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Epidemiological Profile of Typhoid Fever Cases Admitted in A Tertiary Care Hospital at Dhaka City 达卡市某三级医院收治伤寒病例的流行病学分析
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.66999
R. Biswas, M. Islam
Background: Enteric fever is a major public health problem in many developing countries including Bangladesh, where sanitation and public health standards are poor. Objectives: To study the socio-demographic, some of the epidemiological features and knowledge about typhoid vaccine of the hospitalized children with typhoid fever. Methods: This cross-sectional descriptive study was conducted in Bangladesh Shishu Hospital & Institute over a one year period from January to December, 2019. All diagnosed cases of Typhod fever admitted in Bangladesh Shishu Hospital & Institute, Dhaka fulfill the inclusion criteria were the study subjects. The informations were collected in a predesigned and pretested questionnaire which included sociodemographic data, family background and knowledge about Typhoid vaccine. Results: A total of 86 children were enrolled in this study who were diagnosed to have typhoid fever during one year period. More than 90% of patients were aged between 1 and 10 years. Majority (90%) of the parents of affected children were unaware about availability of effective vaccine against typhoid fever. An association between literacy status, socioeconomic status, level of personal hygiene and occurrence of typhoid fever was found. Conclusion: Public health interventions to minimize human carrier contact, improved personal hygienic measures and typhoid vaccination will help to reduce the morbidity and mortality of this global health problem. DS (Child) H J 2021; 38(1): 34-38
背景:在包括孟加拉国在内的许多卫生和公共卫生标准较差的发展中国家,肠热是一个主要的公共卫生问题。目的:了解住院伤寒患儿的社会人口学、流行病学特征及对伤寒疫苗的了解情况。方法:本横断面描述性研究于2019年1月至12月在孟加拉国Shishu医院和研究所进行,为期一年。所有在孟加拉国达卡Shishu医院和研究所收治的符合纳入标准的伤寒确诊病例均为研究对象。信息收集在预先设计和预先测试的问卷中,其中包括社会人口统计数据、家庭背景和伤寒疫苗知识。结果:共有86名儿童被纳入本研究,他们在一年内被诊断患有伤寒。超过90%的患者年龄在1 - 10岁之间。大多数(90%)受影响儿童的父母不知道可获得有效的伤寒疫苗。发现文化程度、社会经济地位、个人卫生水平与伤寒的发生有关联。结论:减少人类与带菌者接触的公共卫生干预措施、改善个人卫生措施和伤寒疫苗接种将有助于降低这一全球卫生问题的发病率和死亡率。DS(儿童)H J 2021;38(1):品种马非常
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引用次数: 0
Outcome of Bubble CPAP in Neonate with Respiratory Distress 气泡CPAP治疗新生儿呼吸窘迫的疗效
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.66998
S. Afrin, Mahfuza Shirin, Fannana Ahmed, M. Al Mamun
Background: Continuous Positive Airway Pressure (CPAP) is a well-established mode of respiratory support in newborns. Bubble CPAP (bCPAP) is safe, efficacious and easy to use in preterm and term neonates with mild to moderate respiratory distress. Objectives: To find out the outcome of bCPAP in neonate with respiratory distress. Methods: This cross sectional study was conducted over 6 months in Bangladesh Shishu Hospital & Institute. Total 108 term and preterm neonates were enrolled who were presented with respiratory distress. Neonate with type II respiratory failure, congenital heart disease and structural malformations of lung and GI tract causing respiratory distress at birth and neonate needed intubatuin at birth were excluded. Detailed information were obtained in each case. Thorough clinical examinations were done. Relevant investigation reports were collected. All the information were recorded. Statistical analysis was done by using SPSS version 23. Results: In this study the mean age was found 43.3±43.1 