Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10588
Naglaa Hassan Abu Faddan, Hamada Mohamed Reyad, Amira M. Shalaby
Background: Children with gastritis typically exhibit recurrent stomach pain and dyspepsia or vomiting.Objectives: To assess the frequency, clinical manifestations, endoscopic pictures, aetiology and outcome of gastritis in children who visited the gastrointestinal tract (GIT) endoscopic unit of Assiut University Children Hospital.Method: This was a retrospective, crosssectional study conducted at Assiut University Children Hospital GIT Endoscopic Unit from 1st January 2005 to 31st December 2019.Results: Upper GI endoscopy, done in all cases, showed that 66 (8.1%) had erythematous gastric mucosa, 106 (13%) had nodular gastric mucosa, 212 (25.9%) had erythematous gastric mucosa and hyperaemia, 147 (18%) had erythematous gastric mucosa and nodularity, 156 (19.1%) had hyperaemic mucosa and petechiae, 77 (9.5%) had hyperaemic mucosa and erosion, and 53 (6.5%) had multiple erosions and ulcers.Conclusions: Gastritis represented 9.4% of children who underwent upper GI endoscopy. Helicobacter pylori was the commonest cause with high recurrence. Patients presented with recurrent GI bleeding, and those with erythematous hyperaemic mucosa on endoscopy showed recurrence compared to their counterparts.
{"title":"Retrospective study on endoscopic findings of gastritis in children attending the gastrointestinal tract endoscopic unit of Assiut University Children Hospital over a 15-year-period","authors":"Naglaa Hassan Abu Faddan, Hamada Mohamed Reyad, Amira M. Shalaby","doi":"10.4038/sljch.v52i4.10588","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10588","url":null,"abstract":"Background: Children with gastritis typically exhibit recurrent stomach pain and dyspepsia or vomiting.Objectives: To assess the frequency, clinical manifestations, endoscopic pictures, aetiology and outcome of gastritis in children who visited the gastrointestinal tract (GIT) endoscopic unit of Assiut University Children Hospital.Method: This was a retrospective, crosssectional study conducted at Assiut University Children Hospital GIT Endoscopic Unit from 1st January 2005 to 31st December 2019.Results: Upper GI endoscopy, done in all cases, showed that 66 (8.1%) had erythematous gastric mucosa, 106 (13%) had nodular gastric mucosa, 212 (25.9%) had erythematous gastric mucosa and hyperaemia, 147 (18%) had erythematous gastric mucosa and nodularity, 156 (19.1%) had hyperaemic mucosa and petechiae, 77 (9.5%) had hyperaemic mucosa and erosion, and 53 (6.5%) had multiple erosions and ulcers.Conclusions: Gastritis represented 9.4% of children who underwent upper GI endoscopy. Helicobacter pylori was the commonest cause with high recurrence. Patients presented with recurrent GI bleeding, and those with erythematous hyperaemic mucosa on endoscopy showed recurrence compared to their counterparts.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"82 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600197","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}
Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10591
Sikha Agarwal, Shreepal Jain, S. Venkatesh
No abstract available
没有摘要
{"title":"Successful re-vascularisation following renal angioplasty in a child with Takayasu arteritis","authors":"Sikha Agarwal, Shreepal Jain, S. Venkatesh","doi":"10.4038/sljch.v52i4.10591","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10591","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"27 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601189","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}
Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10614
Sandeep Kumar, Sowmya Manda Sai, S. Shashidhara, P. Kini, Shrikiran Aroor, Suneel C Mundkur
Background: Liver dysfunction is a common finding in children with scrub typhus. Adult literature has found a significant association between the extent of liver dysfunction and severity of illness and outcome. However, very few studies are available on children.Objectives: To study the extent of liver dysfunction in children with scrub typhus and its association with severity of illness and outcome.Method: It was a retrospective descriptive study conducted on children diagnosed with scrub typhus admitted to a tertiary care centre in south India from January 2016 to December 2020. Children from 1 month to 18 years of age were included. Demographic data, clinical details, laboratory parameters, course of illness and outcome data were collected and analysed. Results: Study population included 143 cases of scrub typhus. Mean age of the study population was 8.4 ± 4.4 years with a male: female ratio of 1.2:1. Fever was present in 100%, myalgia in 54.5%, decreased appetite in 54.5%, jaundice in 8.4% and