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The Resurgence of Measles Infection and its Associated Complications in Early Childhood at a Tertiary Care Hospital in Peshawar, Pakistan Cover

The Resurgence of Measles Infection and its Associated Complications in Early Childhood at a Tertiary Care Hospital in Peshawar, Pakistan

Open Access
|May 2020

Figures & Tables

Fig. 1.

The overall distribution of anti-measles antibody (IgM) in patients’ sera (n = 100).
The overall distribution of anti-measles antibody (IgM) in patients’ sera (n = 100).

Fig. 2.

Gender distribution of measles complications (Percentage).
Gender distribution of measles complications (Percentage).

Fig. 3.

Number of confirmed measles cases from 2006 to 2019 in Pakistan (WHO 2019; updates).
Number of confirmed measles cases from 2006 to 2019 in Pakistan (WHO 2019; updates).

Fig. 4.

Distribution of measles complications among measles-vaccinated and unvaccinated children.
Distribution of measles complications among measles-vaccinated and unvaccinated children.

Vaccination schedule for children in Pakistan_

Age of vaccine administrationName of vaccine
Immediate after birth1. BCG
2. OPV
3. Hepatitis-B
After 6 weeks1. OPV-1
2. Penta-1
3. Pneumo-1
After 10 weeks1. OPV-2
2. Penta-2
3. Pneumo-2
After 14 weeks1. OPV-3
2. Penta-3
3. Pneumo-3
4. IPV
After 9 monthsMeasles-1
After 15 monthsMeasles-2

Demographic and related data of the patients_

ParametersPatient
Patient-related
Total Number 100
Male48 (48%)
Female52 (52%)
Age-wise (in months)
Male15.06 (± 9.42)
Female15.94 (± 9.42)
Feeding history (%)
Breastfeed56%
Formula feed32%
Breast + Formula12%
Measles vaccination status (%)
Vaccinated (Total)24%
        < 12 months(n = 2)
        12–24 months(n = 17)
        > 24 months(n = 5)
Unvaccinated (Total)76%
        < 12 months(n = 42)
        12–24 months(n = 23)
        > 24 months(n = 11)
Vitamin A intake (both genders)58%
Parents-related
Socio-economic status (%)
High (≥ $4,301 per annum)12%
Middle (≥ $1,701 and ≤ $4,300 per annum)38%
Lower (≤ $1,700 per annum)50%
Educational status (%)
Higher7%
Secondary28%
Primary22%
Uneducated43%

Frequency and distribution of measles complications in different age groups of patients

Clinical complicationsAge-wise distribution
< 12 months12–24 months> 24 monthsTotal
Pneumonia23 (47.9%)15 (37.5%)  3 (25%)  41
LRTI  8 (16.7)  8 (20)%  2 (16.7%)  18
Otitis media  1 (2.5%)  1 (8.3%)    2
Acute diarrhea  4 (8.3%)  1 (2.5%)  1 (8.3%)    6
Diarrhea + LRTI*   6 (12.5%)  8 (20%)  3 (25%)  17
Pneumonia + Diarrhea  3 (6.25%)  2 (5%)  1 (8.3%)    6
Otitis media + Pneumonia  2 (4.1%)  1 (2.5%)  1 (8.3%)    4
Myocarditis + LRTI  1 (2.0%)  2 (5%)    3
SSPE   1 (2.5%)    1
Pneumothorax  1 (2.0%)  1 (2.5%)    2
Total484012100
DOI: https://doi.org/10.33073/pjm-2020-020 | Journal eISSN: 2544-4646 | Journal ISSN: 1733-1331
Language: English
Page range: 177 - 184
Submitted on: Feb 1, 2020
Accepted on: Mar 31, 2020
Published on: May 15, 2020
Published by: Polish Society of Microbiologists
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2020 MUHAMMAD ILYAS, SUMERA AFZAL, JAMSHAID AHMAD, SAAD ALGHAMDI, MUHAMMAD KHURRAM, published by Polish Society of Microbiologists
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.