Peculiarities of Pneumonia in Newborn

Abstract

A comprehensive study of newborns with pneumonia was conducted on those under the age of 28 days, hospitalized in the clinical departments of the City Clinical Hospital No. 1 of the city of Tashkent. 52 newborns were examined, of which 26 newborns were admitted to the clinic from maternity hospitals, the remaining 26 newborns were admitted from home. Predisposing factors contributing to the development of pneumonia in children under 28 days of age were the frequency of acute respiratory diseases of mothers during pregnancy, carriage of TORCH infection, aggravated pregnancy: in the form of preeclampsia, threatened miscarriage, chronic hypoxia, fetoplacental insufficiency, anemia and pathological childbirth. Clinical manifestations of pneumonia in newborns were characterized by a complex of non-specific, as well as specific symptoms and syndromes of respiratory damage. In the clinical picture of newborns transferred from maternity hospitals with a diagnosis of pneumonia, the most common concomitant symptom was intense jaundice, which reached 4-5 zones on the Cramer scale that corresponds to a pronounced degree of hyperbilirubinemia. Most newborns had signs of perinatal CNS damage. For an objective quantitative assessment of the dynamics of the neurological status of newborns, we used the "Score scale for the severity of perinatal encephalopathy", developed at the Research Institute of Pediatrics of the Russian Academy of Medical Sciences A.A. Stepanov (1998). It is based on a comprehensive assessment of the motor activity of innate reflexes and behavioral reactions of newborns, taking into account the quantitative characteristics of each newborn.