INFECTIOUS DISEASES IN CHILDREN AND THE REFLECTION ON THE VARIOUS COMMONLY USED ANTIBIOTIC AGENTS

Main Article Content

Imran Ahmed Ali
Muhammad Hanif
Mushtaque Ali Shah
Muhammad Sajid Noor
Tasneem Kauser
Ashique Ali Arain

Keywords

RTIs, UTIs, Meningitis

Abstract

Background: Pediatric patients are the most frequent population visiting the out patent department with various illnesses round the year. Infections are among the most common reason for illness in this population. Aims: This study of cross sectional design was executed to evaluate different pediatric infections in patients visiting pediatric department of Muhammad Medical College. Methodology: A total of 506 pediatric admitted patients were assessed in pediatric department and data was collected through consecutive sampling over one-year time period and data thus obtained was evaluated in terms of frequency and percentage for various diseases and presented in tables and figures. The response towards antibiotic therapy was estimated as resolution of symptoms. Results: The male proportion of patients dominated over female proportion with 327 (64.62%) and 179 (35.38%) respectively. Most cases were of age under 1 year    286(56.52%) followed by age between 1-5 years 115(22.73%) and age group above 5years was the least affected group 105(20.75%). Gastroenteritis cases were most common followed by RTIs and non-infectious diseases. 
Conclusion: Gastrointestinal infections were found to be more common in pediatric patients followed by respiratory infections and the response towards Macrolides and Cephalosporin groups of antibiotics was excellent

Abstract 52 | PDF Downloads 21

References

1. The UN Inter-agency Group for Child Mortality Estimation. Levels & Trends in Child Mortality: Report 2014. New York: UNICEF; 2014.
2. Ujunwa F, Ezeonu C(2014). Risk factors for acute respiratory tract infections in under-five children in Enugu Southeast Nigeria. Ann Med Health Sci Res. 4(1):95–9.
3. Nair H, Simoes EA, Rudan I, Gessner BD, Azziz-Baumgartner E, Zhang JS, et al(2013). Global and regional burden of hospital admissions for severe acute lower respiratory infections in young children in 2010: a systematic analysis.Lancet (London, England). 381(9875):1380–90.
4. Boloursaz MR, Lotfian F, Aghahosseini F, Cheraghvandi A, Khalilzadeh S, Farjah A, Boloursaz M(2013). Epidemiology of Lower Respiratory Tract Infections in Children. J Compr Ped. 4(2): 93-8.
5. Liu WK, Liu Q, Chen DH, Liang HX, Chen XK, et al. (2014) Epidemiology of Acute Respiratory Infections in Children in Guangzhou: A Three-Year Study. PLoS ONE 9(5): e96674. doi:10.1371/journal.pone.0096674.
6. Kaferstien F, Abdussalam M .(1999) Food safety in the 21st century. Bull world Health Organ 77(4):347-51.
7. Bhan MK, Bahl R, Bhatnagar S (2005). The Epidemiology of Typhoid fever Lancet 366: 749-762.
8. Ruby Biezen, Allan J Pollack, Christopher Harrison, Bianca Brijnath, Danilla Grando, Helena C Britt, Danielle Mazza (2015). Respiratory tract infections among children younger than 5 years: current management in Australian general practice MJA 202 (5):262-265.
9. Vinod K. Rama, Jayas hree Pattankar , Suresh Kura layanapaAPAlya PuttahonnAPPA(2016). Acute Respiratory Infections among Under-Five Age Group Children at Urban Slums of Gulbarga City: A Longitudinal Study Journal of Clinical and Diagnostic Research 10(5): LC08-LC13.
10. Alexis A. Tazinya, Gregory E. Halle-Ekane, Lawrence T. Mbuagbaw, Martin Abanda1, Julius Atashili et al(2018). Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon BMC Pulmonary Medicine 18:7 DOI 10.1186/s12890-018-0579-7
11. Mathew JL, Patwari AK, Gupta P, Shah D, Gera T, Gogia S, et al. Acute respiratory infection and pneumonia in India: a systematic review of literature for advocacy and action: UNICEF-PHFI series on newborn and child health, India. Indian Pediatr. 2011;48(3):191–218.
12. Kumar, S. G., Majumdar, A., Kumar, V., Naik, B. N., Selvaraj, K., & Balajee, K. (2015). Prevalence of acute respiratory infection among under-five children in urban and rural areas of puducherry, India. Journal of natural science, biology, and medicine, 6(1), 3–6. https://doi.org/10.4103/0976-9668.149069.
13. Savitha A K, Gopalakrishnan (2018). Determinants of acute respiratory infections among under five children in a rural area of Tamil Nadu, India J Family Med Prim Care 7(6): 1268-1273.
14. Parry CM, Hien TT, Dougan G, et al(2002). Typhoid fever. N Engl J Med. 347(22):1770-82.
15. Sinha A, Sazawal S, Kumar R, Sood S, Reddaiah VP, singh B et al. Typhoid fever in children aged less than 5 years, Lancet 354:734–737.
16. E. Gotuzzo(2018). Typhoid fever: A current problem Abstracts / International Journal of Infectious Diseases 73S 3–398.
17. Limenih Habte, Endale Tadesse, Getachew Ferede, Anteneh Amsalu(2018). Typhoid fever: clinical presentation and associated factors in febrile patients visiting Shashemene Referral Hospital, southern Ethiopia BMC Res Notes . 11:605 https://doi.org/10.1186/s13104-018-3713-y.
18. Andualem G, Abebe T, Kebede N, Gebre-Selassie S, Mihret A, Alemayehu H(2014). A comparative study of Widal test with blood culture in the diagnosis of typhoid fever in febrile patients. BMC Res Notes. 7:653.
19. Hamdy MS, Abdel-Rahman S(2014). Evaluation of enterocheck WB test in diagnosis of typhoid fever among Egyptian adults. Egypt J Med Microbiol.23(4):47–50.

Most read articles by the same author(s)