Infant hydrocephalus in sub-Saharan Africa: Impact of perioperative care in the Zanzibar archipelago

Oliveras, Luis Moreno; Ortega, José Luis Llácer; Leidinger, Andreas; Haji, Mohamed Ali; Genovés, María Pilar Chisbert; Belloch, José Piquer

doi:10.1016/j.neucie.2020.01.001

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…Eight (23.5%) of the 34 papers on prevention focused on folic acid, most commonly reporting on the use of folic acid by mothers in the context of NTD and hydrocephalus (e.g., [ 22 , 105 , 123 , 124 , 132 , 164 ]). Four papers focused on barriers to [ 34 ], awareness of the benefit of [ 49 ], and estimation of potential reduction in the rate of NTD and hydrocephalus due to folic acid use [ 94 ]; and modelling of potential prevention of under-5 mortality [ 94 ].…”

Section: Resultsmentioning

confidence: 99%

The burden, prevention and care of infants and children with congenital anomalies in sub-Saharan Africa: A scoping review

Leke,

Malherbe,

Kalk

et al. 2023

PLOS Glob Public Health

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The aim of this scoping review was to determine the scope, objectives and methodology of contemporary published research on congenital anomalies (CAs) in sub-Saharan Africa (SSA), to inform activities of the newly established sub-Saharan African Congenital Anomaly Network (sSCAN). MEDLINE was searched for CA-related articles published between January 2016 and June 2021. Articles were classified into four main areas (public health burden, surveillance, prevention, care) and their objectives and methodologies summarized. Of the 532 articles identified, 255 were included. The articles originated from 22 of the 49 SSA countries, with four countries contributing 60% of the articles: Nigeria (22.0%), Ethiopia (14.1%), Uganda (11.7%) and South Africa (11.7%). Only 5.5% of studies involved multiple countries within the region. Most articles included CA as their primary focus (85%), investigated a single CA (88%), focused on CA burden (56.9%) and care (54.1%), with less coverage of surveillance (3.5%) and prevention (13.3%). The most common study designs were case studies/case series (26.6%), followed by cross-sectional surveys (17.6%), retrospective record reviews (17.3%), and cohort studies (17.2%). Studies were mainly derived from single hospitals (60.4%), with only 9% being population-based studies. Most data were obtained from retrospective review of clinical records (56.1%) or via caregiver interviews (34.9%). Few papers included stillbirths (7.5%), prenatally diagnosed CAs (3.5%) or terminations of pregnancy for CA (2.4%).This first-of-a-kind-scoping review on CA in SSA demonstrated an increasing level of awareness and recognition among researchers in SSA of the contribution of CAs to under-5 mortality and morbidity in the region. The review also highlighted the need to address diagnosis, prevention, surveillance and care to meet Sustainable Development Goals 3.2 and 3.8. The SSA sub-region faces unique challenges, including fragmentation of efforts that we hope to surmount through sSCAN via a multidisciplinary and multi-stakeholder approach.

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Section: Resultsmentioning

confidence: 99%

The burden, prevention and care of infants and children with congenital anomalies in sub-Saharan Africa: A scoping review

Leke,

Malherbe,

Kalk

et al. 2023

PLOS Glob Public Health

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“…This information is in great contrast to our current research since only 7.32% had taken folate supplements, consistent with a previous publication from our group on patients with infantile hydrocephalus (8.30% of folate supplement intake). 22 …”

Section: Discussionmentioning

confidence: 99%

Global neurosurgery: Reflections on myelomeningocele in the Zanzibar archipelago (Tanzania)

Moreno-Oliveras,

Rodriguez-Mena,

Nahoda

et al. 2023

World Neurosurgery: X

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“…Consumo de ácido fólico El consumo de ácido fólico 0.4 mg (400mcg/día) es esencial para prevenir los defectos del cierre del tubo neural tanto abiertos como cerrados, fue fundamentado por 15 autores en donde mencionan que se puede hacer para disminuir las tasas de morbimortalidad infantil, Por otro lado, es preponderante mencionar la fortificación de la harina de maíz y trigo la cual ha tenido un gran auge para la prevención de estas malformaciones sobre todo en países en vías de desarrollo. 3,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] b. Control prenatal La consulta preconcepcional es importante para identificar posibles riesgos en una fase temprana y establecer medidas preventivas para proporcionar el tratamiento correspondiente con mínimas secuelas y evolución satisfactoria tanto para la madre como para el feto.…”

Section: Intervenciones De Prevenciónunclassified

Intervenciones de prevención y tratamiento en recién nacidos con defectos del tubo neural

Vázquez-Hernández,

Álvarez-Gallardo

2022

Rev.Enferm.Neurol

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Introducción: Los defectos de tubo neural son anomalías congénitas del sistema nervioso central; estas malformaciones elevan el grado de morbimortalidad en los recién nacidos durante los diez primeros años de vida. Objetivo: Definir las intervenciones que el profesional de enfermería puede realizar en el recién nacido con defectos del tubo neural tomando en cuenta aspectos de prevención y tratamiento. Método: Se realizo una búsqueda sistematizada en las bases de datos de PudMed y BVS durante julio-septiembre de 2021, que incluyo artículos completos relacionados con intervenciones de enfermería a recién nacidos con defectos del tubo neural publicados entre 2016-2021 y artículos médicos de revisión literaria. Resultados: Se seleccionaron 41 artículos para definir las intervenciones, a saber: a) intervenciones preventivas con el consumo de ácido fólico, control prenatal y educación sanitaria, b) intervenciones relacionadas al tratamiento enfocadas al cuidado de las derivaciones ventriculoperitoneales y cuidado de heridas quirúrgicas, c) intervenciones ante complicaciones. Discusión: Las tasas de mortalidad y discapacidad infantil han incrementado en los últimos años a pesar de los avances en la medicina preventiva, por lo que toma relevancia el consumo de ácido fólico, la educación sanitaria y los métodos de cuidado hospitalarios. Conclusiones: la enfermera neonatal puede participar con cuidados estandarizados en beneficio de los recién nacidos considerando intervenciones para evitar retraso en el crecimiento y desarrollo de los hitos motores y cognitivos, reducir complicaciones y mejorar las posibilidades de una óptima condición de vida.

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Infant hydrocephalus in sub-Saharan Africa: Impact of perioperative care in the Zanzibar archipelago

Cited by 5 publications

References 11 publications

The burden, prevention and care of infants and children with congenital anomalies in sub-Saharan Africa: A scoping review

The burden, prevention and care of infants and children with congenital anomalies in sub-Saharan Africa: A scoping review

Global neurosurgery: Reflections on myelomeningocele in the Zanzibar archipelago (Tanzania)

Intervenciones de prevención y tratamiento en recién nacidos con defectos del tubo neural

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