Clinical Features of Pneumonia Observed in Neonates Admitted in a Tertiary Care Hospital

Nahid Farzana1, Md. Ruhul Amin2, Abu Ishaque Khan3

Abstract
Introduction: Neonatal pneumonia is one of the important causes of neonatal
morbidity and mortality especially in developing countries like Bangladesh. Diagnosis
is difficult as the clinical manifestations are being nonspecific.
Objectives: The purpose of the study was to evaluate the clinical features of pneumonia
among neonates for early diagnosis, treatment and to reduce the rate of mortality.
Methodology: This prospective observational study was conducted in Dhaka Shishu
(children) Hospital from April to September 2014. A total of 50 neonates, admitted in
the inpatient department were included who fulfilled the inclusion criteria’s like having
difficult breathing, fast breathing>60 /min, chest indrawing, grunting, cyanosis,
cough or fever. Diagnosis was confirmed by Chest X-ray.
Results: Study showed that in majority 42 (84%) cases pneumonia was late onset (4-
28 days) type..Term neonates 29(58%) were comparatively more affected than preterm
21(42%). Most commonly found clinical feature was difficulty in breathing (respiratory
distress) in 44 (88%) cases. Followed by poor feeding 37 (74%), chest-indrawing30
(60%), grunting respiration 9(18%) and cyanosis were found in 7(14%) cases.
Conclusion: Respiratory distress was considered as most common clinical feature
of neonatal pneumonia.
Key words: Pneumonia, Neonate, Respiratory Distress.

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