Mehdi Hasan Mumtaz, Eitheshamul Haq Qureshi, Khadija Zia, Kaneez Batool.
Incidence of acute inflammatory demyelinating polyradiculoneuropathy (AIDP), a record study.
Med Channel Nov ;11(2):15-9.

OBJECTIVE: Purpose of this study was to assess the incidence of GB Syndrome in Pakistan in areas of South Punjab like Multan. STUDY DESIGN: This is a retrospective study. PLACE AND DURATION OF STUDY: This study was conducted at Intensive Care Unit of Nishtar Hospital Multan from January 1989 to December 2003. MATERIAL AND METHOD: This study included a total of 210 patients suffering with GB Syndrome, who were being admitted in ICU clueing the above mentioned period. All patients under went management in ICU. A total of 155 patients out of 210 were given steroid therapy. All the patients underwent complete ear; nose and throat examination by the specialist to asses the source of infection. Study also included 15 paediatric patients and only 3 out of them were diagnosed as suffering from GB Syndrome the rest of them were suffering from Polio. RESULTS: Mortality rate was greater in patients who required ventilatory support than in those who did not require respiratory support. Overall mortality was 19.5% and it has shown definite decrease over the years. Incidence of death was least in group of patients who were given triple steroid therapy. Few cases diagnosed as GB on admission were found to he the result of electrolyte imbalance and few children being managed were found to he suffering from poliomyelitis. CONCLUSION: This disease has a non seasonal incidence in Pakistan and because of the improved management involving services of ENT surgeons, and microbiologists in addition to improved Intensive Care Therapy, the mortality has shown a definite decrease over the years. Furthermore lesser mortality rate can be attributed to the availability of more ventilatory .facilities and improved nursing care.

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