hours with range from 2 to 204 hours. Majority 62(57.4%) patients were male and male female ratio was 1.3:1. Two third (66.7%) patients had birth weight ³2500 gm, 14(12.9%) had <1499 gm and 22(20.4%) patients had birth weight 1500-2499 gm. Majority (59.3%) patients belonged to gestational age between 37-41 wks, followed by 27(25%) belonged between 33-36 wks and 17(15.7%) belonged between 28-32 wks. Among the enrolled cases 18(16.7%) were RDS, 18(16.7%) were PNA, 14(13%) were PPHN, 9(4.3%) were MAS, 6(5.6%) were TTN, 13(12%) were congenital Pneumonia, 15(13.9%) were Pneumonia, 10(9.3%) were Sepsis and 5(4.6%) were Laryngomalacia. Among 108 patients who were put on bCPAP, 85(78.7%) patients were weaned and 23 (21.3%) were failed and needed mechanical ventilation. Out of 85 weaned patients hundred percent were survived and got discharge. Out of 23 failed cases 16(69.6%) cases were died and 7 (30.4%) cases were survived and got discharge. Conclusion: It is concluded from this study that bCPAP is an effective way of management of neonates with respiratory distress due to various causes. Patients who were failed in bCPAP, died more in final outcome. DS (Child) H J 2021; 38(1): 27-33
背景:持续气道正压通气(CPAP)是一种完善的新生儿呼吸支持模式。泡式CPAP (bCPAP)在轻度至中度呼吸窘迫的早产儿和足月新生儿中安全、有效且易于使用。目的:探讨bCPAP治疗新生儿呼吸窘迫的效果。方法:本横断面研究在孟加拉国石树医院和研究所进行了6个月。共有108名出现呼吸窘迫的足月和早产儿被纳入研究。排除出生时出现II型呼吸衰竭、先天性心脏病、肺和胃肠道结构性畸形导致呼吸窘迫及出生时需要插管的新生儿。在每个案例中都获得了详细的资料。进行了彻底的临床检查。收集相关调查报告。所有的信息都被记录了下来。统计学分析采用SPSS 23版。结果:本组患者平均年龄为43.3±43.1小时,年龄范围为2 ~ 204小时。男性62例(57.4%),男女比例为1.3:1。三分之二(66.7%)的患者出生体重为2500 gm, 14例(12.9%)的患者出生体重为1499 gm, 22例(20.4%)的患者出生体重为1500-2499 gm。37-41周占多数(59.3%),33-36周占27例(25%),28-32周占17例(15.7%)。纳入病例中,RDS 18例(16.7%)、PNA 18例(16.7%)、PPHN 14例(13%)、MAS 9例(4.3%)、TTN 6例(5.6%)、先天性肺炎13例(12%)、肺炎15例(13.9%)、脓毒症10例(9.3%)、喉软化5例(4.6%)。在108例使用bCPAP的患者中,85例(78.7%)患者断奶,23例(21.3%)患者失败并需要机械通气。在85名断奶患者中,100%存活并出院。23例治疗失败,死亡16例(69.6%),存活出院7例(30.4%)。结论:本研究认为bCPAP是治疗各种原因引起的新生儿呼吸窘迫的有效方法。bCPAP失败的患者在最终结果中死亡更多。DS(儿童)H J 2021;38(1):即
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引用次数: 0
Spectrum of Colonoscopy in Children: A Tertiary Centre Experience from Bangladesh 儿童结肠镜检查谱:来自孟加拉国高等教育中心的经验
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.66996
S. Mahmud, M. Parvez, Madhabi Baidya, R. Rashid, Farhana Tasneem, A. Hasan, T. Farhana, Nafis Fatema Asha, J. Alam, Syed Shafi Ahmed
Background: Pediatric colonoscopy is a safe, sensitive and crucial tool for diagnosing as well as treating children with lower gastrointestinal diseases. In resource-limited countries like Bangladesh, the practice of pediatric colonoscopy remains rudimentary, lacking in trained professionals and appropriate instrumentation. Objectives: The aim of the study was to find out the indications, common colonoscopic findings along with histopathologic evaluation and immediate post procedure complications of colonoscopy in children. Methods: This was a retrospective study; the records of all the patients whose age was less than 18 years and who underwent colonoscopy from January 2017 to December 2021 were studied. Results: Among the total of 196 children (8.23±4.12), the most common indications were lower gastrointestinal bleeding (LGIB) in 107 (54.6%) patients followed by chronic diarrhea in 33 (16.8%), recurrent abdominal pain (RAP) in 16 (8.2%), follow up Inflammatory bowel diseases (IBD) in 14 (7.1%), chronic constipation, weight loss, recurrent oral ulcer, intestinal tuberculosis (TB) and melena. The most common pathologic findings were polyps in 81 (61.4%) children followed by non-specific colitis in 19 (14.4%), IBD in 17 (12.9%) and infectious colitis in 09 (6.8%) cases. Minor adverse events occurred in only 2.0% of children. Conclusion: The commonest indication for pediatric colonoscopy was LGIB and the most common findings were colonic polyps. Pediatric colonoscopy is safe and effective diagnostic as well as therapeutic option for lower GI diseases. DS (Child) H J 2021; 38(1): 8-16
