• Pak J Med Sci · Sep 2018

    Spectrum of complications in childhood Enteric Fever as reported in a Tertiary Care Hospital.

    • Aisha Iftikhar, Attia Bari, Uzma Jabeen, and Iqbal Bano.
    • Dr. Aisha Iftikhar, FCPS. Department of Peadiatrics Medicine, The Children's Hospital and Institute of Child Health, Lahore, Pakistan.
    • Pak J Med Sci. 2018 Sep 1; 34 (5): 1115-1119.

    ObjectiveTo find out frequency of various complications in children admitted with Enteric Fever at a tertiary care hospital.MethodsThis was prospective cross sectional study, carried out in the Pediatric Medicine department of The Children's Hospital Lahore from Dec 2014 to March 2017. Children of both genders with age range of 6 months to 16 years diagnosed as enteric fever on the basis of clinical features and positive Typhidot, or blood culture were included in the study. All 180 patients were scrutinized for all possible complications. Where ever required and feasible appropriate and relevant investigations were done to document complications. Data was analyzed by SPSS version 20.ResultsMean age of children was 7.2±3.38, majority 94 (52.2%) were 5-10 years old. Out of 180 patients, complications were noted in 58 (32.2%). Neurological complications 30.7% encompassed maximum complications followed by hepatobiliary 24.61%, abdominal 16.92% hematological 9.23%, bone and joints 7.69%, respiratory system 6.1% and cardiovascular system 4.41%. Mortality rate was 1.6%. Thrombocytopenia and leucopenia were significantly associated with complications with p value of 0.002 and 0.003 respectively.ConclusionEnteric fever is causing our children to suffer by its numerous perplexing and fatal complications. The most vulnerable age for enteric fever and its complication is 5-10 years. To combat these issues large scale vaccination remains promising option at least in most susceptible age group.

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