hepatomegaly in 71.3% of children. Abnormal liver function tests were present in 75.5% children. Elevated aspartate transaminase (AST) was seen in 75.5%, elevated alanine transaminase (ALT) in 67.1%, hypoalbuminaemia in 47.5% and severe hypoalbuminaemia (<2.5g/dL) in 29.4%. Complications included meningitis (13.3%), shock (7.6%), meningoencephalitis (2.7%) and acute respiratory distress syndrome (2%). There were 2 (1.3%) deaths. Children with complications had higher AST (p <0.01), ALT (p = 0.018), low serum albumin (p<0.001) and prolonged international normalised ratio (INR) (p =0.003).Conclusions: Abnormal liver function tests were present in 75.5% of children with scrub typhus. Children with complications of scrub typhus had significantly higher median AST levels, ALT levels, low serum albumin levels and prolonged INR compared to children with no complications
{"title":"Liver dysfunction in children with scrub typhus: association with severity of illness and outcome","authors":"Sandeep Kumar, Sowmya Manda Sai, S. Shashidhara, P. Kini, Shrikiran Aroor, Suneel C Mundkur","doi":"10.4038/sljch.v52i4.10614","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10614","url":null,"abstract":"Background: Liver dysfunction is a common finding in children with scrub typhus. Adult literature has found a significant association between the extent of liver dysfunction and severity of illness and outcome. However, very few studies are available on children.Objectives: To study the extent of liver dysfunction in children with scrub typhus and its association with severity of illness and outcome.Method: It was a retrospective descriptive study conducted on children diagnosed with scrub typhus admitted to a tertiary care centre in south India from January 2016 to December 2020. Children from 1 month to 18 years of age were included. Demographic data, clinical details, laboratory parameters, course of illness and outcome data were collected and analysed. Results: Study population included 143 cases of scrub typhus. Mean age of the study population was 8.4 ± 4.4 years with a male: female ratio of 1.2:1. Fever was present in 100%, myalgia in 54.5%, decreased appetite in 54.5%, jaundice in 8.4% and hepatomegaly in 71.3% of children. Abnormal liver function tests were present in 75.5% children. Elevated aspartate transaminase (AST) was seen in 75.5%, elevated alanine transaminase (ALT) in 67.1%, hypoalbuminaemia in 47.5% and severe hypoalbuminaemia (<2.5g/dL) in 29.4%. Complications included meningitis (13.3%), shock (7.6%), meningoencephalitis (2.7%) and acute respiratory distress syndrome (2%). There were 2 (1.3%) deaths. Children with complications had higher AST (p <0.01), ALT (p = 0.018), low serum albumin (p<0.001) and prolonged international normalised ratio (INR) (p =0.003).Conclusions: Abnormal liver function tests were present in 75.5% of children with scrub typhus. Children with complications of scrub typhus had significantly higher median AST levels, ALT levels, low serum albumin levels and prolonged INR compared to children with no complications","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"18 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598557","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}
Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10616
Andraina, A. Juliansen, M. G. Vanessa, G. Octavius, R. Heriyanto, M. Muljono, C. L. Budiputri
Objective: To describe the trend in hepatitis-A virus (HAV)-related hospitalisations in children and analyse the association of demographic, clinical and laboratory manifestations with length of stay (LOS) of HAV infection.Method: A retrospective study was conducted in Siloam Hospitals Indonesia. Inclusion criteria were hospitalised paediatric hepatitis A patients aged 3-17 years from 2015-2021. Another viral hepatitis was excluded. Total 58 samples were divided into non-prolonged group (LOS<5 days) and prolonged group (LOS≥5 days). Demographic data, clinical manifestations and laboratory parameters were collected and analysed using SPSS. Correlations with p <0.05 were considered significant.Results: Hospitalisation rate pattern showed two peaks in 2016 and in 2019. The monocyte-to-leucocyte ratio (MLR), blood urea nitrogen (BUN), and creatinine were significantly associated with LOS in bivariate analysis. Medians of MLR and BUN were higher in the prolonged group (0.23; 17) than in the non-prolonged group (0.19; 15.98). Median of creatinine was lower in the prolonged group (0.55) than in the non-prolonged group (0.74). Multivariate analysis found that dark urine was less likely to have a prolonged LOS (OR: 0.23; 95% CI 0.06-0.91, p = 0.04).Conclusions: Dark urine was a protective factor for prolonged LOS. Independently, higher BUN and higher MLR were risk factors for prolonged LOS.