背景:儿童结肠镜检查是诊断和治疗儿童下消化道疾病的一种安全、敏感和关键的工具。在孟加拉国等资源有限的国家,儿童结肠镜检查仍处于初级阶段,缺乏训练有素的专业人员和适当的仪器。目的:本研究的目的是了解儿童结肠镜检查的适应症、常见的结肠镜检查结果、组织病理学评估和术后立即并发症。方法:回顾性研究;研究了2017年1月至2021年12月期间所有年龄小于18岁并接受结肠镜检查的患者的记录。结果:196例患儿(8.23±4.12)例中,最常见的指征为下消化道出血(LGIB) 107例(54.6%),其次为慢性腹泻33例(16.8%),复发性腹痛(RAP) 16例(8.2%),随访炎性肠病(IBD) 14例(7.1%),慢性便秘、体重减轻、复发性口腔溃疡、肠结核(TB)和黑黑症。最常见的病理表现为息肉81例(61.4%),其次是非特异性结肠炎19例(14.4%),IBD 17例(12.9%),感染性结肠炎09例(6.8%)。仅2.0%的儿童发生轻微不良事件。结论:儿童结肠镜检查最常见的指征是LGIB,最常见的发现是结肠息肉。儿童结肠镜检查是安全有效的诊断和治疗选择下消化道疾病。DS(儿童)H J 2021;分裂到8 - 16个。38 (1)
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引用次数: 0
Acute Kidney Injury Following Paediatric Cardiac Surgery: Experience of A Paediatric Cardiac Center of Bangladesh 小儿心脏手术后急性肾损伤:孟加拉国儿科心脏中心的经验
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.67003
M. M. Hossain, Sabarin Ahamed, Khalifa Mahmud Tarik, Dewan Md Al Amin
Background: Acute kidney injury following cardiac surgery in children is a relatively common phenomenon. The risk ranges from 15% to 64% with a mortality rate of 10% to 89% for those who need dialysis. Objective: To identify the occurrence of acute kidney injury following cardiac surgery in children, as well as its consequences and treatment options. Methods: This study was conducted in the pediatric cardiac recovery center at Bangladesh Shishu Hospital & Institute from January 2019 to December 2020. Using the KDIGO (kidney disease improving global outcome) criteria, 50 children having cardiac surgery were assessed for the occurrence of AKI. Children were divided into two groups. The AKI group consists of 20 patients, whereas the non-AKI group consists of 30 patients. Age, sex, cardiac illness, past operations, RACHS-1 (Risk adjustment for congenital Heart surgery) and pre and post-operative creatinine levels were noted. Fisher’s exact test was used to determine whether or not AKI was associated with categorical factors, while the Mann- Whitney U-test was used to see whether or not AKI was associated with continuous variables. Results: Mean age of study population was 4.50±4.03 years for those who did not develop AKI and 7.55±5.79 years for those who did. Male constituted a majority in both groups. Despite the fact that patients with AKI were more acidotic at baseline, lower bicarbonate levels were not linked to an increased risk of AKI (p=0.89). Neither group had higher or lower pressure than the other. Time spent in bypass and crossclamping was comparable across AKI and non-AKI patients. Patients with AKI did not have a higher risk of developing extracellular fluid excess than non-AKI patients. There was no significant difference between the groups in terms of the average time spent on mechanical ventilation or total hospital stay in days (p=0.17 and p=0.62, respectively). Duration of stay in the cardiac recovery increased for patients who had AKI (p=0.02). The mortality rate among the AKI patients was 20% (4/14). In the control group without AKI, there was one death (3.33%) (p 0.0001). Conclusion: AKI is common complication of paediatric cardiac surgery. Prolong times spent on mechanical ventilation in the ICU and in the hospital have all been linked to AKI. DS (Child) H J 2021; 38(1): 44-48
