims, 78% were males and about 21, 54% were in the age group of 20-29 years. 97% of cases were bitten by dog. Based on area wise distribution majority of the bite victims were from Bangalore west (49.5%), among them 23% was referred for Immunoglobulin. The study also showed that majority of paediatric cases were reported more during the month of April and May. Conclusions: In our study we found that majority of cases were reported among the paediatric age group during summer vacations. Hence education should be given in the community as well in schools for primary prevention of animal bite. 

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