COMPLICATIONS OF MEASLES IN HOSPITALIZED CHILDREN
PDF

How to Cite

Khan, I., Khattak, A., & Muhammad, A. (2013). COMPLICATIONS OF MEASLES IN HOSPITALIZED CHILDREN. KHYBER MEDICAL UNIVERSITY JOURNAL, 5(1), 27-30. Retrieved from https://www.kmuj.kmu.edu.pk/article/view/11432

Abstract

Objective: The aim of this study was to determine the frequency of complicationsof measles in hospitalized children.

Methodology: This hospital based cross-sectional descriptive study was conductedin Paediatrics Unit, Post Graduate Medical Institute, Govt Lady Reading Hospital Peshawar from January 2012 to December 2012. All patients who presented with signs and symptoms suggestive of measles according to WHO criteria were included in the study. Information regarding patient age, sex, address,vaccination status, complications and outcome were noted in specifically designed proforma.

Results: A total of 302 hospitalized measles patients with different complicationswere included in this study. Out of these 302 patients, 180(60%) were males and 122(40%) were females, with male to female ratio of 1.5:1. The age range was from four and half months to thirteen years with mean age of 26.8 months. Major complications in descending order of frequency were pneumonia 170 (56.29%), diarrhea 52 (17.22%), encephalitis 22 (7.28%), febrile seizures 21 (6.95%), croup 10 (3.31%), otitis media 9 (2.98%), severe stomatitis 7 (2.34%), emphysema 4 (1.32%), dysentery 3 (0.99%), myocarditis 2 (0.66%) and pneumothorax 2 (0.66%) each. Sixteen patients expired with a mortality rate of 5.29%.

Conclusion: Measles is still a serious threat to our children. Pneumonia followed by diarrhea and encephalitis are the most serious complications of measles.

PDF

References

Mason WH. Measles. In: Behrman RE, Kliegman RIV, Jensao HB. (Ed). Nelson Text Book of Pediatrics. Philadelphia: W.B Saunders; 19th edition 2011; 1069-1075.

Steince CE, Birmingham M, Kuriam M, Duclos P, Strebel P. The global burden of measles in the year 2000 a model that uses country-specific indicators. J Infect Dis 2003; 187: 8-14.

Gaffar T, Moshni E, Lievano F. The challenge

of achieving measles elimination in the eastern Mediterranean region by 2010. J Infect Dis 2003; 187: 164-71.

Khan HI, Ahmed TJ. Risk factors for increased mortality in children with complications

of measles. J Coll Physicians Surg 1999; 9: 247-50.

Ibrahim SA, Mustafa OM, Mukhtar MM, Saleh EA, El Mubarak HS, Abdallah A, et al. Measles in suburban Khartoum: An epidemiological and clinical study. Trop Med Int Health 2002; 5: 442- 9.

Marufu T, Siziya S, Tshimanga M, Murugasampillay

S, Mason E, Manyame B. Factors

associated with measles complication In Gweru, Zimbabwe. East Afr Med J 2001; 3: 135-8.

Tariq P. Assessment of coverage level of single dose measles vaccine. J coll Physicians

Surg Pak 2003; 13: 507-10.

Rafi S, Shah IA, Rao MH, Billoo AG. Expanded Program for Immunization in Karachi. J Pak Med Assoc 1995; 45: 34-7.

Tulloch J. Integrated approach to child health in developing countries. Lancet 1999; 354: 16-20.

Murray M, Rasmussen J. Measles outbreaks

in Northern Pakistan village. Epidemiology

and vaccine effectiveness. Am J Epidemiol 2000; 151: 811-9.

CDC. Surveillance Summaries Measles United States 1991. MMWR 1992; 41: 1-12.

Huming Y, Chaomin W, Meuh Vitamin A for treating measles in children. Cochrane Database Syst Rev 2005; 19: CD001479.

Lagunju IA, Orimadegun AE, Oyedem DG. Measles in Ibadan: A continuous courage. Afr J Med Sci 2005; 34: 338-7.

Rehman AU, Sidique TS, Idris M. Clinical outcome in measles patients hospitalized with complications. J Ayub Med Coll Abbotabad

; 20(2): 14-6.

Muhammad A, Irhsad M, Khan B. A comparative

study of measles complications in vaccinated verses non-vaccinated children. J Postgrad Med Inst 2011; 25(01): 4-8.

Qaiser I, Ahmed A, Ahmed F, Mazhar A. Complications of Measles in well-nourished

and malnourished Children. J Ayub Med Coll Abbotabad 2009; 21 (2): 30-2.

Khan A, Aqeel M, Khattak AA. Measles is still a severe problem in North West Frontier province in Pakistan: study of hospitalized

patients. Med channel 2009;15 (4): 140-14.

Junejo A A, Abbasi K A, Shiakh AH. Complications of measles in hospitalized children. Med Channel 2011; 17(4): 41-4.

Albahadle A K J, Abass AA. Measles outbreak in AL-kadhimiyia, Iraq, 2008-2009 and its common complications. IRAQI J Med Sci 2009; 7(3): 46-51.

Aurengzeb B, Nizar Y, Hazir T, Burki F, Hassan M. Clinical outcome in children hospitalized with complicated measles. J Coll Physician Surg 2005; 15(9): 547-51.

Caksen H, Odabas D, Kose D, Sar S, Tuncer O, Atas B. Measles is still a severe problem in Eastern Turkey. J Med Assoc Thai 2004; 87: 386-8.

Ray SK, Malik S, Munsi AK, Mitra SP, Baurr B, Kumar S. Epidemiological study of measles

in slum of Kolkata. Indian J Paediatr 2004; 71: 583-6.

Henao Restrepo AM, Strebel P, Hoekstr E J, Brimingham M, Bilous J. Experience in global Measles Control 1990-2001. J Infect disease 2003; 187(Suppl): 515-21.

Singh J, Sharma RS, Verghese T. Measles mortality in India: a review of community based studies. J Com Dis 1994; 26: 203-14.

Jahan S, Saigl A M A, Baker M A M A, Alataya

A O, Hamed S A. Measles outbreak in Qassim, Saudi Arabia 2007: epidemiology and evaluation of outbreak response. J Public Health 2008; 30(4): 384-90

Work published in KMUJ is licensed under a

 Creative Commons Attribution-NonCommercial 2.0 Generic License.

Creative Commons License

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.