Assessment of Outcome of Encephalitis in Pediatric Intensive Care Unit

Abstract

Introduction: Aim: To assess outcome of encephalitis in pediatric intensive care unit.

 

Methods: Eighty- four children age ranged 6-14 years of either gender with diagnosis of acute encephalitis admitted to pediatric intensive care unit were recruited. Patients characteristics were recorded.

Results: Age group 6-8 years had 36, 9-11 years had 25 and 12-14 years had 23 children. There were 34 non- survivors and 50 survivors. Causative agent found to be Enterovirus in 12 and 35, Herpesvirus in 1 and 12, CMV in 2 and 4, Cosackie B1 in 1 and 3, Influenza & parainfluenza       in 1 and 1 and Adenovirus in 0 and 5 in non- survivors and survivors respectively. Management done was inotropes in 34      and 7, IVIG in 20 and 10, anticonvulsant in 34 and 40, corticosteroid in 18 and 4. Mechanical ventilation was required in 34 and 25, PICU stay was 10 days and 4 days in non- survivors and survivors respectively. A significant difference was observed (P< 0.05).

Conclusion: A significant mortality was seen in pediatric encephalitis. Patients need extensive management to prevent deaths.