MORTALITY & MORBIDITY FOR THE MONTH OF SEPTEMBER 2014DR. SYED KASHAN ALI

PG TRAINEE

CIVIL HOSPITAL

PAEDIATRICS UNIT -III

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

AGE DISTRIBUTION

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

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

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

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

Pertusis : 1 Liver abcess : 1

BLOOD CULTURES

Total 05 Cultures positive

MRSA : 2E. COLI : 1PSEUDOMONAS : 2

SENSITIVITY PATTERN OF MRSA:

SENSITIVE RESISTANCE

CIPROFLOXACIN AMOXICILLIN CLAVULANIC ACID

DOXYCYCLINE AMOXICILLIN

CLINDAMYCIN CLOXACILLIN

VANCOMYCIN

LINEZOLID

E. COLI

SENSITIVE RESISTANT

Ciprofloxacin Ceftriaxone

Ofloxacin Ceftizoxime

Levofloxacin Cephradine

Cefotaxime

Cefoperazone/sulbactum

Pipracillin/Tazobactum

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)

EXPIRIES :CASE 1:

Name: Sumaiya Age : 9 years Weight : 21 kg DOA : 20-8-2014 DOE : 7-9-2014 Diagnosis : Wilson disease

EXPIRIES :CASE 2:

Name: Ayan Age : 45 days Weight : 2.4 kg DOA : 6-9-14 DOE : 14-9-14 Diagnosis : Bronchopneumonia +CCF + VSD

EXPIRIES :CASE 3:

Name: Abid Age : 6 months Weight : 2.2 kg DOA : 10-9-14 DOE : 15-9-14 Diagnosis : FFT+Sepsis

EXPIRIES :CASE 4:

Name: Ayan Age : 8 months Weight : 5.3 kg DOA : 11-9-14 DOE : 14-9-14 Diagnosis : SMA with Bronchopneumonia

EXPIRIES :CASE 5:

Name: Shehzor Age : 3 months Weight : 4 kg DOA : 13-9-14 DOE : 17-9-14 Diagnosis : Syndromic child with

Bronchopneumonia

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

REFERAD CASES TO NICH

BILIARY ATRESIA CONGENITAL LOBAR EMPHYSEMA INTUSSUSCEPETION

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