Relation between Pulse Oximetry and the Clinical Profile of Children with Pneumonia

Background: Failure to seek early care and delays in hospital diagnosis are commonly acknowledged determinants of mortality in childhood pneumonia with a higher proportion specially in under developed countries like Bangladesh. Rather than detecting pneumonia by only signs, pulse oximetry may be a useful tool in ensuring the most efficient use of oxygen therapy, which is especially important in resource-limited settings. The aim of this study was to assess the relation between pulse oximetry and the clinical profile of children with pneumonia.Material & Methods:This cross-sectional type of descriptive study was conducted in Department of Pediatric, Rangpur Medical Collage and Hospital, Rangpur from July 2014 to June 2016. This study was carried out on 205 Children aged 2-59 months suffering from pneumonia inpatient and outpatient of Pediatric department.Results:It was observed that majority (91.7%) patients had cough184(89.8%) had breathing difficulty and 173(84.4%) patients had fast breathing. It was observed that majority (92.2%) patients had ability to cry while examined. Majority (90.7%) patients had crepitations. Three (1.5%) patients was found pallor of palms, 178 (86.8%) patients were heart rate ?100 beats per minute, 196(95.6%) were capillary refill time <3 second, 4(2.0%) hepatomegaly >2 cm and 131(63.9%) had temperature ? 38 °C. It was observed that Hypoxemia (?90%) was found 51(24.9%) of the patients. The mean SpO2 was found 88.6±4.7 percent with range from 70 to 99 percent.Conclusions:Cough, breathing difficulty and fast breathing are most common signs of children with pneumonia. Through pulse oximetry test, the prevalence of hypoxaemia was found in 24.9% children.

The Pattern of Neonatal Admission and Outcome in Special Care Newborn Unit of A Medical College Hospital in Northern Bangladesh

Background: Among the causes of under-five mortalityneonatal mortality contributes the highest. This indicatorpossesses a great impact towards achieving SDG forBangladesh. This study will help in understanding theindicators and to plan allowance of proper resource andplanning to the proper field.Objective: To describe the pattern of neonatal admission andoutcome in a level II SCANU in a medical college hospital innorthern part of Bangladesh.Method: A retrospective descriptive study of neonataladmissions in SCANU of Rangpur Medical College Hospitalfrom January 2017 to December 2019 total 2 years.Results: A total 6583 babies were admitted in this period.Among them 1808 (27.4%) was inborn and 4775(72.5%) outborn. Male 4103(62.3%) Female 2480(37.6%), male femaleratio 1.6:1. Major causes of admission was prematurity lowbirth weight 2786(42.3%), birth asphyxia 2100(31.9%),neonatal jaundice721 (10.9%), neonatal sepsis 710(10.8%),others 266(4.04%). Common Diseases contributing to deathwere prematurity low birth weight 246(39.6%), Birth asphyxia240 (38.6%), neonatal sepsis 86 (13.8%).Overall mortality ratewas 9.43%.Conclusion: Preterm low birth weight and its complicationswas the major cause of mortality while perinatal asphyxia wasthe important cause of admission among the outborn neonates.Most of the cases were preventable if we ensure properantenatal care and counselling for hospital delivery, properresuscitation practice and timely referral to facility.Improvement in neonatal care at different levels will furtherreduce the neonatal mortality.