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Role of steroids on the clinical course and outcome of meconium aspiration syndrome a randomized controlled trial.

Role of steroids on the clinical course and outcome of meconium aspiration syndrome a randomized controlled trial. Research Abstract Details 

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  • Role of steroids on the clinical course and outcome of meconium aspiration syndrome a randomized controlled trial. Abstract Text:

    sriparna basuSriparna Basu,ashok kumarAshok Kumar,b d bhatiaB D Bhatia,k satyaK Satya,t b singhT B Singh,sriparna basuSriparna Basu,ashok kumarAshok Kumar,b d bhatiaB D Bhatia,k satyaK Satya,t b singhT B Singh,

    Background: Meconium aspiration syndrome (MAS) is one of the major causes of severe respiratory distress in the newborn and there is no uniform protocol of management after the development of MAS. Objective: The objective of the study was to determine whether systemic and inhalational steroid therapy can alter the clinical course of MAS and improve the outcome without causing any serious adverse effects. Methods: A randomized controlled trial was conducted in three groups of MAS over a period of 1 year. Group A (n = 33) served as controls, Group B (n = 34) received systemic methyl prednisolone and Group C (n = 32) received nebulized budesonide both for a period of 7 days starting after 24 h of age. Details of clinical progress were noted during the hospital stay. Follow up for a minimum period of 3 months was done in all. Data were analysed by SPSS 10 software. Student's t and ANOVA were used to assess statistical significance. Results: Patient profile was similar in all the three groups. Period of oxygen dependency and duration of hospital stay was significantly less in the steroid treated groups. Similarly full enteral feeding and radiological clearance of chest could be achieved earlier in groups B and C. No difference between the steroid treated groups could be appreciated by Student's Newman Kuel (SNK) test. Development of sepsis was similar in all the groups and no serious adverse effects were noted in steroid treated groups. Conclusion: Steroids are effective in the management of MAS and route of administration does not have a bearing on the efficacy.

    Role of steroids on the clinical course and outcome of meconium aspiration syndrome a randomized controlled trial. Publishing Authors By Initials

    s basuS Basu,a kumarA Kumar,bd bhatiaBD Bhatia,k satyaK Satya,tb singhTB Singh,s basuS Basu,a kumarA Kumar,bd bhatiaBD Bhatia,k satyaK Satya,tb singhTB Singh,

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    Role of steroids on the clinical course and outcome of meconium aspiration syndrome a randomized controlled trial. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of tropical pediatrics

    VOLUME: 53

    Page Numbers: 331-7

    Journal Abbreviation: J. Trop. Pediatr.

    ISSN: 0142-6338

    DAY: 29

    MONTH: 05

    YEAR: 2007

    Role of steroids on the clinical course and outcome of meconium aspiration syndrome a randomized controlled trial. Information

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    LANGUAGE: eng

    NlmUniqueID: 8010948

    Role of steroids on the clinical course and outcome of meconium aspiration syndrome a randomized controlled trial. Keywords Mesh Terms:

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    Grant and Affiliation Information for Role of steroids on the clinical course and outcome of meconium aspiration syndrome a randomized controlled trial.

    AFFILIATION: Division of Neonatology and Division of Biostatistics, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: J Trop Pediatr

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