A study of profile of the patients with typhoid fever in pediatric patients at tertiary care center

Introduction: Typhoid fever, an acute systemic febrile illness caused by Salmonella Typhi & Paratyphi, is an important public health problem in developing countries. It requires frequent observation regarding proper diagnostic protocol and treatment practices. The aim of the study is to find the prevalence of typhoid fever among admitted pediatric patients in a tertiary care center. Methods: This is a descriptive cross-sectional study conducted among the admitted patients of pediatric and adolescent medicine of a tertiary care center from August 2016 to May 2018 after obtaining ethical clearance (IRC/609/015). Convenience sampling was used and data was analyzed using the Statistical Package of Social version 11.5. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 7450 patients, 151 (2.03%) at 95% Confidence Interval (1.71-2.35) patients were diagnosed with enteric fever of which 85 (56.29%) were male and 66 (43.71%) were female. Common symptoms were fever 151 (100%), and abdominal pain 94 (62.25%). Azithromycin 54 (38.03%) was the most common antibiotic received before presenting to hospital and ceftriaxone 151 (100%) was prescribed to all the patients after admission. Two-third of the patients (96/151) was hospitalized for at least 6 days, with the longest hospital stay of 14 days and shortest of 3 days. Conclusions: Occurrence rate of Typhoid Fever was similar to other studies. Antibiotic susceptibility could not be well established; further surveillance on typhoid fever and the antimicrobial susceptibility pattern is recommended.

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CHARACTERISTICS AND LONGER-TERM OUTCOMES OF PEDIATRIC PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY: A TERTIARY CARE CENTER EXPERIENCE

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(19)31485-8 ◽

2019 ◽

Vol 73 (9) ◽

pp. 878

Author(s):

Alaa Alashi ◽

Laurence Svensson ◽

Jared Klein ◽

Kenneth Zahka ◽

Nicholas Smedira ◽

...

Keyword(s):

Hypertrophic Cardiomyopathy ◽

Pediatric Patients ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center

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Fever of unknown origin: a retrospective review of pediatric patients from an urban, tertiary care center in Washington, DC

World Journal of Pediatrics ◽

10.1007/s12519-019-00237-3 ◽

2019 ◽

Vol 16 (2) ◽

pp. 177-184 ◽

Cited By ~ 1

Author(s):

Ann Marie Szymanski ◽

Hugo Clifford ◽

Tova Ronis

Keyword(s):

Retrospective Review ◽

Fever Of Unknown Origin ◽

Pediatric Patients ◽

Care Center ◽

Tertiary Care ◽

Unknown Origin ◽

Washington Dc ◽

Tertiary Care Center

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Clinical Spectrum of COVID-19 in a Pediatric Mexican Population

10.21203/rs.3.rs-81586/v3 ◽

2020 ◽

Author(s):

Edgar Bustos-Cordova ◽

Daniela Castillo-García ◽

Magdalena Cerón-Rodriguez ◽

Nadia Soler-Quiñones

Keyword(s):

Emergency Department ◽

Pediatric Patients ◽

Care Center ◽

Tertiary Care ◽

Signs And Symptoms ◽

Clinical Spectrum ◽

Tertiary Care Center ◽

Rt Pcr ◽

Excessive Crying ◽

Pcr Test

Abstract ObjectiveFrom the beginning of the COVID-19 pandemic, it has become evident that the spectrum of manifestations in children is different from those seen in adults. In this study, we aimed to describe a broader clinical spectrum of COVID-19 in children.MethodsIn this descriptive, prospective study, we included confirmed pediatric patients with COVID-19 who presented to the emergency department of a pediatric tertiary care center from April to July 2020. All patients were confirmed by the SARS-CoV-2 RT-PCR test, and we analyzed 24 symptoms and 25 signs.ResultsWe analyzed 50 patients with COVID-19. From the evaluated signs and symptoms, the most common symptoms were fever, excessive crying and dry cough, digestive symptoms were frequently found (24%), and the most common signs were pharyngeal erythema and irritability.ConclusionClinicians should recognize that the clinical spectrum of COVID-19 in children is wider than previously described, often with nonspecific signs and symptoms, and digestive symptoms should raise suspicion.

