English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

According to the IMCI guidelines young infants below 2 months are considered a special group because these infants have special characteristics, that they can become sick and die very quickly from serious bacterial infections. This descriptive cross-sectional study was carried out to assess clinical characteristics of very severe disease according to WHO IMCI guideline among young infants of 29-59 days age and to determine whether clinically severe infections are associated with culture-positive bacteremia as well as to find out common etiological factors including organisms involved. The rationale behind conducting such research was that, although young infants of 29-59 days were equally vulnerable to severe infections as are the neonates; similar research addressing the condition in the young infants of the mentioned age is generally lacking. METHODS AND MATERIALS: This was a descriptive cross-sectional study conducted in the Department of Pediatrics, Chittagong Medical College Hospital, from March 2016 to September 2016. Young infants aged between 29-59 days presenting with signs of very severe disease were enrolled. Exclusion criteria were young infants with a congenital anomaly and very sick infants. RESULTS: In this study, it was observed that the majority (43.8%) of patients belonged to age 31-40 days and the mean age was 42.2 ± 7.4 days, ranged from 30 to 57 days. Regarding the sign of severe infection, the majority (97.7%) of patients had a fever, followed by 81.6% fast breathing, 65.5% history of unable to feed, 29.9% convulsion, 27.6% movement when stimulated, 18.4% grunting, and 2.3% had low body temperature. Eleven patients were found in blood culture positive. Klebsiella spp. was the most prevalent pathogens, comprising 6(54.5%) of the isolates, followed by coliform 2(18.2%), staphylococcus aureus 2(18.2%), and coagulase -ve staphylococcus was 1 (9.1%). CONCLUSION: Fever, fast breathing, and unable to feed were more common signs of very severe disease in the patients and positive blood culture was found in 12.6% of the cases. Klebsiella was found to be the commonest pathogen.

A Study of the Clinico-Bacteriological Profile of Infants Aged 29-59 Days Suffering from Very Severe Disease According to WHO IMCI Guideline