Clinical and paraclinical characteristics of Chlamydia trachomatis pneumonia in infants less than 6 months of age at National Children’s Hospital

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Hien Pham Thu
Keyword(s):  
Chlamydia Trachomatis ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Persistent Cough ◽  
Children’S Hospital ◽  
History Of ◽  
Eosinophil Counts

SUMMARY Objectives: The study aim was to describe clinical and paraclinical characteristics of Chlamydia trachomatis pneumonia in children under 6 months of age at National Children’s Hospital. Methods: This cross-sectional study included 71 cases of C. trachomatis pneumonia in Respiratory Department, National Children’s Hospital between 1 September 2017 and 31 August 2018. Results: Important features of C. trachomatis pneumonia in children under 6 months of age include persistent cough, nasopharyngitis, conjunctivitis, history of vaginal birth, mother’s history of vaginosis during pregnancy. Absolute eosinophil counts greater than 300/mm3 may suggest C. trachomatis pneumonia. Conclusion: Clinical manifestations of pneumonia due to C. trachomatis pneumonia are persistent cough, nasopharyngitis, conjunctivitis, mother’s history of vaginosis during pregnancy. A higher than 300 eosinophils/mm3 is strongly associated with C. trachomatis pneumonia.

scholarly journals Susceptibility to allergy in adoptive children: a cross-sectional study at “Bambino Gesù Children’s Hospital”

2018 ◽  
Vol 44 (1) ◽  
Author(s):  
Hyppolite K. Tchidjou ◽  
Maria Fenicia Vescio ◽  
Jessica Serafinelli ◽  
Rosaria Giampaolo ◽  
Alessandro Jenkner ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Children’S Hospital

scholarly journals Morbimortalidad de los pacientes con cetoacidosis diabética que ingresaron a la unidad de cuidados intensivos pediátricos del hospital infantil universitario de la cruz roja, rafael henao toro, de la ciudad de manizales (colombia), 2004-2010./morbidity an

2012 ◽  
Vol 12 (2) ◽  
pp. 168-177
Author(s):  
José Abel Alzate Flórez ◽  
Susana Andrea Alzate Ramos ◽  
José Jaime Castaño Castrillón ◽  
Juanita Gonzalez Cuartas ◽  
Maryuri Herrera Bustamante ◽  
...  
Keyword(s):  
Diabetic Ketoacidosis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
History Of ◽  
Average Blood Glucose ◽  
Socioeconomic Strata ◽  
The University ◽  
Timely Delivery

Objetivo: Estudiar la morbimortalidad de los pacientes admitidos a la Unidad de Cuidados Intensivos Pediátricos del Hospital Infantil Universitario de la Ciudad de Manizales (Colombia) ingresados por cetoacidosis diabética en el período comprendido entre losaños 2004 y 2010 (años completos).Materiales y Métodos: Se efectuó un estudio de corte transversal en el cual se analizaron las historias de 72 pacientes de 1 mes a 17 años. Se tomaron variables demográficas y propias de la patología, antecedentes y el tratamiento efectuado.Resultados: El 42,9% presentó acidosis severa, el promedio de edad fue de 10,83 años, 51,4% del género masculino, 46,2% de los pacientes pertenecían a estratos socioeconómicos I y II, 47,2% ingresaron en estado de somnolencia, el 42% con deficiencia en grado leve de bicarbonato y promedio de glicemia de 406 mg/dl. Elpromedio de días de hospitalización fue de 2,75, el 97,2% de los pacientes no tuvieron complicaciones, en el 29,2% de los casos el factor desencadenante fue infección.Conclusiones: Se puede concluir que con el seguimiento del protocolo para manejo de CAD existente en el Hospital Infantil Universitario de Manizales las complicaciones son poco comunes y la hospitalización en UCIP es corta. Con la instauración de un tratamiento oportuno y precoz el pronóstico de la CAD es bueno. Garantizar la entrega oportuna de medicamentos y planes educativos para los pacientes puede disminuirla incidencia de la CAD. Objective: To study the morbidity and mortality of patients admitted in the PediatricIntensive Care Unit at the University Children’s Hospital in Manizales (Colombia) admittedfor diabetic ketoacidosis in the period between 2004 and 2010.Materials and Methods: A cross-sectional study was made which analyzed the medicalhistory of 72 patients aged 1 to 17 years. The variables taken include demographic variablesand the ones typical of the own pathology, treatment history and the history of diabetes.Results: The average age was 10.83 years, 51.4% male, 46.2% of the patients belongedto socioeconomic strata I and II, 47.2% were admitted in a state of somnolence,47.8% with slight bicarbonate level, and average blood glucose of 406 mg / dl. Theaverage days of hospitalization was 2.75 days, 97.2% of patients had no complicationsin 29.2% of the cases the precipitating factor was infection, only one patient died.Conclusions: It can be concluded that following the protocol to existing diabetic ketoacidosismanagement in Manizales University Children’s Hospital, complications arerare and hospitalization is short. The introduction of early treatment and early prognosisof diabetic ketoacidosis is good. By ensuring timely delivery of medications and patienteducation may decrease the incidence of diabetic ketoacidosis.

scholarly journals Length of Stay in the Emergency Department during COVID-19 Pandemic in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Suraj Singh ◽  
Bibek Koirala ◽  
Rabin Thami ◽  
Anupama Thapa ◽  
Bijay Thapa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Children’S Hospital

Introduction: Emergency Department overcrowding has become worsening problem internationally which may affect patient, emergency department efficiency and quality of care and this may lead to increased risk of in hospital mortality, higher costs, medical errors and longer times to treatment. With this pandemic COVID-19 likely to go on for months, if not a year or longer, the Emergency Department should be prepared for large influx of patients infected with COVID-19. The aim of this study is to find-out the length of stay in emergency department during COVID-19 pandemic at a tertiary care hospital in Nepal. Methods: This is a descriptive cross-sectional study conducted in the Emergency Department of Kanti Children’s Hospital. Ethical clearance was obtained from Institutional review committee Kanti Children’s Hospital. Data collection was done from the emergency records from July 23, 2020 to July 29, 2020. The calculated sample size was 211. The data thus obtained was entered in Statistical Package for the Social Science software version 20 and necessary calculations were done. Results: The median length of stay in emergency department was found to be 1.75 hours (Interquartile range 0 to 30 hours). Conclusions: Definitive management starts in respective wards and Intensive Care Units. During COVID-19, with longer emergency stay, chances of cross-infection increases, and the health workers serving in emergency department will be at risks. So guidelines for shorter emergency stay should be implemented.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

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