Abstract

STUDY OF CLINICAL PROFILE IN NEONATES AFFECTED BY HIGH ENVIRONMENTAL TEMPERATURE DURING SUMMER MONTHS 2016

Author(s): Nagaraj Shambulingappa Javali, Prakash Hire Kotnekal, Shivappa Malipatil, Balasubramanya, Avinash Gadwal

BACKGROUND Definite data on effect of heat in neonate is not documented, although there are numerous studies and evidences on hypothermia in neonates. The aim of the study is to study the- 1. Clinical and biochemical profile of neonate with hyperthermia and heat-related illnesses. 2. Outcome of neonates presented with hyperthermia. MATERIALS AND METHODS A retrospective observational study was carried out in our secondary level care NICU during summer months (1st April-31st May, 2016). An unusually high number of neonatal hyperthermia cases seen during summer months. Environment temperature range 41°C-45.8°C in Raichur during our study period. Their case records were primarily reviewed for presenting signs and symptoms, clinical assessment and appropriate laboratory investigations were used as tools to rule out other causes. RESULTS Clinical, biochemical profile and outcome of 46 cases of hyperthermia in neonates were analysed. We observed most of neonates were term (100%) with normal birth weight (67.39%), born through normal delivery (80.43%) and on exclusive breastfeeding (84.78%) were affected by high temperatures. All of them were successfully treated and discharged within short duration of time. The mean duration of time is 3.32. CONCLUSION Hyperthermia is an acute illness with very good prognosis, if identified and treated, timely and promptly. Hyperthermia is likely to be missed due to too general signs or symptoms. Inadequacy of feeding especially in early neonatal period during summer months plays an important role in developing hyperthermia in neonates.