Clinico-Epidemiological Profile, Complications and Outcome of Hypernatremic Dehydration in Exclusively Breast Fed Infants
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Background: Hypernatremic dehydration is a known and lethal complication observed in breast fed infants which can be complicated by environmental hyperthermia. Objectives: To find out incidence, clinico-epidemiological profile, complications and outcome of hypernatremic dehydration in breast fed infants. Setting: Tertiary level neonatal and pediatric centre in central India. Materials and Methods: A retrospective study was conducted over a period of two years from February 2016 to January 2018. Study population consists of term and near term infants (≥35 weeks gestation) of age ≤28 days with hypernatremic dehydration and serum sodium ≥ 150 meq/l. Infants with known cause of hypernatremic dehydration like gastroenteritis, salt poisoning, diabetes insipidus, etc. were excluded. Results: There was clustering of twenty three infants with hypernatremic dehydration during summer months. Condition was more common in male (65.22%), extramural (91.30%) babies born to primigravida (78.26%). Common clinical features at admission resembled sepsis and include fever (86.95%), letharginess (86.95%), refusal to feed (82.61%) and oliguria Mean serum sodium was 163.5 (ranged from 150-191 meq/l) and severity of hypernatremia directly correlated with duration of symptoms. Rehydration was done slowly over 48-72 hours in most with bolus given in 3 cases who presented with shock. Two cases who presented late with apnea, encephalopathy, shock and intrinsic renal failure expired. Rest all survived (91.30%) with average ICU and hospital stay of 6.17 and 6.82 days respectively. Conclusion: Hypernatremic dehydration is an important, less discussed and lethal complication in breast fed infants. Environmental hyperthermia appears to be a significant etiological factor for this condition.
Authors and Affiliations
Saurabh Piparsania, Prashant Choudhary, Nagesh Chandra Doharey, Saurabh Kumar Chhotelal Jain
Keywords
Related Articles
- EP ID EP538943
- DOI 10.21276/ijmrp.2018.4.2.031
- Views 73
- Downloads 0
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