Neonatal pneumonia is one of the major causes of mortality and morbidity in Bangladesh. Though the clinical features are nonspecific, the diagnosis is difficult. This cross sectional study was conducted at the neonatal unit of the department of Paediatrics in Jalalabad Ragib-Rabeya Medical College Hospital, Sylhet, to evaluate the clinical profile and outcome of neonates admitted with pneumonia. The study was conducted among 30 neonates with pneumonia from July to December 2018 who fulfilled the inclusion and exclusion criteria by convenient sampling. The study results showed that, the majority (90.6%) of the cases were early onset within 0-3 days. Normal birth weight neonates (80%) were more affected than low birth weight neonates. Commonly found clinical features were difficulty in breathing in all cases (100%), followed by chest indrawing (67%), poor feeding (56.7%), grunting (50%), fever (30%), cough (10%), cyanosis (10%). The majority (56.7%) of the patients were discharged on request after clinical improvements and 10% of the patients died. This study summarized the current knowledge regarding clinical features of neonatal pneumonia that might help in early recognition and treatment of neonatal pneumonia to save sick neonates.

Keywords: Pneumonia, Neonates, Respiratory distress.