pediatric mortality presentation

2. MORTALITY & MORBIDITY FOR THE
MONTH OF SEPTEMBER 2014
DR. SYED KASHAN ALI
PG TRAINEE
CIVIL HOSPITAL
PAEDIATRICS UNIT -III

4. DISCHARGED : 59
DOR : 21
LAMA : 7
REFERRED : 3
EXPIRED : 6
STILL IN WARD : 22

5. AGE DISTRIBUTION

6. 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

7.  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

8.  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

9.  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

10.  Pertusis : 1
 Liver abcess : 1

11. BLOOD CULTURES
Total 05 Cultures positive
MRSA : 2
E. COLI : 1
PSEUDOMONAS : 2

12. SENSITIVITY PATTERN OF MRSA:
SENSITIVE RESISTANCE
CIPROFLOXACIN AMOXICILLIN CLAVULANIC
ACID
DOXYCYCLINE AMOXICILLIN
CLINDAMYCIN CLOXACILLIN
VANCOMYCIN
LINEZOLID

13.  E. COLI
SENSITIVE RESISTANT
Ciprofloxacin Ceftriaxone
Ofloxacin Ceftizoxime
Levofloxacin Cephradine
Cefotaxime
Cefoperazone/sulbactum
Pipracillin/Tazobactum

14.  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)

15. EXPIRIES :
CASE 1:
 Name: Sumaiya
 Age : 9 years
 Weight : 21 kg
 DOA : 20-8-2014
 DOE : 7-9-2014
 Diagnosis : Wilson disease

16. EXPIRIES :
CASE 2:
 Name: Ayan
 Age : 45 days
 Weight : 2.4 kg
 DOA : 6-9-14
 DOE : 14-9-14
 Diagnosis : Bronchopneumonia +CCF + VSD

17. EXPIRIES :
CASE 3:
 Name: Abid
 Age : 6 months
 Weight : 2.2 kg
 DOA : 10-9-14
 DOE : 15-9-14
 Diagnosis : FFT+Sepsis

18. EXPIRIES :
CASE 4:
 Name: Ayan
 Age : 8 months
 Weight : 5.3 kg
 DOA : 11-9-14
 DOE : 14-9-14
 Diagnosis : SMA with Bronchopneumonia

19. EXPIRIES :
CASE 5:
 Name: Shehzor
 Age : 3 months
 Weight : 4 kg
 DOA : 13-9-14
 DOE : 17-9-14
 Diagnosis : Syndromic child with
Bronchopneumonia

20. 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

21. REFERAD CASES TO NICH
 BILIARY ATRESIA
 CONGENITAL LOBAR EMPHYSEMA
 INTUSSUSCEPETION

22. THANK YOU