目的:了解儿童甲型肝炎(HAV)相关住院趋势，分析人口统计学、临床和实验室表现与HAV感染住院时间(LOS)的关系。方法:在印度尼西亚西罗亚医院进行回顾性研究。纳入标准为2015-2021年住院的3-17岁儿科甲型肝炎患者。排除另一例病毒性肝炎。58例患者分为非延长组(生存时间<5天)和延长组(生存时间≥5天)。统计资料、临床表现及实验室参数，采用SPSS软件进行分析。p <0.05认为相关性显著。结果:2016年和2019年住院率呈现两个高峰。在双变量分析中，单核细胞与白细胞比(MLR)、血尿素氮(BUN)和肌酐与LOS显著相关。延长组MLR和BUN中位数较高(0.23;17)比非延长组(0.19;15.98)。延长组肌酐中位数(0.55)低于未延长组(0.74)。多变量分析发现，深色尿液不太可能延长LOS (OR: 0.23;95% CI 0.06-0.91, p = 0.04)。结论:深尿是延长LOS的保护因素。独立地，较高的BUN和较高的MLR是延长LOS的危险因素。
{"title":"Length of stay and hospitalisation rates in Indonesian patients with paediatric hepatitis A: 2015-2021","authors":"Andraina, A. Juliansen, M. G. Vanessa, G. Octavius, R. Heriyanto, M. Muljono, C. L. Budiputri","doi":"10.4038/sljch.v52i4.10616","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10616","url":null,"abstract":"Objective: To describe the trend in hepatitis-A virus (HAV)-related hospitalisations in children and analyse the association of demographic, clinical and laboratory manifestations with length of stay (LOS) of HAV infection.Method: A retrospective study was conducted in Siloam Hospitals Indonesia. Inclusion criteria were hospitalised paediatric hepatitis A patients aged 3-17 years from 2015-2021. Another viral hepatitis was excluded. Total 58 samples were divided into non-prolonged group (LOS<5 days) and prolonged group (LOS≥5 days). Demographic data, clinical manifestations and laboratory parameters were collected and analysed using SPSS. Correlations with p <0.05 were considered significant.Results: Hospitalisation rate pattern showed two peaks in 2016 and in 2019. The monocyte-to-leucocyte ratio (MLR), blood urea nitrogen (BUN), and creatinine were significantly associated with LOS in bivariate analysis. Medians of MLR and BUN were higher in the prolonged group (0.23; 17) than in the non-prolonged group (0.19; 15.98). Median of creatinine was lower in the prolonged group (0.55) than in the non-prolonged group (0.74). Multivariate analysis found that dark urine was less likely to have a prolonged LOS (OR: 0.23; 95% CI 0.06-0.91, p = 0.04).Conclusions: Dark urine was a protective factor for prolonged LOS. Independently, higher BUN and higher MLR were risk factors for prolonged LOS.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"135 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598953","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}
Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10590
Aditi Rawat, Sagar A. Karotkar, M. Lakra, Kiran Khedkar, B. Lakhkar
No abstract available
没有摘要
{"title":"A case of neonatal association of cystic fibrosis with cholestatic jaundice and intestinal hypoganglionosis","authors":"Aditi Rawat, Sagar A. Karotkar, M. Lakra, Kiran Khedkar, B. Lakhkar","doi":"10.4038/sljch.v52i4.10590","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10590","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"53 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600745","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}
Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10572
Apparanjitha V. Ramanan, A. P. Krithika, S. Sundari
No abstract available
没有摘要
{"title":"An unusual case of arthropod dermatosis: A disorder of Cydnidae pigmentation (the burrowing bug)","authors":"Apparanjitha V. Ramanan, A. P. Krithika, S. Sundari","doi":"10.4038/sljch.v52i4.10572","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10572","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"7 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601505","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}
Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10618
H. G. Liyanaarachchi, D. Samaranayake, H. L. Vinod, M. S. Jayawardana, V. P. Wickramasinghe
