Publications by authors named "Shilpa Krishnapura Lakshminarayana"

Article Synopsis
  • Enteritis is a rare complication in childhood lupus, making its diagnosis challenging, as illustrated by a case of a 15-year-old girl experiencing recurrent abdominal pain and gastrointestinal symptoms.
  • Initial testing led to a non-specific enteritis diagnosis, but follow-up revealed severe bowel issues and positive lupus markers, confirming lupus enteritis.
  • The case underlines the necessity for healthcare providers to recognize lupus enteritis in adolescents with vague gastrointestinal symptoms for prompt treatment and better outcomes.
View Article and Find Full Text PDF

Background Pneumonia is a major infectious cause of mortality in young children worldwide. The Respiratory Index of Severity in Children (RISC) score was designed with the intent to provide an objective mean to quantify the severity of lower respiratory tract infection in young children based on their risk of mortality. Knowledge about the clinical profile of acute respiratory infections and the scoring system predicting the risk of mortality helps in modifying treatment strategies.

View Article and Find Full Text PDF

Background Admission hypothermia is still an underappreciated major challenge for new-born survival in low-resource settings. The WHO recommends skin-to-skin contact as the simplest and safest way for maintaining the body temperature even during transportation. Quality improvement initiatives for hospitalised new-borns have shown benefits like a reduction in neonatal morbidity and mortality.

View Article and Find Full Text PDF

Untreated syphilis in pregnancy can result in an adverse outcome for the fetus. A multigravida woman with a previously poor obstetric history of early neonatal death, abortion and stillbirth was admitted in labour in the 7th month of pregnancy. On admission, syphilis screening with the qualitative rapid plasma reagin (RPR) test was negative.

View Article and Find Full Text PDF

Background: Antibiotics play a critical role in neonatal sepsis but excessive use is associated with adverse outcomes and the current prescribing rates of antibiotics are unacceptably high.

Aim: To reduce antibiotic over-use in preterm neonates by implementing an antibiotic stewardship programme using a quality improvement (QI) initiative.

Methods: This study was conducted at a neonatal intensive care unit in a resource-limited setting.

View Article and Find Full Text PDF

Purpose: Newborn screening is the need of the hour in a developing country like India as there is paucity of data from studies conducted in government hospitals with large sample size. The purpose of the study is to estimate incidence rate and recall rates for five conditions screened in the neonatal period namely congenital hypothyroidism, congenital adrenal hyperplasia, glucose-6-phosphate dehydrogenase (G6PD) deficiency, galactosemia and phenyl ketonuria (PKU).

Methods: The study was conducted at VaniVilas Hospital attached to Bangalore Medical College and Research Institute.

View Article and Find Full Text PDF