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Abstract SUMMARY This study was Intended to throw light on the pattern of diseases in paediatric department in Benha University Hospital, both retrospectively and prospectively. The retrospective part of the work was taken from the hospital records conserning the inpateint in the period from January, 198h to June, 1986 and the prospective part included one year in the -outpateint in the period from juli, 1986 to June, 1987. and the inpateint in the same period taken also from the hospital records. As concerns . the distribution of diseases in the outpateint in the period from Jul’. 1986 to June, 1987. It was found that; the total number of cases seen were 3003. They represented a random sample from those attending the outpateint. There is male predomlnence. The sample was classified into four groups. Group I represents those below 1 year, group II represents those from I to 2 years. Group Ill represents - those form 2 to 6 years. Group IV represents those above 6 years. In group I respiratory diseases predominates, followed • by C.I.T. diseases then the nutritional diseases. G.I.T. diseases. Predominates in group 11. followed by the respiratory. In group 111 comes first the respiratory diseases then the parasitic diseases. In group IV, the respiratory diseases predominates then the parasitic infestation, the renal diseases and cardiovascular diseases. ilthout passing to the outpateint. Or referrpd from Private clinics. Gastroenteritis is the main disease in group I and II. while bronchitis and tonsillitis predominate In group III and IV. The respiratory diseases And diarrheal diseases as gastroenteritis is the main disorder among the gastrointestinal diseases, both are as common as in winter as Most of the diseases seen in the outpateintare minor ilineSseS. This may be attributed to that major illnesses are usually referred from a hospital directly to the inpateint as regards the distribution of diseases in the inpateint in the period from January, 1985 to June, 1986, the total number of admissions in this period (18 months) was 350, compared to 227 cases admitted In the period from Jull 1986 to June, 1987 (12 months). Now major illnesses are seen and minor illnesses are restricted to the outpateint. Nutritional maraseus got the highest Percentage in the admission in group I. followed by gastroeftteritis. Narasmus Alf([) dominatedIn group 11 followed by pneumonia and eastroenteritis. Still marasmus dominated in group 111 followed by cases of hepatcmplenomegaly and pneumonia. Cases of rheumatic arthritis dominated in group IV followed by pneumonia. Cases of cardiovascular diseases took the ,longest duration of hospital stay. 76.2% were improved on discharge and 9.5% were died. In the period from AM. 1986 to June, 1987, 227 cases were admitted to the inpateita. GaRttOenteritis is the main disorder in group I and II.Pnouponia Predominatedl in group 111. Lastly cases of rheumatic heart diseases predominated in group IV. Various infectionsgot the Longest duration of hospital stay. 76.2X of,cases were improved and 0•8% of caseswere died, TO room of the statistic department revealed that 469 cases were admitted in 1983, 696 in 1984, 572 In 1985 and 292 in 1986, lied occupancy rate was 101%in 1983. 99 in 1984. 95%in 1985 andlOftin 1986. Bed turn over was 6.2 in 1983. 15.7 in 1984. 19.1 in 1985 and 37.5 in 1986. Lastly recoimendations are given for health promotion and for increasing hospital efficiency. • |