Background: Neonatal jaundice is a common cause of mortality and morbidity in newborn babies and account for up to 60% cases in term and 80%
in preterm babies. Studies from different geographical areas should be done to know the causes of hyperbirubinemia properly so that a collective
effort can be made to decrease the burden mortality and morbidity associated with it
Objectives:To study the incidence and causes of neonatal jaundice in babies admitted in the hospital
Methods: It was a hospital based observational study conducted in one of the busiest hospitals of Jorhat over a period of 12 months. Incidence and
causes of neonatal jaundice in the babies born in the hospital during the study period were studied.
Results: 710 newborns delivered during the study period out of which 439 (61.8%) newborns developed clinical jaundice. 290 (66%) newborns
had physiological jaundice and the rest 149 (34%) developed pathological jaundice. Among the 149 babies developing pathological jaundice
87(58.3%) were males and 62(41.6%) were females. Most common cause was ABO incompability(31%) of cases, second was breast feeding
jaundice (28%) , third was prematurity (12%) .Other causes were cephalohematoma(1.3%), Rh incompatibility(3.3%) , G6PD deciency(8%),
sepsis(4.7%) and in 11.4% babies no denite cause was found.
Conclusion: Adequate feeding, preventing premature deliveries, good monitoring of babies with ABO incompability, prematurity, Rh
incompability, G6PD deciency can decrease the mortality and morbidity associated with neonatal jaundice.
Background: Urinary tract infection(UTI) is an important cause of mortality and morbidity in children, especially complicated UTI. In this study
we have tried to see the correlation of Ultrasound abdomen ndings with age of the culture positive UTI patients.
Objectives: to look at the age and sex distribution of patients with culture positive UTI and to look for the correlation of ultrasound abdomen
ndings with the age of culture positive UTI patients
Methods: It was a hospital based observational study conducted in one of the busiest hospitals of Jorhat over a period of 12 months. Urine culture
reports of all patients were traced from the hospital laboratory data. Ultrasound abdomen was done in patients with positive urine culture report .
Results: Total 206 urine samples were tested from suspected cases out of which 43(21%) were culture positive urinary tract infection. UTI was
more in girls as compared to boys. The male : female ratio was found to be 3:1 in children less than 2 years and in children more than 2 years female
outnumbered males(1:2 , 2:3 and 1:6 in children between the age group of 2 to 5 years, 6-9years and 10 to 14 years respectively). Cystitis(p=0.22)
and hydronephrosis(0.27) had no signicant correlation with the age of the UTI patients whereas Pyelonephritis(p=0.03) had signicant
correlation with age of UTI patients. All the patients who had pyelonephritis were less than 5 years of age.
Conclusion: UTI is an important cause of mortality and morbidity in children and younger children are more prone to complications. So a
collective effort should be made to diagnose such patients earlier and treat them adequately with judicious use of antibiotics.
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