Neonatal Pneumonia in NICU of a Tertiary Care Center

  • MA Mannan Professor, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Nazmun Nahar Assistant Professor, Department of Neonatology, MH Samorita Hospital and Medical College,Tejgaon, Dhaka
  • Firoz Ahmed Registrar, Department of Paediatrics, Comilla Medical College Hospital,Comilla
  • Ismat Jahan Assistant Professor, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Taskina Mosleh Assistant Professor, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Kamrul Ahsan Khan Assistant Professor, Department of Neonatology, Sheikh Shayera Khatun Medical College Hospital, Gopalgonj
  • Sanjoy Kumer Dey Associate Professor, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Mohammod Shahidullah Professor and Chairman, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka
Keywords: Neonatal pneumonia, Ventilator associated pneumonia

Abstract

Background: Pneumonia is one of the causes of neonatal infection and responsible for significant morbidity and mortality, especially in developing countries. The study was aimed to reveal frequency and outcome of pneumonia among hospitalized sick newborn of neonatal intensive care unit.

Methodology: This observational study was carried out in the NICU of Bangabandhu Sheikh Mujib Medical University (BSMMU) on 94 neonates with the diagnosis of pneumonia admitted from July 2012 to June 2014. All studied neonates were subjected to history taking, clinical examination, routine investigations, chest radiography and blood culture and sensitivity.

Results: Incidence of neonatal pneumonia was 43% among admitted neonates with respiratory distress. Mean birth weight and gestational age were 2392±854 and 33±3.9 weeks respectively. Of enrolled infants with pneumonia, 38 (40.4%) were early onset, 24 (25%) were hospital acquired pneumonia and community acquired pneumonia was documented in 14 (14.8 %) and the rest 18 (19%) were ventilator associated pneumonia. Blood culture was positive in 18 (19%) of cases with neonatal pneumonia; most common pathogen isolated was acinetobacter. Mean duration of hospital stay was 19±8 days. Most of the neonatal pneumonia were cured 72 (76%) with therapy, whereas 17 (18%) died during their hospital course.

Conclusion: Overall incidence among admitted sick neonates was 8.4% which constituted 34% of distressed neonate.

Bangladesh J Child Health 2018; VOL 42 (3) :112-117

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Author Biographies

MA Mannan, Professor, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka

Department of Neonatology

Nazmun Nahar, Assistant Professor, Department of Neonatology, MH Samorita Hospital and Medical College,Tejgaon, Dhaka

Department of Neonatology

Firoz Ahmed, Registrar, Department of Paediatrics, Comilla Medical College Hospital,Comilla

Department of Paediatrics

Ismat Jahan, Assistant Professor, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka

Department of Neonatology

Taskina Mosleh, Assistant Professor, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka

Department of Neonatology

Kamrul Ahsan Khan, Assistant Professor, Department of Neonatology, Sheikh Shayera Khatun Medical College Hospital, Gopalgonj

Department of Neonatology

Sanjoy Kumer Dey, Associate Professor, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka

Department of Neonatology

Mohammod Shahidullah, Professor and Chairman, Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka

Department of Neonatology

Published
2018-12-15
How to Cite
Mannan, M., Nahar, N., Ahmed, F., Jahan, I., Mosleh, T., Khan, K., Dey, S., & Shahidullah, M. (2018). Neonatal Pneumonia in NICU of a Tertiary Care Center. Bangladesh Journal of Child Health, 42(3), 112-117. https://doi.org/10.3329/bjch.v42i3.39250
Section
Original Articles