Introduction: Nomophobia is becoming an increasing concern as a result of inappropriate use of electronic communication devices.Objectives: To describe the pattern of use of electronic communication devices and the prevalence of nomophobia among General Certificate of Education (GCE) Advanced Level (A/L) students in Colombo Educational Zone.Method: This descriptive cross-sectional study was carried out from January to March 2020 in six of the randomly selected government and government approved private schools within the Colombo Education Zone. A self-administered questionnaire including a culturally adapted nomophobia-questionnaire was used. Data were analysed using SPSS-20.Results: Of 337 students, 336 (99.7%) were regularly using a device for communication, the most preferred (n=319) being mobile phone; 213 owned a mobile phone; 60.4% were spending ≥2 hours/day with these devices, 10.1% spending >5 hours/day. Common uses of devices were listening to music (96.7%), taking photos (85.4%), sending text messages (84.8%) and academic activities (84.5%). Prevalence of moderate and severe nomophobia was 49.8% and 34.2% respectively. Prevalence of severe nomophobia was significantly higher in females (p<0.001) and those studying in grade 13 (p=0.036), government schools (p=0.002), Sinhala-medium (p=0.017) and Science stream (p=0.024).Conclusions: Among GCE A/L students in Colombo, Sri Lanka, 99.7% were regularly using a device for communication. Prevalence of moderate and severe nomophobia was 49.8% and 34.2% respectively.
{"title":"Usage patterns of electronic devices for communication and prevalence of nomophobia among General Certificate of Education Advanced Level students in Colombo, Sri Lanka","authors":"H. G. Liyanaarachchi, D. Samaranayake, H. L. Vinod, M. S. Jayawardana, V. P. Wickramasinghe","doi":"10.4038/sljch.v52i4.10618","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10618","url":null,"abstract":"Introduction: Nomophobia is becoming an increasing concern as a result of inappropriate use of electronic communication devices.Objectives: To describe the pattern of use of electronic communication devices and the prevalence of nomophobia among General Certificate of Education (GCE) Advanced Level (A/L) students in Colombo Educational Zone.Method: This descriptive cross-sectional study was carried out from January to March 2020 in six of the randomly selected government and government approved private schools within the Colombo Education Zone. A self-administered questionnaire including a culturally adapted nomophobia-questionnaire was used. Data were analysed using SPSS-20.Results: Of 337 students, 336 (99.7%) were regularly using a device for communication, the most preferred (n=319) being mobile phone; 213 owned a mobile phone; 60.4% were spending ≥2 hours/day with these devices, 10.1% spending >5 hours/day. Common uses of devices were listening to music (96.7%), taking photos (85.4%), sending text messages (84.8%) and academic activities (84.5%). Prevalence of moderate and severe nomophobia was 49.8% and 34.2% respectively. Prevalence of severe nomophobia was significantly higher in females (p<0.001) and those studying in grade 13 (p=0.036), government schools (p=0.002), Sinhala-medium (p=0.017) and Science stream (p=0.024).Conclusions: Among GCE A/L students in Colombo, Sri Lanka, 99.7% were regularly using a device for communication. Prevalence of moderate and severe nomophobia was 49.8% and 34.2% respectively.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"62 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598433","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}
Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10638
L. Kasula, Rakesh Kotha, Alimelu Madireddy
