Objective. To determine the most general patterns of the clinical and laboratory course of seasonal influenza in children with obesity compared with normal weight children. Patients and methods. A retrospective comparative study of 117 medical records of children with influenza admitted from 2016 to 2019 to the Regional Infectious Diseases Hospital was conducted. The study included two groups of children with seasonal influenza: children with obesity (cases, n = 36) and children with normal weight (controls, n = 81). Nasopharyngeal swabs were tested for influenza and other common respiratory pathogens by PCR. A comparative analysis of structure, prevalence and duration of main clinical symptoms and syndromes, occurrence of influenza complications, data of laboratory general, biochemical and instrumental methods of examination in children with and without obesity was carried out. Results. A prevalence of type A influenza virus (H1N1 sw2009) in all children regardless their body weight status was detected. Children with obesity were admitted to the hospital from out-patient department faster (p < 0.005), duration of their hospitalization were longer (p < 0.005). They had higher frequency of pneumonia (p > 0.05), ketoacidosis (p < 0.001). Intravenous maintenance fluid therapy was ordered more often in patients with obesity (p < 0.03). Hematologic factors of blood in children with obesity were defined by significantly higher level of erythrocyte sedimentation rate (p = 0.0006) and platelet level (p = 0.0032). Conclusion. Obesity is considered as an unfavorable factor which aggravates the course of influenza in children. Higher probability of complications in children with obesity and overweight defines the importance of development of additional approaches to the therapy and prevention of acute respiratory diseases in children. Key words: children, clinical symptoms, influenza, obesity, retrospective study
ResultsThe charts of 41 Neonates with PICC lines, were reviewed. One hundred percent had a PICC Sticker inserted in the chart. Twenty-six 'PICC Stickers' (63%) had 100% compliance with all the 15 documentation criteria. Thirty-eight charts (92%) had 11 or more documentation criteria completed. There was 100% compliance with Date, time, Indication, Catheter type, Insertion Depth, time of×ray, Position on×ray, line taped at, 'Line Suitable' and Clinical Signature. The Documentation sticker with less than 100% compliance included catheter size 80% (33/41), measured length 95% (37/ 41), no change 75% (31/41) and with draw 95%(39/41).Formal radiological reports documented the PICC line tip position in forty of the forty-one×rays.Kappa score for correlation between Paediatrician and Radiologist was 0.637(95% CI 0.394-0.880).This audit demonstrates significant improvement to the standard of clinical documentation (as Shown in Bar Charts). Findings
was 70 days. Of all the re-admission, 99 were breastfeeding on re-admission, 24 were mixed feeds and 19 bottle fed. Conclusions The two main reasons for readmissions were jaundice and weight loss. There was an overlap of this because a proportion of jaundiced babies were noted to have weight loss or poor feeding on readmission. We believe that these are potentially avoidable readmissions if there was sufficient feeding support for the mother and babies in the community. It would alleviate the additional emotional stress imposed on the mother and family by the readmission. It would also reduce the impact on the bed occupancy on an already stretched maternity and transitional care wards.
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