Respiratory Tract Infection in non-Breastfed Infants

2021 ◽  
Vol 15 (11) ◽  
pp. 3444-3446
Author(s):  
Naheem Ahmed ◽  
Manzoor Ali Khan ◽  
Raja Imtiaz Ahmad ◽  
Rashada Bibi ◽  
Amara Khursheed ◽  
...  

Objective: To determine the frequency of non-breastfed infants presenting to the pediatric department with respiratory tract infection. Methodology: This cross-sectional study was carried out at Department of Pediatrics, Sheikh Zayed bin Sultan Nahyan Hospital CMH Muzaffarabad, during a period of six months from May 2020 to October 2020. All patients between 1 month to 12 months visiting OPD or admitting in pediatric ward with respiratory tract infection and either gender were included. Information regarding baseline demographic characteristics was recorded. The mothers were interviewed about feeding pattern of the infants. All information was recorded on the prescribed proforma. Results: A total of two hundred and forty-five children were studied, and their average age was 7.4±2.8 months. Males were 54.3% and females were 45.7%. Out of all 29.8% (n=73/245) of infants found who had never been breastfed. No significant difference was found according to the effect modifiers (P>0.05). Conclusion: A remarkable proportion of infants (29.8%) who presented with respiratory tract infection had never been breastfed. Counseling programs should be done for mothers to modify their perceptions regarding breastfeeding and its benefits. It is suggested that the public health authorities should launch awareness programs for the public about benefits of breastfeeding and its role in the prevention of infections in infants. Keywords: Breast feeding, Non-breastfed, Respiratory Tract Infection

Author(s):  
Chandrakala Sharma ◽  
Arkojit Endow ◽  
Sudip Dutta

Background: Prescription audit is an important tool to analyse rational use of drug at different health sectors. The aim of the study was to evaluate the prescribing pattern using World Health Organization prescribing indicators for lower respiratory tract infection in children below five years of age.Methods: A cross-sectional study was conducted in the outpatient department of Paediatrics at Central Referral Hospital, Gangtok, Sikkim, India for a period of 18 months. Study involved children between 1-5 years of age with fever/cough with or without respiratory distress. The data were collected from the out patient department prescription slips as well as interviewing the parents/guardians after finishing the physician consultation. The data were processed using statistical software SPSS 20.Results: The study was conducted with 57 prescriptions comprising 210 drugs from both male (54.38%) and female (45.61%) patients. The average number of drugs per prescription was found to be 3.68. negligible (0.013%) prescription containing generic name of drug was found, 96.66% of medicines were prescribed from National Essential List of Medicine (NELM). No prescriptions were found to have injectables, 8.57% of the prescriptions were found to contain fixed dose combination. Amongst the drug categories, salbutamol accounted for 23.33% in total prescription followed by paracetamol (22.85%) and amoxicillin (7.14%). While accounting for the formulations used, the maximum prescriptions were containing syrup followed by nebulization.Conclusions: The use of generic names was minimal, only few of the prescriptions had vitamins and tonics with no use of injectable preparations. Maximum numbers of drugs were prescribed from NELM.


2019 ◽  
Vol 28 (6) ◽  
pp. 711-718 ◽  
Author(s):  
Reza Ziaei ◽  
Hadi Shahi ◽  
Saeed Dastgiri ◽  
Reza Mohammadi ◽  
Eija Viitasara

Abstract Background Two important components of a healthy diet are fruits and vegetables (F&V), which are essential for maintaining physical health. The aim of the present study was to assess the prevalence and correlates of F&V intake among high school adolescents in the city of Tabriz. Methods The Global School-based Student Health Survey self-administered questionnaire was used for data collection among 1517 adolescents. Results The prevalence of fruit intake was 76.1% (≥ 2 times/day) and vegetable intake 23% (≥ 3 times/day). Being at the third level of high school and having sedentary behavior, low intake of vegetables, low or lack of parental support, lack of peer support and lack of enough food at home were significantly associated with low consumption of fruit among students. Also, being overweight or obese and having low intake of fruit, low or lack of peer support, and being physically inactive were significantly associated with low intake of vegetables. Conclusion Results suggest that interventions targeting personal, interpersonal and environmental factors for increased F&V consumption should be given more priority by the public health authorities.


2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Bijendra Raj Raghubanshi ◽  
Bal Man Singh Karki

Introduction: Lower respiratory tract infection is a common infection and accounts for a greaterburden of disease worldwide. It is a great challenge to the clinician and still more, with increasingantimicrobial resistance. Its empirical treatment may vary according to the type of causativeorganisms. The objective of this study is to identify the pathogenic microorganisms and theirantimicrobial susceptibility pattern from sputum sample. Methods: This descriptive cross-sectional study was conducted in KIST Medical College andTeaching Hospital from February 2015 to January 2016. Ethical approval was taken from institutionalreview committee prior to the study with reference no. 0051/2014/15. Data on culture and sensitivityof isolates from sputum samples were collected from the records of the hospital. Sample collection,processing, identification of microorganisms and antimicrobial susceptibility tests were performedaccording to the Clinical and Laboratory Standards Institute guidelines. All the data were tabulatedin an Excel sheet and analyzed using SPSS version 20. Results: Out of 2318 samples, 694 (29.93%) sputum samples at 95% confidence interval (737.21-650.79) were reported as culture positive. Klebsiella was the most common isolate followedby Pseudomonas, Escherichia coli, Acinetobacter, Staphylococcus aureus, Candida albicans,Streptococcus pneumoniae, Streptococcus pyogenes, and others. Imipenem and vancomycin showedthe most sensitivity towards gram-negative and gram-positive bacteria respectively. Conclusions: Proper diagnosis, identification of causative agents and their antimicrobial susceptibilitypattern are important steps to limit the irrational use of antimicrobials. Prescribing antimicrobialsempirically in the case of suspected lower respiratory tract infection is difficult.


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