An Analytical Study of Acute Flaccid Paralysis in a Tertiary Care
نویسنده
چکیده
Objective: To analyze the incidence, etiology, clinical features, management and short term outcome of Acute Flaccid Paralysis. Design: Prospective observational cross sectional descriptive study. Setting: All the patients diagnosed as Acute Flaccid Paralysis admitted in pediatric wards and ICU of Institute for Women and Child Health, Niloufer Hospital, Osmania Medical College, Hyderabad were taken for the study for a period of 1 year (from Jan 2011 to Dec 2011). Participants: Over a period of 12 months, 32casesof Acute Flaccid Paralysis from the age of 6 months to12years who were admitted in pediatric wards and ICU were included in the study. Those who suffered with diarrhea and improved with electrolyte correction were excluded from the study. Methods: Clinical data was collected with the prescribed proforma. All cases with acute illness with Flaccidness were taken. ENMG, CSF analysis and 2 stool sample analysis were done for all AFP cases. Results: In this study of 32 AFP cases, 14 are GBS, 13 are Non Polio AFP and 5 are transversemyelitis. The M:F ratio in GBS was 1.3:1. In Non Polio AFP M:F ratio was 1.13:1and in transversemyelitis the M:F ratio was1:1.5. In this study the respiratory involvement was seen in 7 cases out of 14cases of GBS. The p value is 0.03 suggests that respiratory failure is most significant and serious complication. In 5 cases of transversemyelitis, the bowel and bladder involvement was noted. The p value was 0.001for bladder involvement in transversemyelitis. Conclusion: Male patients were more affected than female patients and most cases were reported during April to September months.
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