Background: Necrotising enterocolitis (NEC) is the commonest and most serious gastrointestinal neonatal emergency. In preterm infants with evidence of abnormal Doppler flow velocities in the fetal umbilical artery, suboptimal intestinal perfusion is postulated to increase the risk of feed intolerance and NEC.Objectives: To compare the effect of slow versus rapid enteral feeding in preterm neonates with abnormal antenatal umbilical artery Doppler.Method: This is a randomised controlled trial; we randomised into a slow and a fast group; we randomised separately into subcategories based on the weight. Sample size was calculated as 82. Data analysis was done using SPSS version 23. For group comparisons of categorical data, Chi-squared test was used. If expected frequency in the contingency tables was <5 for more than 25% cells, Fisher’s exact test was used. For non-parametric continuous data Mann-Whitney test was applied. Statistical significance was kept at p<0.05 and power at 80%.Results: In neonates with slow and rapid feeding with birth weight <1250g, percentage of 2b (30% and 26.7% respectively) was more compared to other stages, whereas in group with birth weight ≥1250g rapid feeding group Ia (14.3%) was more in slow feeding group and 1a and 2a equal in rapid feeding group with no statistical significance. The mean duration of stay hospital was less in rapid feeding group in both birth strata. The sepsis percentage was more in the slow feeding group. Regarding mortality in both groups, there was no statistical difference.Conclusions: In this study the type of feeding did not affect NEC or feeding intolerance in preterm infants. Rapid feeding had a significant impact on sepsis and length of stay in preterm infants.
背景:坏死性小肠结肠炎(NEC)是最常见和最严重的新生儿胃肠道急症。在胎儿脐动脉多普勒血流速度异常的早产儿中，亚理想的肠道灌注被认为会增加饲料不耐受和NEC的风险。目的:比较慢速和快速肠内喂养对脐动脉多普勒异常早产儿的影响。方法:采用随机对照试验;我们随机分为慢速组和快速组;我们根据权重分别随机分成子类别。样本量计算为82。数据分析使用SPSS version 23。分类资料的组间比较采用卡方检验。如果超过25%的细胞在列联表中的预期频率<5，则使用Fisher精确检验。对非参数连续数据采用Mann-Whitney检验。p<0.05，功率为80%。结果:慢速和快速喂养出生体重<1250g的新生儿中，2b的比例(分别为30%和26.7%)高于其他阶段，而在出生体重≥1250g组中，快速喂养组Ia的比例(14.3%)高于慢速喂养组，快速喂养组1a和2a的比例相等，但差异无统计学意义。快速喂养组和快速喂养组的平均住院时间均较短。慢饲组脓毒症发生率较高。两组的死亡率无统计学差异。结论:在本研究中，喂养方式对早产儿NEC或喂养不耐受没有影响。快速喂养对早产儿脓毒症和住院时间有显著影响。
{"title":"Slow verses rapid advancement of enteral feed in preterm neonates of 28-34 weeks of gestational age with abnormal antenatal umbilical artery Doppler: A randomised controlled trial","authors":"L. Kasula, Rakesh Kotha, Alimelu Madireddy","doi":"10.4038/sljch.v52i4.10638","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10638","url":null,"abstract":"Background: Necrotising enterocolitis (NEC) is the commonest and most serious gastrointestinal neonatal emergency. In preterm infants with evidence of abnormal Doppler flow velocities in the fetal umbilical artery, suboptimal intestinal perfusion is postulated to increase the risk of feed intolerance and NEC.Objectives: To compare the effect of slow versus rapid enteral feeding in preterm neonates with abnormal antenatal umbilical artery Doppler.Method: This is a randomised controlled trial; we randomised into a slow and a fast group; we randomised separately into subcategories based on the weight. Sample size was calculated as 82. Data analysis was done using SPSS version 23. For group comparisons of categorical data, Chi-squared test was used. If expected frequency in the contingency tables was <5 for more than 25% cells, Fisher’s exact test was used. For non-parametric continuous data Mann-Whitney test was applied. Statistical significance was kept at p<0.05 and power at 80%.Results: In neonates with slow and rapid feeding with birth weight <1250g, percentage of 2b (30% and 26.7% respectively) was more compared to other stages, whereas in group with birth weight ≥1250g rapid feeding group Ia (14.3%) was more in slow feeding group and 1a and 2a equal in rapid feeding group with no statistical significance. The mean duration of stay hospital was less in rapid feeding group in both birth strata. The sepsis percentage was more in the slow feeding group. Regarding mortality in both groups, there was no statistical difference.Conclusions: In this study the type of feeding did not affect NEC or feeding intolerance in preterm infants. Rapid feeding had a significant impact on sepsis and length of stay in preterm infants.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"132 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598980","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}