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Perioperative hypothermia in pediatric patients operated in a tertiary care center: Incidence and correlates

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.36.4.456 ◽

2020 ◽

Vol 36 (4) ◽

Author(s):

Osman ESEN ◽

Gülseren YILMAZ ◽

Nevin AYDIN

Keyword(s):

Body Temperature ◽

Surgical Procedures ◽

Pediatric Patients ◽

Care Center ◽

Tertiary Care ◽

Fluid Replacement ◽

Prospective Clinical Study ◽

Tertiary Care Center ◽

Body Temperatures ◽

Perioperative Hypothermia

Background & Objectives: Hypothermia, described as temperature < 35°C, is a frequent condition encountered in patients operated under general anesthesia. It is associated with significant morbidity and mortality. We aimed to estimate its incidence and to investigate the conditions associated with hypothermia in pediatric patients. Methods: This prospective clinical study was carried out in the operating theatre of a tertiary care center between August 2015 and September 2015. A total of 108 pediatric patients who underwent various surgical procedures that lasted for more than 30 minutes were enrolled. Baseline demographic data, types of surgical procedures, duration of operations, preoperative and perioperative body temperatures were recorded. The incidence of hypothermia and its possible correlates were sought. Results: Our series consisted of 108 children (77 males, 71.3%; 31 females, 28.7%) with an average age of 6.08±5.09 years were included in the study. There was no case diagnosed with hypothermia in the preoperative, perioperative and postoperative periods. Patients in American Society of Anesthesiologists classification (ASA) three group had significantly higher preoperative body temperatures compared to those in ASA-1 and ASA-2 groups (p = 0.027). The postoperative body temperature in patients receiving intravenous fluid replacement was significantly lower (p=0.017). Conclusion: For pediatric patients scheduled for surgical interventions, we recommend close monitorization and follow-up of body temperature, implementation of preventive measures to avoid hypothermia and routine perioperative heating. Avoidance of hypothermia may prevent hazardous consequences of postoperative hypothermia. doi: https://doi.org/10.12669/pjms.36.4.456 How to cite this:Esen O, Yilmaz G, Aydin N. Perioperative hypothermia in pediatric patients operated in a tertiary care center: Incidence and correlates. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.456 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Foreign body ingestion and associated factors in pediatric patients at a tertiary care center

Revista de Gastroenterología de México (English Edition) ◽

10.1016/j.rgmxen.2021.09.004 ◽

2021 ◽

Author(s):

L.A. Navia-López ◽

J.F. Cadena-León ◽

K.R. Ignorosa-Arellano ◽

E.M. Toro-Monjaraz ◽

F. Zárate-Mondragón ◽

...

Keyword(s):

Foreign Body ◽

Associated Factors ◽

Pediatric Patients ◽

Care Center ◽

Tertiary Care ◽

Foreign Body Ingestion ◽

Tertiary Care Center

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Risk Assessment and Outcome of Venous Thromboembolism in Pediatric Population in an Academic Care Center of a Low-Middle Income Country

Clinical and Applied Thrombosis/Hemostasis ◽

10.1177/1076029621995895 ◽

2021 ◽

Vol 27 ◽

pp. 107602962199589

Author(s):

Muhammed Wahhaab Sadiq ◽

Ronika Devi Ukrani ◽

Aiman Arif ◽

Inaara Akbar ◽

Sadaf Altaf ◽

...

Keyword(s):

Risk Factors ◽

Pulmonary Embolism ◽

Pediatric Patients ◽

Pediatric Population ◽

Care Center ◽

Tertiary Care ◽

Middle Income Country ◽

Income Country ◽

Tertiary Care Center ◽

Middle Income

Venous thromboembolism (VTE) is a recognized complication of hospital stay in young patients in many developed countries, but such an information is largely unavailable from a low middle-income country (LMIC). This study aimed at identifying the frequency, risk factors, treatment options and outcome of deep venous thrombosis/pulmonary embolism (DVT/PE) in pediatric population in a tertiary care center from a LMIC. International classification of disease, ninth revision (ICD-9) was used to identify VTE in patients aged 0-18 years during January 2011 to September 2019. In-house computerized system was used to collect data for demographics, clinical and laboratory details. SPSS version 19 was used to analyzed data. The study was approved by Institutional ethical review committee (3872-Pat-ERC-15). During the study period, 134617 pediatric patients were hospitalized, DVT/PE was observed in 77 unique patients (47 males and 30 females) with a median (IQR) age of 14 (5-16) years equivalent to 5.9 VTE events /10,000 hospital admissions. Malignancy, community acquired infections and autoimmune diseases were the predominant risk factors (75%) in adolescent age-group while surgery for congenital heart anomalies was the primary reason (71%) in infants. Overall, lower extremity thrombosis was the most frequent (51%) followed by pulmonary embolism (25%). and upper extremity thrombosis (24%). Enoxaparin and unfractionated heparin were mainly used to treat VTE and all-cause mortality was 13% in the cohort studied. We observed substantial VTE events in pediatric patients during their hospital stay in a tertiary care center of a low-middle income country.

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