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September 20-22, 2017 | Toronto, Canada
10
TH
AMERICAN PEDIATRICS HEALTHCARE &
PEDIATRIC INFECTIOUS DISEASES CONGRESS
Pediatric Healthcare & Pediatric Infections 2017
I
atrogenic problems are the gift of advancement in medical
technology and it is defined as deleterious effects of
diagnostic or therapeutic regimen producing pathology
independent of the condition for which the regimen is
given to sick newborn in NICU. It is an emerging problem of
developing and developed countries. The prevalence varies
from place to place and it depends upon the knowledge,
attitude and practices of the medical and paramedical
staff of the NICU. Keeping in view of the above fact this
observational study w.e.f Jan 2003 to Dec 2016 was
carried out in NICU of Neonatal Section of Department of
Pediatrics, Jawaharlal Nehru Medical College Aligarh Muslim
University Aligarh India with the objectives to determine the
prevalence, spectrum and impact on immediate outcome of
iatrogenic diseases in NICU. A total of 55816 babies delivered
in Obstetric Department of Jawaharlal Nehru Medical
College AMU Aligarh of which 16396 babies were admitted
to NICU for their sickness. 1446 newborn with mean age
11.5 ±4.08 with predominance of male over female with M:F
ratio of 1.07:1,delivered to unbooted, multipara through
normal vaginal route in68%,41.63% and 56.6% respectively.
The neonatal profile of newborn who developed iatrogenic
problem during the NICU stay were having in combination
illness followed by respiratory distress, birth asphyxia,
prematurity (Gestational age <37 weeks), septicemia,
blood group incompatibility and congenital anomalies I
29%,18%,18%,13%,12%7% and 6% respectively. The overall
prevalence of iatrogenic problem was observed 8.81%
which included predominance of intravenous cannulation
injury followed by, anemia, miscellaneous, obstetric
injuries.,drug induced problem and surgical problems in
.38.9%,18.5%,17.6%, 13.7%, 9.5%, and 1.9% respectively.
Conclusion:
There is increase prevalence of iatrogenic
disease in NICU which can be reduced considerably by
vigilance of trained and skilled medical and nursing staff
regarding iatrogenic problems, following strict protocol
management and regular auditing of iatrogenic problems in
NICU during their management.
e:
manazir1958@yahoo.comIatrogenic profile of newborn in Neonatal Intensive Care Unit (NICU)
S.Manazir Ali
Aligarh Muslim University, India