CONTEXT (BACKGROUND)India accounts for highest number of annual births (25.6 million) and neonatal deaths (0.76 million or 30% global burden). There is paucity of published data on new born health care from our country. We studied the morbidity profile of newborns admitted in our NICU. MATERIAL AND METHODSThis retrospective study on the morbidity profile of newborns was conducted at Neonatal Intensive Care Unit (NICU) of a tertiary care teaching hospital -King George Hospital, Visakhapatnam between May 2014 and April 2016 (2 years). All neonates admitted in our NICU during the above period were reviewed regarding place of birth, gestational age, birth weight, primary diagnosis at admission and other associated comorbidities. AIMTo study the morbidity profile in our NICU, a tertiary care teaching hospital during 2 years study period. RESULTSIn the present study, the data of 5755 neonates who were admitted in our NICU were analysed. Out of them 2994 (52.02%) were inborn and 2761 were out-born (47.98%). In our study population slight male preponderance, more number of pre-term babies (3513, 61.05%) that too gestational age between 34-37 weeks (2299, 39.95%) occupied the major share. In our study, the major cause of morbidity was RDS 1127 (19.58%) followed by HIE/birth asphyxia 1053 (18.30%), neonatal jaundice 920 (15.99%), sepsis 673 (11.70%) and miscellaneous causes 784 (13.62%) out of 5755. In our study, about 81 babies (1.41%) had major congenital malformations.
BACKGROUNDScrub typhus is caused by an organism related to Rickettsia species Orientia tsutsugamushi. It causes a disseminated vasculitis and perivascular inflammatory lesions whose net result is significant vascular leakage and end organ injury, especially brain and lungs. Eschar is the site of inoculation which is painless, non-pruritic and is a useful indicator of the disease. In our study, we included the distribution of eschar in paediatric scrub typhus patients.
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