背景:儿童心脏手术后急性肾损伤是一种较为常见的现象。需要透析的患者的风险为15%至64%,死亡率为10%至89%。目的:了解儿童心脏手术后急性肾损伤的发生、后果及治疗方案。方法:本研究于2019年1月至2020年12月在孟加拉国Shishu医院和研究所的儿童心脏康复中心进行。采用KDIGO(肾脏疾病改善总体结果)标准,对50例接受心脏手术的儿童进行AKI发生率评估。孩子们被分成两组。AKI组包括20例患者,非AKI组包括30例患者。记录年龄、性别、心脏疾病、既往手术、RACHS-1(先天性心脏手术风险调整)和手术前后肌酐水平。使用Fisher精确检验来确定AKI是否与分类因素相关,而使用Mann- Whitney u检验来确定AKI是否与连续变量相关。结果:研究人群未发生AKI的平均年龄为4.50±4.03岁,发生AKI的平均年龄为7.55±5.79岁。男性在两组中都占多数。尽管AKI患者在基线时更酸中毒,但较低的碳酸氢盐水平与AKI风险增加无关(p=0.89)。没有哪一组的血压比另一组高或低。在AKI和非AKI患者中,旁路和交叉夹持所花费的时间是相当的。AKI患者发生细胞外液过量的风险并不高于非AKI患者。在机械通气的平均时间和总住院天数方面,两组间无显著差异(p=0.17和p=0.62)。AKI患者心脏恢复的停留时间增加(p=0.02)。AKI患者死亡率为20%(4/14)。无AKI的对照组有1例死亡(3.33%)(p 0.0001)。结论:AKI是儿科心脏手术常见的并发症。ICU和医院机械通气时间延长都与AKI有关。DS(儿童)H J 2021;38 (1): 44-48
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引用次数: 0
Are We Returning to the Pre-antibiotic Era? 我们正在回到前抗生素时代吗?
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.66994
A.S.M. Nawshad Uddin Ahmed
Abstract not available DS (Child) H J 2021; 38(1): 1-4
摘要不可用DS (Child) [J] 2021;38 (1): 1 - 4
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引用次数: 0
Students qualified from Bangladesh Shishu Hospital & Institute 来自孟加拉国石树医院和研究所的合格学生
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.67011
The Editor
Abstract not available DS (Child) H J 2021; 38(1): 65
摘要不可用DS (Child) [J] 2021;38 (1): 65
{"title":"Students qualified from Bangladesh Shishu Hospital & Institute","authors":"The Editor","doi":"10.3329/dshj.v38i1.67011","DOIUrl":"https://doi.org/10.3329/dshj.v38i1.67011","url":null,"abstract":"Abstract not available \u0000DS (Child) H J 2021; 38(1): 65","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114745803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Processing and Use of Radiation Sterilized Human Amniotic Membrane Allografts as Biological Dressings of Wounds in Children: A Review 放射灭菌人羊膜异体移植片作为儿童伤口生物敷料的加工和应用综述
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.67004
S. K. Chakraborty, H. Rashid, D. J. Gomes
Radiation sterilized human amniotic membrane allografts are used as biological dressing of wounds in rehabilitative surgery. The amniotic membrane is used in many different clinical situations such as: heat burn, chemical burns, diabetic wound/ diabetic foot ulcer, leprotic ulcer, abdominal wall reconstruction, pterigium removal site, peripheral corneal ulcer, in the management of pressure sore, etc.Non-viable lyophilized/oven-dried radiation sterilized amniotic membrane allografts could be processed for utilization as temporary biological dressing of wounds. The allografts used clinically should not be the carriers of germs or a source of infection. Human chorio-amniotic membranes collected for processing as tissue allografts to be used as biological dressings were reported to be contaminated with microorganisms such as species of Staphylococcus, Micrococcus, Bacillus and Pseudomonas.However, oven dried (40ºC) or freeze dried (-50ºC) human amniotic membranes were found to be sterilized by irradiation with the dose of 25 kiloGray (kGy) of gamma radiation.Careful screening and selection of tissue donors, proper processing and gamma radiation sterilization of human amniotic membranes minimize the risk of disease transmission to recipients through allografts. DS (Child) H J 2021; 38(1): 49-55
