Pneumothorax in neonates with meconium aspiration.

  • Muhammad Amin Quaid e Azam Medical College/ Bahawal Victria Hospital, Bahawalpur.
  • Mukhtar Ahmad Ghazi Khan Medical College, Dera Ghazi Khan.
  • Malik Muhammad Naeem Quaid e Azam Medical College/ Bahawal Victria Hospital, Bahawalpur.
  • Muhammad Amir Ramzan Bahawal Victoria Hospital, Bahawalpur.
Keywords: Meconium Aspiration, Newborn, Pneumothorax

Abstract

Objectives: Recent years have seen advances in respiratory supports for meconium aspiration syndrome (MAS) but pneumothorax (PTX) still stands a significant indicator of disease severity. This study was aimed to determine the frequency of PTX in newborn with meconium aspiration. Study Design: Descriptive, cross-sectional study. Setting: Department of Pediatric Medicine, Unit 1, Bahawal Victoria Hospital, Bahawalpur, and Department of Pediatric Medicine, Ghazi Khan Medical College/Hospital, Dera Ghazi Khan. Period: 1st June 2017 to 30th September 2018. Material and Methods: A total of 736 patients with meconium aspiration of age 1-28 days and both genders were included. Patients with congenital heart anomalies and preterm infants were excluded. Presence or absence of PTX in each patient was noted. Results: Age range in this study was from 1 to 28 days with mean age of 12.80 ± 6.52 days. Majority of the patients 434 (58.97%) were between 1 to 14 days of age. Out of the 736 patients, 394 (53.53%) were male and 342 (46.47%) were females with male to female ratio of 1.2:1. Frequency of PTX in newborn with meconium aspiration was found in 176 (23.91%) patients. Conclusion: Frequency of PTX in newborn with meconium aspiration is quite high. In every newborn with meconium aspiration, proper management should be done for early prevention as well as taking therapeutic measures in this particular population.

Author Biographies

Muhammad Amin, Quaid e Azam Medical College/ Bahawal Victria Hospital, Bahawalpur.

MBBS, DCH, MCPS, FCPS

Professor

Department of Pediatrics

 

Mukhtar Ahmad, Ghazi Khan Medical College, Dera Ghazi Khan.

MBBS, DCH, FCPS

Associate Professor

Department of Pediatrics

 

Malik Muhammad Naeem, Quaid e Azam Medical College/ Bahawal Victria Hospital, Bahawalpur.

MBBS, DCH, FCPS

Assistant Professor

Department of Pediatrics

 

Muhammad Amir Ramzan, Bahawal Victoria Hospital, Bahawalpur.

MBBS

Postgraduate Registrar

Department of Pediatric Unit-1

 

Published
2019-11-10