Introduction: Anaemia is a major problem in children aged 1-5 years. Lower respiratory tract infection (LRTI) is defined as inflammation of the respiratory tract below the level of the larynx and is a common cause of admission to paediatric units in Sri Lanka. It is reported that anaemic children have a high risk of developing LRTIs.Objectives: To identify the association between anaemia and increased risk of developing LRTI in children aged 1-5 years presenting to a selected children's hospital in Sri Lanka.Method: A case-control study was conducted in all paediatric medical wards and intensive care units in Sirimavo Bandaranayake Children's Hospital, Peradeniya, from November 2022 to March 2023. Children aged 1-5 years admitted with LRTI were selected as cases. Children aged 1-5 years admitted without features of respiratory tract infection were selected as controls to match the age and sex of the cases. Data were collected from a questionnaire to parents and also from patient records. Data were analysed using SPSS version 22.Results: A total of 272 children was included in the study. Anaemia was found in 56.6% of cases and 44.9% of controls. The mean haemoglobin (Hb) levels of the cases and controls were 10.00±0.899 and 10.16±0.8032 respectively. Among cases, there were 57.4% of hypochromic-microcytic peripheral smears. Frequency of anaemia was significantly higher among cases as compared to controls (Odds ratio 1.605; CI: 1.025- 2.590, p-value= 0.045).Conclusions: The frequency of anaemia was significantly higher among cases as compared to controls. Anaemic children were 1.6 times more prone to get LRTI.
{"title":"Does anaemia increase the risk of acute lower respiratory tract infections in children aged 1-5 years?","authors":"Jayasekara Mudiyanselage Dinesh Kumara, Manori Gamage","doi":"10.4038/sljch.v52i4.10581","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10581","url":null,"abstract":"Introduction: Anaemia is a major problem in children aged 1-5 years. Lower respiratory tract infection (LRTI) is defined as inflammation of the respiratory tract below the level of the larynx and is a common cause of admission to paediatric units in Sri Lanka. It is reported that anaemic children have a high risk of developing LRTIs.Objectives: To identify the association between anaemia and increased risk of developing LRTI in children aged 1-5 years presenting to a selected children's hospital in Sri Lanka.Method: A case-control study was conducted in all paediatric medical wards and intensive care units in Sirimavo Bandaranayake Children's Hospital, Peradeniya, from November 2022 to March 2023. Children aged 1-5 years admitted with LRTI were selected as cases. Children aged 1-5 years admitted without features of respiratory tract infection were selected as controls to match the age and sex of the cases. Data were collected from a questionnaire to parents and also from patient records. Data were analysed using SPSS version 22.Results: A total of 272 children was included in the study. Anaemia was found in 56.6% of cases and 44.9% of controls. The mean haemoglobin (Hb) levels of the cases and controls were 10.00±0.899 and 10.16±0.8032 respectively. Among cases, there were 57.4% of hypochromic-microcytic peripheral smears. Frequency of anaemia was significantly higher among cases as compared to controls (Odds ratio 1.605; CI: 1.025- 2.590, p-value= 0.045).Conclusions: The frequency of anaemia was significantly higher among cases as compared to controls. Anaemic children were 1.6 times more prone to get LRTI.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"29 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600871","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}
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