Abstract book 6th RMS 16.indd

surgery, and only two with subglottic
stenosis underwent tracheotomy.
Conclusion: Flexible bronchoscope should
be part of the initial investigations in
children with upper airway obstruction. A
schematic approach need to be established
so that non necessary complementary
investigations can be avoided.
86
Unusual Presentation of Varicella
Case Report
Khaled Amro MD*, Jürgen Dinger MD PhD,*
Paediatric Intensive Care Specialist, Queen
Rania Al-Abdullah Hospital for Children, King
Hussein Medical Center, Royal Medical Services
(Jordan)
drkhaledam64@yahoo.com
Chickenpox is generally a benign disease
in developed countries. In Germany, up to
1% of general practitioner consultations
for varicella and its complications result in
hospital admission. In children, bacterial
superinfections are one of the most
common complications. Skin and softtissue
infections are the most frequent
manifestations of this in healthy children,
but life-threatening septicaemia may
sometimes supervene. We highlight this
with a report of a child boy with pre
varicella severe sepsis, which had some
unusual features before skin eruption. The
aim of our report that unusual presentation
of chicken pox with picture of septic shock
before skin eruption appear.
87
Early Aggressive Intravenous Fat
Emulsion Decreases the Incidence of
Retinopathy of Prematurity
Ghassan S A. Salama MD*, Alia Khlefat JBP,
Fadi F Ayyash JBP, Tahani G Al-Harbi RN, Abeer
Abd Al-Muhdi RN
* JBP/ Neonatologist, Royal Medical Services
(Jordan)
gh_surra@yahoo.com
Objectives: To evaluate the effect of early
aggressive introduction of intravenous fat
emulsion on the occurrence of retinopathy
of prematurity.
Methods: A retrospective study conducted
at Prince Hashem Ben Al- Hussein Military
Hospital. A 100 premature infants of ≤ 34
weeks gestational age, and /or of < 1500
grams, all who needed oxygen support
for respiratory distress syndrome and who
either not received or who received either
early aggressive or late non-aggressive
intravenous fat emulsion, and all who
underwent eye examination for ROP.
Results: Of total 100 premature infants
studied 17 (17%) found to have ROP. Of
the 32 premature infants who received
early aggressive IVFE, 4 (12.5%) diagnosed
to have ROP. Of them 9.4% with stage (1),
3.1% with stage (3) and none had stage
2, 4 or 5. Of the 33 preterm infants who
received late non-aggressive IVFE 5(15%)
documented to have ROP. In this group
6% had stage (1), 2% stage (2), 3%
stage(3) and no single preterm infant had
stage 4 or 5. Of the 35 premature infants
who did not receive IVFE at all, 8(22.8%)
developed ROP of them 5.7% developed
stage (1) ROP, 8.5% stage (2), 5.7% stage
(3), 2.8% stage (4) and none had stage 5.
Conclusion: Early aggressive introduction
of intravenous fat emulsion associated
with better retinal development in preterm
infants and thus decreases the prevalence
of retinopathy of prematurity.
88
Pattern and Outcome of Admissions to
the Neonatal Unit at Prince Hashem
Bin Al-Hussein Military Hospital
Najwa Sunna MD, Pediatric Department,
Neonatology Unit, Royal Medical Services
(Jordan)
najwasunna@hotmail.cam
Objectives: To analyze and determine the
number, disease pattern and outcome of
neonates admitted to the unit from august
2009 to july 2010.
Methods: Data of all the admissions
was recorded and analyzed according
to gestational age, weight, sex, cause
of admission, hospital course and final
outcome.
Results: 332 neonates were admitted
out of the 5071 deliveries. (43%) of the
admissions resulted from C/S deliveries
(57%)were born vaginally. (57%) were
males. Premature babies constituted 44%
of the admissions and LBW (