Introduction: Eosinophilia is a well-known host immune response in helminthic infestation. This study was carried out to investigate whether a correlation exists between absolute eosinophil count in children with stool specimen positive for helminthic infestation. Aim And Objective: To determine average raised absolute eosinophil count in children who were having various helminthic infestation with stool specimen positive. Materials And Methods: A hospital based cross sectional study done at Navodaya medical college hospital and research centre during 2019 October to 2020 September for a period of 12 months. Both blood and stool samples were obtained from a total of 69 suspected children after examined, categorised into 2 groups. Among them 24 cases were positive of helminthic infestation and 45 cases were negative. T-test and descriptive statistics were used to analyse the data. Results: The study revealed that children infested with helminths found to have higher absolute eosinophil count (mean 4644/µl (95%CI; 3474-4212) than not infested (mean 801/µl (95%CI; 616-945) with p value <0.001. In this helminth's family; nematodes, trematodes, cestodes showed mean values of absolute eosinophil count were 5206/µl (4806-7151/µl), 4930/µl (4500-5382/µl) and 2179/µl (2500-1669/µl) respectively. Conclusions: Raised absolute eosinophil count has been observed in stool specimen positive cases of helminths, especially more in nematodes. Therefore, should be considered for a single dose of albendazole.
Introduction: Non-invasive nature of pulse oximetry allows much affordable, rapid assessment of degree of hypoxemia and helps in identication of the patients at risk. Mortality in a pediatric intensive care unit (PICU) depends on the severity of illness. A good scoring system for identifying the severity of illness can help to prioritize care. Triage is sorting out of patients, the main objective of which is early patient assessment to obviate harmful delay in the management. Aims And Objectives: To predict the outcome of critically ill children in pediatric ICU by using the Triage scoring system and Spo2/Fio2(SF) ratio. Materials And Methods: A hospital based prospective observational study done at Navodaya Medical College Hospital & Research Centre during January 2020 to June 2021 for a period of 18 months. A total of 125 children were studied. Data is described in terms of mean (+SD), frequencies (number of cases) and percentages. Statistical analysis was done using SPSS software version 26. Results: Out of 125 children studied, 8 died. Except temperature, all other variables showed signicant association with mortality (p <0.001). Mortality was 0%, 4.88%, 28.57%, 75%, 25% and 50% for scores of 0, 1, 2, 3, 4 and 5 respectively. Children of score 3 or more had signicant high mortality. Among the 113 subjects who survived, mean SpO2/FiO2 ratio is 340 and among 12 subjects who died, SpO2/FiO2 ratio is 184. SpO2/FiO2 ratio is less among the children who died and can predict mortality. Conclusions: Many deaths in under ve children occurring in hospitals can be prevented if triage is followed, if any sick children are identied soon on their arrival and treatment is started immediately. SpO2/FiO2 ratio is a non-invasive and reliable tool for hypoxemia screening and predicting outcome among patients admitted to the ED.
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