picu mortality kashan september 2014
DESCRIPTION
pediatric mortality presentationTRANSCRIPT
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MORTALITY & MORBIDITY FOR THE MONTH OF SEPTEMBER 2014DR. SYED KASHAN ALI
PG TRAINEE
CIVIL HOSPITAL
PAEDIATRICS UNIT -III
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DISCHARGED : 59DOR : 21LAMA : 7REFERRED : 3EXPIRED : 6STILL IN WARD : 22
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AGE DISTRIBUTION
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DISEASE DISTRIBUTION: Pneumonia : 16
Bronchopneumonia : 12 Lobar pneumonia : 2 Aspiration Pneumonia : 2
Bronchiolitis : 7 Asthma : 6 Meningitis : 4 (LP proven : 4) Encephalitis: 1 Cerebral malaria: 2 Enteric: 7 Malaria : 5 AGE with Sepsis : 5 FTT with Sepsis : 2 Metabolic fits : 1
Hypocalcemic fits : 1
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PCM grade III : 11 Kwashiorkar : 3 Marasmus : 8
Wilson disease : 1 Snake bite : 2 Cellulitis: 3 TB : 2 Pulmonary TB 1 TB meningitis 1 Septic arthritis : 1 Stroke : 1 Glycogen storage disorder : 2
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Nephrotic syndrome : 3 Nutritional anemia: 1 Megaloblastic Anemia: 1 Thalesemia with severe anemia : 1 Lymphoma: 2 AGN with HTN encephlopathy : 1 Autoimmune Hepatitis : 1 UTI : 1 Gauchers Disease: 1 Mayocarditis : 1 Polio: 1 Hypophosphatemic Rickets: 1
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Factor IX deficiency : 1 Hemophilia (Factor VIII deficiency) : 1 Protein S deficiency : 1 SMA :1 Down syndrome : 3 Biliary atresia :1 Congenital lobar emphysema : 1 Cholera : 2 Rectal polyp : 1
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Pertusis : 1 Liver abcess : 1
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BLOOD CULTURES
Total 05 Cultures positive
MRSA : 2E. COLI : 1PSEUDOMONAS : 2
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SENSITIVITY PATTERN OF MRSA:
SENSITIVE RESISTANCE
CIPROFLOXACIN AMOXICILLIN CLAVULANIC ACID
DOXYCYCLINE AMOXICILLIN
CLINDAMYCIN CLOXACILLIN
VANCOMYCIN
LINEZOLID
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E. COLI
SENSITIVE RESISTANT
Ciprofloxacin Ceftriaxone
Ofloxacin Ceftizoxime
Levofloxacin Cephradine
Cefotaxime
Cefoperazone/sulbactum
Pipracillin/Tazobactum
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PSEUDOMONAS (2)
SENSITIVE RESISTANT
Amikacin (2) Ceftazidime (1)
Meropenem (2) Ciprofloxacin (1)
Polymyxin (2) Levofloxacin (1)
Gentamycin (2)
Ceftazidime (1)
Cefoperazone/sulbactum (2)
Pipracillin/Tazobactum (2)
Ciprofloxacin (1)
Levofloxacin (1)
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EXPIRIES :CASE 1:
Name: Sumaiya Age : 9 years Weight : 21 kg DOA : 20-8-2014 DOE : 7-9-2014 Diagnosis : Wilson disease
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EXPIRIES :CASE 2:
Name: Ayan Age : 45 days Weight : 2.4 kg DOA : 6-9-14 DOE : 14-9-14 Diagnosis : Bronchopneumonia +CCF + VSD
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EXPIRIES :CASE 3:
Name: Abid Age : 6 months Weight : 2.2 kg DOA : 10-9-14 DOE : 15-9-14 Diagnosis : FFT+Sepsis
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EXPIRIES :CASE 4:
Name: Ayan Age : 8 months Weight : 5.3 kg DOA : 11-9-14 DOE : 14-9-14 Diagnosis : SMA with Bronchopneumonia
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EXPIRIES :CASE 5:
Name: Shehzor Age : 3 months Weight : 4 kg DOA : 13-9-14 DOE : 17-9-14 Diagnosis : Syndromic child with
Bronchopneumonia
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EXPIRIES :CASE 6:
Name: Hameed Age : 2 months Weight : 5.5 kg DOA : 13-9-14 DOE : 15-9-14 Diagnosis : Congenital Hypothyroidism with
Bronchopneumonia
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REFERAD CASES TO NICH
BILIARY ATRESIA CONGENITAL LOBAR EMPHYSEMA INTUSSUSCEPETION
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THANK YOU