PT  - JOURNAL ARTICLE
AU  - Bhatta, Nisha Keshary
AU  - Chauhan, Sandeep
AU  - Agrawal, Jyoti
AU  - Yadav, Shanker
AU  - Sah, Lok Raj
AU  - Rajbhandarisingh, Rupa
TI  - Clinical Spectrum of Neonatal Respiratory Morbidity in Developing Country
AID  - 10.1183/13993003.congress-2020.2832
DP  - 2020 Sep 07
TA  - European Respiratory Journal
PG  - 2832
VI  - 56
IP  - suppl 64
4099  - http://erj.ersjournals.com/content/56/suppl_64/2832.short
4100  - http://erj.ersjournals.com/content/56/suppl_64/2832.full
SO  - Eur Respir J2020 Sep 07; 56
AB  - Introduction: Large number of preterm and term neonates admitted in Neonatology Intensive Care Units (NICU) in developing countries have respiratory morbidity that can contribute towards Chronic Lung Disease in Adulthood Aims and Objectives: To explore the Clinical Spectrum of Respiratory Morbidity and heterogeneity of Risk factors in term Neonates admitted in Neonatology Intensive Care Units (NICU) in Developing CountryMethods: 250 term newborns admitted during the period of 1year from 2015-2016 at Neonatology Intensive Care Units (NICU) at Department of Pediatrics at B. P. Koirala Institute of Health Science (BPKIHS), university teaching hospital in Nepal were enrolled. Routine clinical care was done according to NRP guidelines 2015 and Respiratory morbidity and distress was monitored throughout the hospital stay by using Downe’s scoring system. Heterogeneity in Risk factors and Clinical Patterns of Respiratory Morbidity was ascertained by analyzing clinico-demographic profile and utilizing all the available diagnostic parameters. Basic descriptive statistics were used to analyze the data.Results: Among the 250 term newborns, 63 % were boys and 65 % were appropriate for gestational age. 118(47 %) had Transient Tachypnea of the Newborn, 58 (23%) had Meconium Aspiration Syndrome (MAS), 27(11%) had Congenital Pneumonia, 18 (7%). Maternal Factor contributed as the risk factor for respiratory morbidity in 30 % of cases. Sepsis and Asphyxia were strong risk factors even in term neonatesConclusions: There is a wide Clinical Spectrum of Neonatal Respiratory Morbidity among newborns admitted at NICU in developing countries that is being contributed by preventable heterogeneous risk factors.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 2832.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).