Morbi-mortalité en milieu hospitalier pédiatrique dakarois (Sénégal)

Camara, B.; Diouf, S.; Faye, P.M.; Ba, A.; Ba, Mouhamadou Lamine; Sow, Doudou; Kuakuvi, N

doi:10.1016/j.arcped.2005.09.022

Cited by 6 publications

(5 citation statements)

References 2 publications

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“…On the other hand, the spectrum of diagnoses associated with hospitalization tended to change whether the patient was on or off ART at time of hospitalization. Indeed, those on ART seemed to present with less AIDS-defining events, but more non-specific events comparable to what has been reported in the general population [40–42]. Previous studies have reported decreases in the number of hospitalizations due to common AIDS-defining diseases in the ART era [31,43], compensated by the appearance of non-AIDS-defining diseases.…”

Section: Discussionsupporting

confidence: 58%

Reasons for hospitalization in HIV‐infected children in West Africa

Dicko¹,

Desmonde²,

Koumakpaï³

et al. 2014

Journal of the International AIDS Society

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IntroductionCurrent knowledge on morbidity and mortality in HIV-infected children comes from data collected in specific research programmes, which may offer a different standard of care compared to routine care. We described hospitalization data within a large observational cohort of HIV-infected children in West Africa (IeDEA West Africa collaboration).MethodsWe performed a six-month prospective multicentre survey from April to October 2010 in five HIV-specialized paediatric hospital wards in Ouagadougou, Accra, Cotonou, Dakar and Bamako. Baseline and follow-up data during hospitalization were recorded using a standardized clinical form, and extracted from hospitalization files and local databases. Event validation committees reviewed diagnoses within each centre. HIV-related events were defined according to the WHO definitions.ResultsFrom April to October 2010, 155 HIV-infected children were hospitalized; median age was 3 years [1–8]. Among them, 90 (58%) were confirmed for HIV infection during their stay; 138 (89%) were already receiving cotrimoxazole prophylaxis and 64 children (40%) had initiated antiretroviral therapy (ART). The median length of stay was 13 days (IQR: 7–23); 25 children (16%) died during hospitalization and four (3%) were transferred out. The leading causes of hospitalization were WHO stage 3 opportunistic infections (37%), non-AIDS-defining events (28%), cachexia and other WHO stage 4 events (25%).ConclusionsOverall, most causes of hospitalizations were HIV related but one hospitalization in three was caused by a non-AIDS-defining event, mostly in children on ART. HIV-related fatality is also high despite the scaling-up of access to ART in resource-limited settings.

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Section: Discussionsupporting

confidence: 58%

Reasons for hospitalization in HIV‐infected children in West Africa

Dicko¹,

Desmonde²,

Koumakpaï³

et al. 2014

Journal of the International AIDS Society

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“…It is followed by vomiting (38.8%), fever (38.8%) and lesser signs of breathing (10.4%). These symptoms have been found in numerous studies as the main reasons for admission [12] [13] [14]. severe anemia, infection, anorexia, loss of appetite [7].…”

Section: Discussionmentioning

confidence: 99%

Management of Severe Acute Malnutrition in a Senegalese Paediatric Hospital

Seck¹,

Basse²,

Boiro³

et al. 2021

OJPed

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Malnutrition is a global health problem. It is very common in developing countries where it contributes to an increase in morbidity and mortality, especially among children under five years of age. The main objective of this study was to describe the management of severe acute malnutrition (SAM) in children six months to five years of age hospitalized at Diamniadio Children's Hospital (DCH). This was an epidemiological, retrospective, descriptive and cross-sectional study of children aged six to 59 months hospitalized at DCH for SAM. The study took place over a 12-month period (from January 1, 2018 to December 31, 2018). During the study period, 67 children were admitted for SAM, representing a hospital prevalence of 8.4%. The majority (88%) children were less than 24 months old. Reasons for consultations were dominated by diarrhea (57.5%) vomiting (38.8%). Complications related to SAM were mainly: anaemia (74.6%), infections (85%) and severe acute dehydration (40.3%). Factors associated with SAM were young age (infants under 24 months of age), poverty, the first four children of a sibling, poor behaviour of food diversification. The average length of hospitalization was 12 days. The nutritional recovery rate was 73.1% and lethality was 3%. Conclusion: The prevention of malnutrition must involve the fight against poverty, an optimal and well-diversified diet, monitoring the nutritional status of children up to five years of age.

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“…In this study, overall mortality is 10%. It is less than that recorded in few studies [4,[8][9][10].…”

Section: Discussionmentioning

confidence: 72%

Contribution of Dehydration and Malnutrition to the Mortality of Children 0-59 Month of Age in a Senegalese Pediatric Hospital

Sylla

Kéïta

Diouf

et al. 2014

Int. J. Child Health Nutr.

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In-hospital mortality is an indicator of the quality of care. We analyzed the mortality of under five years children of Pediatric ward of Aristide Le Dantec teaching hospital to update our data, after an previous study conducted ten years earlier. Methods: This was a retrospective study involving children 0-59 months of age, hospitalized from January 1, 2012 to December 31, 2012. For each child, nutritional status was assessed according to 2006 World Health Organization growth standards; clinical and biological data were recorded. The outcome of the disease was specified. Bivariate and multivariable were used to identify risk factors for death. Results: 393 children were included. Overall mortality rate was 10% (39/393). Factors associated with death were severe wasting [OR = 8.27, 95% CI [3.79-18], male gender (OR = 2.98, 95% CI [1.25-7.1]), dehydration (OR = 5.4, 95% CI [2.54-13.43]) in the model using the weight-for-height z score, male gender (OR = 2.5, 95% CI [1.11-5.63]), dehydration (OR = 8.43, 95% CI [3.83-18.5]) in using the height-forage z score, male gender (OR = 2.7, 95% CI [1.19-6.24]), dehydration (OR = 7.5, 95% CI [3.39-16.76]), severe underweight (OR = 2.4, 95% CI [1.11-5.63]), in the model using the weight-forage z score, and male gender (OR = 2.5, 95% CI [1.11-5.63]), dehydration (OR = 8.43, 95% CI [3.83-18.5]) in that using MUAC. Dehydration and malnutrition are two independent factors of mortality. Our management protocols of dehydration and malnutrition have to be updated. Screening malnutrition has to be done systematically for each child by anthropometric measurements using WHO growth standards.

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Morbi-mortalité en milieu hospitalier pédiatrique dakarois (Sénégal)

Cited by 6 publications

References 2 publications

Reasons for hospitalization in HIV‐infected children in West Africa

Reasons for hospitalization in HIV‐infected children in West Africa

Management of Severe Acute Malnutrition in a Senegalese Paediatric Hospital

Contribution of Dehydration and Malnutrition to the Mortality of Children 0-59 Month of Age in a Senegalese Pediatric Hospital

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