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CASE STUDY
Dhanapal C.K., Mathew J., Madhusudhan S., Manavalan R. and Roy V.*
Department of Pharmacy, Annamalai University, EHA, New Delhi.
*For Correspondence: E-mail: manivannan_biotech@yahoo.co.in
Abstract: A hospital based 6 months prospective study was carried out on children with clinical
diagnosis of bronchopneumonia in pediatric department of RMMC Chidambaram. The objective of the
study was to find out the proportional case rate and the clinico-epidemiological features of the disease.
The effectiveness of Nebulized salbutamol among bronchopneumonia children was also finding out. The
proportional case rate was found to be 2.24%. Low birth weight (18%) malnutrition (23%) no
immunization (17%), non-breast feeding (20%) and low socio-economic status (25%). Response to
nebulized salbutamol was remarkably higher (70%) in 6 to 12 month group.
Key words: Bronchopneumonia, Low Birth Weight, Malnutrition, Salbutamol, Socio-economic Status
Analysis of Table 2 shows that low socio- vaccination practices are also a risk factor
economic status, mal-nutrition and non- for severe bronchopneumonia in early age.
breast feeding were the contributory This might be explained by the production
factors for severe bronchopneumonia in of protective interferon produced by
early age. Poor foetal nutrition leading to administration of OPV which protect other
mal-nutrition operated to increase the viruses also [26].
severity of illness. Similarly non-
Table 2: Relation of some epidemiological factors with the severity of bronchopneumonia [n=200].
Risk Factors Cured Not Cured Dead Total
(n=156) (n=44) (n=12) (n=200)
Nos. % Nos. % Nos. % Nos. %
Not breast fed 33 21.15 7 15.90 - - 40 20
Without instrument
Fever 84 53.84 22 50.00 - - 106 53.0
Cough 75 48.07 26 59.09 - - 101 50.5
Tachycardia 6 3.84 7 15.90 - - 13 6.5
Tachypnea 8 5.12 6 13.63 - - 14 7.0
Severe Respiratory distress 2 1.28 1 2.27 - - 3 1.5
Without instrument - -
Wheeze 80 51.28 46 104.54 - - 126 63.0
Creptation 60 28.46 53 120.45 - - 113 56.50
Rales & Crackles 2 1.28 20 45.45 22 11.00
<6 48 21 43.75
6-12 months 30 21 70.00
Above 12 months 78 42 53.85
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