Volume 6 Issue 7 (July, 2018)

Original Articles

Comparative Evaluation of Different Treatment Protocols in Treating Paediatric Patients with Community Acquired Pneumonia: An Institutional Based Study
Kuldeep Singh Rajpoot, Lakhan Poswal, Chakshu Chaudhary

Background: Respiratory infection is one of the leading causes of death in children in our country. According to the Infectious Diseases Society of America a comprehensive guidelines for the diagnosis and treatment of paediatric community acquired pneumonia advocated the treatment course of 10 days where mild dose was seen as effective as heavier dose in mild to moderate cases. As a primary drug of choice majority of physicians use -lactams to treat mild paediatric pneumonia with 10 or more days of therapy. Material and method: The study and analysis so conducted for a time period of 6 months, for a total of 66 patients in the paediatric department of our medical college and hospital. As study sample children from age 6 months to 10 years presenting with community acquired pneumonia were selected. . All these findings were first analysed and documented manually and later on presented electronically. Also the probable side effects were also recorded. An effort was made to understand if patient took any secondary antibiotic apart from amoxicillin, which came out to be negative in all cases. Results: The symptoms of fever and wheezing were still seen in group B till the second week of completion of antibiotic course. Also the side effects of amoxicillin (nausea, upset stomach, mild itching and flatulence) were more evident in group A than in group B. GROUP A patients showed considerable relief from symptoms as soon as the antibiotic course finished. Conclusion: The inclusion of fever as a major criterion did diminish the probability of selecting participants with pertussis, which is much less likely to be associated with the symptom of fever, or any other non-infectious conditions. The requirement for participants to present with a respiratory symptom or sign decreased the probability of involving those with infections of other organ systems who are originally diagnosed with pneumonia. Key words: nausea, pneumonia, Respiratory

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