放射灭菌的人羊膜异体移植物在康复外科手术中用作伤口的生物敷料。羊膜可用于许多不同的临床情况,如:热烧伤、化学烧伤、糖尿病创面/糖尿病足溃疡、麻风性溃疡、腹壁重建、翼状胬肉切除部位、角膜周围溃疡、压疮的治疗等。非活的冻干/烘干辐射灭菌羊膜异体移植物可用于伤口的临时生物敷料。临床使用的同种异体移植物不应是细菌的携带者或传染源。据报道,收集的用于作为生物敷料的同种异体组织移植处理的人绒毛膜-羊膜被葡萄球菌、微球菌、芽孢杆菌和假单胞菌等微生物污染。然而,烘箱干燥(40ºC)或冷冻干燥(-50ºC)的人羊膜被发现可以通过25千格雷(kGy)的伽马辐射照射灭菌。仔细筛选和选择组织供体,对人羊膜进行适当的处理和伽玛射线消毒,将疾病通过同种异体移植物传播给受者的风险降至最低。DS(儿童)H J 2021;38 (1): 49-55
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引用次数: 0
Infantile Inflammatory Bowel Disease in A 14 Month Old Bangladeshi Boy: An Unusual Presentation 一个14个月大的孟加拉国男孩的婴儿炎症性肠病:一个不寻常的表现
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.67005
T. Farhana, S. Mahmud, M. Parvez, Madhabi Baidya, A. Hasan, Syed Shafi Ahmed
Abstract not available DS (Child) H J 2021; 38(1): 56-60
摘要不可用DS (Child) [J] 2021;38 (1): 56 -
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引用次数: 0
Abstracts from current literature Vol 38(1) 当前文献摘要Vol 38(1)
Pub Date : 2023-06-21 DOI: 10.3329/bjch.v38i1.20030
The Editor
Abstract not available DS (Child) H J 2021; 38(1): 61-62
摘要不可用DS (Child) [J] 2021;38 (1): 61 - 62
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引用次数: 0
Effectiveness of Aloe Vera Gel in Management of Superficial Burn in Children 芦荟凝胶治疗儿童浅表烧伤的疗效观察
Pub Date : 2023-06-21 DOI: 10.3329/dshj.v38i1.67002
Md. Saif Ullah, Md Mazharul Alam, Kazi Md Noor Ul Ferdous
Background: Aloe vera has been used traditionally for healing burn and inflammation. Though, the evidence for the effectiveness of aloe vera for healing burn is not sufficient. Objective: The aim of this study was to assess the effectiveness of aloe vera gel in management of superficial burn in children. Methods: This retrospective study was taken place in the Department of Burn and Reconstructive Surgery, Bangladesh Shishu Hospital & Institute, Dhaka and other two privet clinics at Dhaka, from September, 2019 to March, 2022. Total 47 patients with superficial partial thickness burn was included in the study. Results: In this study, majority (48.94%) patients were belonged to the age group of £24 months. The mean age was found 38.9±26.31 months. The current study observed that almost two third (61.70%) patients were male. In our study, majority (63.83%) patients stayed hospital for 1-5 days. In the present study, mean (±SD) pain relief time was 3.56±1.24 days and mean (±SD) wound healing time was found 8.19±1.6 days. The current study observed that only 3(6.38%) patients had found wound infection. In current study showed that mean treatment cost was found 76.46±31.88 Taka. Conclusion: Aloe vera gel facilitated early pain alleviation, wound healing, and costeffective superficial burn treatment in children. Therefore, it can be utilized to treat superficial burns in children to get better results. DS (Child) H J 2021; 38(1): 39-43
背景:芦荟传统上被用于治疗烧伤和炎症。尽管如此,芦荟治疗烧伤的有效性的证据还不充分。目的:本研究的目的是评估芦荟凝胶治疗儿童浅表烧伤的有效性。方法:本回顾性研究于2019年9月至2022年3月在达卡孟加拉国Shishu医院和研究所烧伤和重建外科以及达卡的其他两家私人诊所进行。研究共纳入47例浅表部分厚度烧伤患者。结果:本研究中,大多数患者(48.94%)属于24个月的年龄组。平均年龄38.9±26.31个月。目前的研究发现,几乎三分之二(61.70%)的患者是男性。在我们的研究中,大多数(63.83%)患者住院时间为1-5天。平均(±SD)疼痛缓解时间为3.56±1.24天,平均(±SD)创面愈合时间为8.19±1.6天。本研究仅发现3例(6.38%)患者出现伤口感染。目前研究显示,平均治疗费用为76.46±31.88塔卡。结论:芦荟凝胶有利于早期疼痛缓解,创面愈合,是治疗儿童浅表烧伤的有效方法。因此,它可以用于治疗儿童浅表烧伤,获得更好的效果。DS(儿童)H J 2021;38 (1): 39-43
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引用次数: 0
期刊
Dhaka Shishu (Children) Hospital Journal
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