Students Qualified from Bangladesh Institute of Child Health Vol 36(2)

not available DS (Child) H J 2020; 36(2): 176

Acute Promyelocytic Leukemia (APML) in A Four Year Old Child: A Case Report

not available DS (Child) H J 2020; 36(2): 166-169

A Boy with COVID-19 Associated Severe AKI

not available DS (Child) H J 2020; 36(2): 160-162

A Study On Clinical and Laboratory Profile of Children with COVID-19 Attending A Tertiary Care Hospital in Bangladesh

Background: An outbreak of COVID-19 caused by 2019 novel coronavirus started first in Wuhan, Hubei province of China. Thereafter it spreaded to different countries of the world. Cases among children has been increasing day by day. Despite taking all measures of prevention virus spreading is uncontrolled. Objectives: To determine the clinical features and laboratory profile of children with COVID-19. Methods: This was a cross sectional study conducted in Dr. MR Khan Shishu Hospital and Institute of Child Health, Dhaka. Clinical and laboratory profile were analyzed among the children (aged 0-16 years) admitted between 1st May 2020 to November 2020 with positive RT-PCR for COVID-19. Data were analyzed by using SPSS. Results: Total 159 cases were included in the study. The most common symptom was fever (97.5%), then the second most common was cough (80.5%), other symptoms were diarrhea (28.3%), vomiting (17%), anorexia (30.8%) and weakness (30.2%). WBC count was within normal limit, leucocytosis was found in 5% cases and leucopenia in 3% cases. Few cases were reported with neutropenia and lymphopenia. Few cases were reported as thrombocytosis. ESR and CRP were high. Chest X-ray showed opacities in 62.9% cases. In most of the cases it was bilateral, few cases showed unilateral. In 37.1% cases it was normal. The disease category of all infected children remained same all through the hospital stay and no mortality was seen. Conclusion: Children with COVID-19 had distinct clinical features. Fever and cough were the most common symptoms. WBC count was found within normal limit but ESR and CRP were high. Chest radiograph showed opacities in majority cases. The outcome of COVID-19 in children was good. DS (Child) H J 2020; 36(2): 95-100

KMC Practices During COVID-19 Pandemic

not available DS (Child) H J 2020; 36(2): 85-86

COVID-19: Is It Rare in Neonate?

Background: The Global pandemic COVID-19 affects mainly adult population with serious devastating effects in some of them, particularly those with chronic comorbidities. It is less common in children and rare in neonates. Objectives: The aim of study was to identify the COVID-19 in neonates so that we can give proper emphasis on neonatal COVID-19. Methods: This cross sectional study was conducted from April 2020 to August 2020 at Dhaka Shishu (Children) Hospital in Bangladesh. Neonates with suspected COVID- 19 were tested for SARS-CoV-2 virus by RT- PCR and positive cases were included in the study. Data were collected and statistical analysis was done by SPSS version 26. Results: Out of 1714 admitted neonates, 32 (2%) cases were COVID-19 positive. Male were 21(67%) and female were 11 (33%). Majority of the cases (28,88%) were at term. Twelve (38%) cases were from Dhaka and 20 (62%) cases came from outside Dhaka. Only 4(13%) cases were found positive for SARS-CoV-2 virus by RT- PCR within 3 days, among them 2 (6%) cases were within 24 hours of age. Nine cases (28%) were RT-PCR test positive within 4-7 days and 19 cases (59%) were RT-PCR positive within 8-28 days. Most of the cases belonged to neonatal medicine (24,75%) and 8(25%) cases were associated with surgical diseases. Sepsis was present in 17(53%) cases, perinatal asphyxia in 8(25%) and pneumonia in 6(19%) cases. Fourteen cases were discharged after improvement, 12 were referred to COVID-19 designated hospital, 2 cases were transferred to corona unit and 4 cases died. Conclusion: In this study a good number of neonates were affected with COVID-19. Perinatal asphyxia, sepsis and pneumonia were common association with COVID-19. So for proper management and prevention of transmission of this disease, it should be properly addressed in neonates. DS (Child) H J 2020; 36(2): 101-106

BICH News Vol 36(2)

not available DS (Child) H J 2020; 36(2): 174

COVID-19 Infection in a 8 Day Old Neonate: Report of the 1st Case in a Term Neonate in Special Care Baby Unit (SCABU) at Dhaka Shishu (Children) Hospital

not available DS (Child) H J 2020; 36(2): 163-165

Postgraduate Courses and Training in Paediatrics in BICH Vol 36(2)

not available DS (Child) H J 2020; 36(2): 175

Pattern of Burn Injury in Children Presented to Dhaka Shishu (Children) Hospital

Background: Children are mostly affected in burn injury at our country like other low and middle income countries (LMICs). Approximately 90% of the burns occur in under developed countries, which generally lack the necessary infrastructure to reduce the incidence and severity of burns. Objectives: This study was done to investigate the pattern of burn cases admitted to Dhaka Shishu (Children) Hospital (DSH). Methods: This was a retrospective study conducted over the period of one year from January 2019 to December 2019 at Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh. The data was collected from the patients record section of the hospital. Patients characteristics (e.g. age, sex), causes and severity of injury, outcome, hospital stay and seasonal variation were analized in this study. Results: A total of 91 patients were admitted during study period of one year. This study consisted of 53 male patients (58.24%) and 38 female patients (41.76%) with male to female ratio of 1.3:1. The most frequently hospitalized burn patients were in the age group 3-5 years, which accounted for 30.77% of patients. Burns were more common during winter season followed by autumn season, with 43 cases (47.25%) and 18 cases (19.78%) respectively. The highest number of admissions was during the month of December. Scald burn was the most common cause of burn injury in our study which accounted for 83 cases out of 91 cases (91.2%). Flame burn occured in 3(3.29%) patients. There were 2 cases of electric burn and 2 cases of contact burn during this study period. One patient was with chemical burn. Scald burn was the most common cause of burn injury in this study which accounted for 83 cases out of 91 cases (91.2%). Flame burn occured in 3(3.29%) patients. There were 2 cases of electric burn and 2 cases of contact burn during this study period. One patient was with chemical burn. Conclusion: The most frequently hospitalized burn patients were in the age group 3-5 years and more common during winter season. Most of the burn occured in children are scald in our country due to accidental fall of worm liquid. Superficial epidermal and dermal burns are treated conservatively, but deep burns may require surgical treatment. DS (Child) H J 2020; 36(2): 134-137