Dholakia P J*, Parekh Z R**, Gohil J R **, Gosai M **, Solanki D I **
INTERNATIONAL JOURNAL OF MEDICAL AND APPLIED SCIENCES 2013; VOL2issue4:147-51.
Full text pdf
http://earthjournals.org/ijmas_228.pdf
ABSTRACT
Protein energy malnutrition (PEM) has been identified as a major health and nutrition problem in India. It is an important cause of childhood morbidity and mortality. The incidence of PEM in India in Preschool age is 3-4%. These children’s are more prone for infections. Bacterial infection & PEM is deadly combination for child.
Methods: Therefore we conducted prospective study for one year period. Patients having PEM grade III and grade IV, according to IAP classification are included in study. Blood culture, urine culture and stool culture were sent on day 1, along with routine investigations and data was analyzed.
Results: In our series of 74 patients, 9.5% are blood culture positive. Out of these, 6.8% are gram positive and 1.7% is gram negative organism. Urine cultures were positive in 5.4% of cases. Out of these 3.1% are gram negative organisms. Only 1% had stool culture positive. Anemia present in 78.9% of patients. Pneumonia was being diagnosed in 35.1% of patients, and diarrhea in 14.9% of patients. Mortality rates 5.4, of these 3.05% are in PEM grade III.
Conclusion: In the patients studied- All patients with PEM grade III & grade IV needs to be investigated for blood culture and urine culture. Stool culture is not necessary in PEM child. Preferential coverage of gram positive organisms while selecting antibiotic is necessary. Pneumonia is most common in child with PEM grade III.
Key Words : Bacterial Infection, Culture, PEM grade III &IV
INTERNATIONAL JOURNAL OF MEDICAL AND APPLIED SCIENCES 2013; VOL2issue4:147-51.
Full text pdf
http://earthjournals.org/ijmas_228.pdf
ABSTRACT
Protein energy malnutrition (PEM) has been identified as a major health and nutrition problem in India. It is an important cause of childhood morbidity and mortality. The incidence of PEM in India in Preschool age is 3-4%. These children’s are more prone for infections. Bacterial infection & PEM is deadly combination for child.
Methods: Therefore we conducted prospective study for one year period. Patients having PEM grade III and grade IV, according to IAP classification are included in study. Blood culture, urine culture and stool culture were sent on day 1, along with routine investigations and data was analyzed.
Results: In our series of 74 patients, 9.5% are blood culture positive. Out of these, 6.8% are gram positive and 1.7% is gram negative organism. Urine cultures were positive in 5.4% of cases. Out of these 3.1% are gram negative organisms. Only 1% had stool culture positive. Anemia present in 78.9% of patients. Pneumonia was being diagnosed in 35.1% of patients, and diarrhea in 14.9% of patients. Mortality rates 5.4, of these 3.05% are in PEM grade III.
Conclusion: In the patients studied- All patients with PEM grade III & grade IV needs to be investigated for blood culture and urine culture. Stool culture is not necessary in PEM child. Preferential coverage of gram positive organisms while selecting antibiotic is necessary. Pneumonia is most common in child with PEM grade III.
Key Words : Bacterial Infection, Culture, PEM grade III &IV
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